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dc.contributor.authorFeathers, Luke
dc.contributor.authorBird, Paul
dc.contributor.authorHolmes, Christopher
dc.contributor.authorTang, Julian
dc.date.accessioned2022-03-16T12:43:12Z
dc.date.available2022-03-16T12:43:12Z
dc.date.issued2022
dc.identifier.citationFeathers, L., Hinde, T., Bale, T., Hyde, J., Bird, P. W., Holmes, C. W., & Tang, J. W. (2022). Outbreak of SARS-CoV-2 at a hospice: terminated after the implementation of enhanced aerosol infection control measures. Interface focus, 12(2), 20210066. https://doi.org/10.1098/rsfs.2021.0066en_US
dc.identifier.urihttp://hdl.handle.net/20.500.12904/15275
dc.description.abstractOutbreaks of COVID-19 in hospices for palliative care patients pose a unique and difficult situation. Staff, relatives and patients may be possible sources and recipients of infection. We present an outbreak of COVID-19 in a hospice setting, during the UK's first pandemic wave. During the outbreak period, 26 patients and 30 staff tested SARS-CoV-2 positive by laboratory-based RT-PCR testing. Most infected staff exhibited some mild, non-specific symptoms so affected staff members may not have voluntarily self-isolated or had themselves tested on this basis. Similarly, for infected patients, most became symptomatic and were then isolated. Additional, enhanced aerosol infection control measures were implemented, including opening of all windows where available; universal masking for all staff, including in non-clinical areas and taking breaks separately; screening for asymptomatic infection among staff and patients, with appropriate isolation (at home for staff) if infected; performing a ventilation survey of the hospice facility. After these measures were instigated, the numbers of COVID-19 cases decreased to zero over the following three weeks. This outbreak study demonstrated that an accurate understanding of the routes of infection for a new pathogen, as well as the nature of symptomatic versus asymptomatic infection and transmission, is crucial for controlling its spread.
dc.description.urihttps://royalsocietypublishing.org/doi/10.1098/rsfs.2021.0066en_US
dc.subjectCOVID-19en_US
dc.subjectoutbreaken_US
dc.subjecthospiceen_US
dc.titleOutbreak of SARS-CoV-2 at a hospice: terminated after the implementation of enhanced aerosol infection control measuresen_US
dc.typeArticleen_US
rioxxterms.funderDefault funderen_US
rioxxterms.identifier.projectDefault projecten_US
rioxxterms.versionNAen_US
rioxxterms.versionofrecordhttps://doi.org/10.1098/rsfs.2021.0066en_US
rioxxterms.typeJournal Article/Reviewen_US
refterms.panelUnspecifieden_US
html.description.abstractOutbreaks of COVID-19 in hospices for palliative care patients pose a unique and difficult situation. Staff, relatives and patients may be possible sources and recipients of infection. We present an outbreak of COVID-19 in a hospice setting, during the UK's first pandemic wave. During the outbreak period, 26 patients and 30 staff tested SARS-CoV-2 positive by laboratory-based RT-PCR testing. Most infected staff exhibited some mild, non-specific symptoms so affected staff members may not have voluntarily self-isolated or had themselves tested on this basis. Similarly, for infected patients, most became symptomatic and were then isolated. Additional, enhanced aerosol infection control measures were implemented, including opening of all windows where available; universal masking for all staff, including in non-clinical areas and taking breaks separately; screening for asymptomatic infection among staff and patients, with appropriate isolation (at home for staff) if infected; performing a ventilation survey of the hospice facility. After these measures were instigated, the numbers of COVID-19 cases decreased to zero over the following three weeks. This outbreak study demonstrated that an accurate understanding of the routes of infection for a new pathogen, as well as the nature of symptomatic versus asymptomatic infection and transmission, is crucial for controlling its spread.en_US
rioxxterms.funder.project94a427429a5bcfef7dd04c33360d80cden_US


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