Environmental contamination of SARS-CoV-2 in healthcare premises

被引：132

作者：

Ye, Guangming ^{[1
]}

Lin, Hualiang ^{[2
]}

Chen, Song ^{[3
]}

Wang, Shichan ^{[1
]}

Zeng, Zhikun ^{[1
]}

Wang, Wei ^{[1
]}

Zhang, Shiyu ^{[2
]}

Rebmann, Terri ^{[4
]}

Li, Yirong ^{[1
]}

Pan, Zhenyu ^{[5
]}

Yang, Zhonghua ^{[3
]}

Wang, Ying ^{[6
]}

Wang, Fubing ^{[1
]}

Qian, Zhengmin ^{[4
]}

Wang, Xinghuan ^{[3
,7
,8
]}

机构：

[1] Wuhan Univ, Dept Lab Med, Zhongnan Hosp, Wuhan, Peoples R China

[2] Sun Yat Sen Univ, Sch Publ Hlth, Dept Epidemiol, Guangzhou, Peoples R China

[3] Wuhan Univ, Dept Urol, Zhongnan Hosp, Wuhan, Peoples R China

[4] St Louis Univ, Dept Epidemiol & Biostat, Coll Publ Hlth & Social Justice, St Louis, MO 63103 USA

[5] Wuhan Univ, Dept Med Adm, Zhongnan Hosp, Wuhan, Peoples R China

[6] Wuhan Univ, Dept Nosocomial Infect, Zhongnan Hosp, Wuhan, Peoples R China

[7] Wuhan Univ, Ctr Evidence Based & Translat Med, Zhongnan Hosp, Donghu Rd 169, Wuhan 430071, Peoples R China

[8] Wuhan Leishenshan Hosp, Wuhan, Peoples R China

来源：

JOURNAL OF INFECTION | 2020年 / 81卷 / 02期

关键词：

COVID-19; Wuhan; China; Hospital environmental contamination; POLLUTION; WUHAN;

D O I：

10.1016/j.jinf.2020.04.034

中图分类号：

R51 [传染病];

学科分类号：

100401 ;

摘要：

Objectives: A large number of healthcare workers (HCWs) were infected by SARS-CoV-2 during the ongoing outbreak of COVID-19 in Wuhan, China. Hospitals are significant epicenters for the human-to-human transmission of the SARS-CoV-2 for HCWs, patients, and visitors. No data has been reported on the details of hospital environmental contamination status in the epicenter of Wuhan. Methods: We collected 626 surface swabs within the Zhongnan Medical Center in Wuhan in the mist of the COVID-19 outbreak between February 7 - February 27, 2020. Dacron swabs were aseptically collected from the surfaces of 13 hospital function zones, five major objects, and three major PPE. The SARS-CoV-2 RNAs were detected by reverse transcription-PCR. Results: The most contaminated zones were the intensive care unit specialized for taking care of novel coronavirus pneumonia (NCP) (31.9%), Obstetric Isolation Ward specialized for pregnant women with NCP (28.1%), and Isolation Ward for NCP (19.6%). We classified the 13 zones into four contamination levels. The most contaminated objects were self-service printers (20.0%), desktop/keyboard (16.8%), and doorknob (16.0%). Both hand sanitizer dispensers (20.3%) and gloves (15.4%) were the most contaminated PPE. Conclusion: Our findings emphasize the urgent need to ensure adequate environmental cleaning, strengthen infection prevention training, and improve infection prevention among HCWs during the outbreak of COVID-19. (C) 2020 The British Infection Association. Published by Elsevier Ltd. All rights reserved.

引用

页码：E1 / E5

页数：5

共 12 条

[1]

[Anonymous], 2020, WHO

[2] Strategic planning and recommendations for healthcare workers during the COVID-19 pandemic [J].

Ehrlich, Haley ;

McKenney, Mark ;

Elkbuli, Adel .

AMERICAN JOURNAL OF EMERGENCY MEDICINE, 2020, 38 (07) :1446-1447

[3] Clinical Characteristics of Coronavirus Disease 2019 in China [J].

Guan, W. ;

Ni, Z. ;

Hu, Yu ;

Liang, W. ;

Ou, C. ;

He, J. ;

Liu, L. ;

Shan, H. ;

Lei, C. ;

Hui, D. S. C. ;

Du, B. ;

Li, L. ;

Zeng, G. ;

Yuen, K. -Y. ;

Chen, R. ;

Tang, C. ;

Wang, T. ;

Chen, P. ;

Xiang, J. ;

Li, S. ;

Wang, Jin-lin ;

Liang, Z. ;

Peng, Y. ;

Wei, L. ;

Liu, Y. ;

Hu, Ya-hua ;

Peng, P. ;

Wang, Jian-ming ;

Liu, J. ;

Chen, Z. ;

Li, G. ;

Zheng, Z. ;

Qiu, S. ;

Luo, J. ;

Ye, C. ;

Zhu, S. ;

Zhong, N. .

NEW ENGLAND JOURNAL OF MEDICINE, 2020, 382 (18) :1708-1720

[4]

Jiang Y, 2020, CLIN DATA HOSP ENV H, DOI 10.1101/2020.02.25.20028043

[5] Reduced Incidence of Long Coronavirus Disease Referrals to the Cambridge University Teaching Hospital Long Coronavirus Disease Clinic [J].

Krishna, Benjamin A. ;

Metaxaki, Marina ;

Wills, Mark R. ;

Sithole, Nyaradzai .

CLINICAL INFECTIOUS DISEASES, 2023, 76 (04) :738-740

[6] Positive RT-PCR Test Results in Patients Recovered From COVID-19 [J].

Lan, Lan ;

Xu, Dan ;

Ye, Guangming ;

Xia, Chen ;

Wang, Shaokang ;

Li, Yirong ;

Xu, Haibo .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2020, 323 (15) :1502-1503

[7]

Li Q., 2020, NEW ENGL J MED, V382, P1199, DOI [DOI 10.1056/NEJMOA2001316, 10.1056/NEJMoa2001316]

[8] Population Movement, City Closure in Wuhan, and Geographical Expansion of the COVID-19 Infection in China in January 2020 [J].

Liu, Kun ;

Ai, Siqi ;

Song, Shuxuan ;

Zhu, Guanghu ;

Tian, Fei ;

Li, Huan ;

Gao, Yuan ;

Wu, Yinglin ;

Zhang, Shiyu ;

Shao, Zhongjun ;

Liu, Qiyong ;

Lin, Hualiang .

CLINICAL INFECTIOUS DISEASES, 2020, 71 (16) :2045-2051

[9] Air, Surface Environmental, and Personal Protective Equipment Contamination by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) From a Symptomatic Patient [J].

Ong, Sean Wei Xiang ;

Tan, Yian Kim ;

Chia, Po Ying ;

Lee, Tau Hong ;

Ng, Oon Tek ;

Wong, Michelle Su Yen ;

Marimuthu, Kalisvar .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2020, 323 (16) :1610-1612

[10] High temperatures enhanced acute mortality effects of ambient particle pollution in the "Oven" city of Wuhan, China [J].

Qian, Zhengmin ;

He, Qingci ;

Lin, Hung-Mo ;

Kong, Lingli ;

Bentley, Christy M. ;

Liu, Wenshan ;

Zhou, Dunjin .

ENVIRONMENTAL HEALTH PERSPECTIVES, 2008, 116 (09) :1172-1178

← 1 2 →