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Infection prevention in practice . Possibility of transmission of severe acute respiratory syndrome coronavirus 2 in a tertiary care hospital setti

tetano

Editor, Senior Moderator
Infection prevention in practice


. 2020 Sep;2(3):100079.
doi: 10.1016/j.infpip.2020.100079. Epub 2020 Jul 30.
Possibility of transmission of severe acute respiratory syndrome coronavirus 2 in a tertiary care hospital setting: A case study


Shinichiro Morioka[SUP] 1 [/SUP], Keiji Nakamura[SUP] 1 [/SUP], Shun Iida[SUP] 2 3 [/SUP], Satoshi Kutsuna[SUP] 1 [/SUP], Noriko Kinoshita[SUP] 1 [/SUP], Tetsuya Suzuki[SUP] 1 [/SUP], Tadaki Suzuki[SUP] 2 [/SUP], Kei Yamamoto[SUP] 1 [/SUP], Kayoko Hayakawa[SUP] 1 [/SUP], Sho Saito[SUP] 1 [/SUP], Norio Ohmagari[SUP] 1 [/SUP]



Affiliations

Abstract

Introduction: The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection has spready globally. This report describes the person-to-person transmission of the virus in a hospital setting.
Presentation of case: A 63-year-old man with pneumonia and a 70-year-old man without symptoms were admitted to a tertiary hospital with SARS-CoV-2 infection. Both men were accompanied by their wives, who stayed with their husbands during their hospitalisation. The wives of Patient 1 and Patient 2 tested positive and negative for SARS-CoV-2, respectively. Of the environmental samples tested, 1/21 and 0/25 from the rooms of Patient 1 and Patient 2, respectively, tested positive for SARS-CoV-2. Patient 1's wife appeared to have acquired infection during her husband's hospitalisation.
Discussion: The study had several limitations, including methodology inconsistencies. Additionally, a viral culture was not performed to demonstrate the viability of the virus identified in the environmental sample. Finally, the wife of Patient 1 stayed on the Diamond Princess cruise ship for 4 days before being transferred to the hospital and may have been infected on the ship and not while in the hospital.
Conclusion: Our study suggests that airborne transmission of SARS-CoV-2 may be limited. However, owing to the abovementioned limitations, the results should be interpreted with caution.

Keywords: Contamination; Environment; Hospital; Severe acute respiratory syndrome coronavirus 2; Transmission.
 
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