Hostname: page-component-586b7cd67f-r5fsc Total loading time: 0 Render date: 2024-11-27T12:23:22.236Z Has data issue: false hasContentIssue false
  • English
  • Français

Challenges in hospital-acquired coronavirus disease 2019 (COVID-19) surveillance and attribution of infection source

Part of: SARS-CoV-2/COVID-19

Published online by Cambridge University Press:  02 August 2021

Sarah S. Lewis ,
Ibukunoluwa C. Kalu ,
Jessica Seidelman ,
Deverick J. Anderson ,
Rebekah W. Moehring ,
Becky A. Smith  and
for the Centers for Disease Control and Prevention Epicenters Program
Sarah S. Lewis*
Affiliation:
Division of Infectious Diseases, Department of Medicine, Durham, North Carolina Duke Center for Antimicrobial Stewardship and Infection Prevention, Duke University, Durham, North Carolina
Ibukunoluwa C. Kalu
Affiliation:
Duke Center for Antimicrobial Stewardship and Infection Prevention, Duke University, Durham, North Carolina Division of Infectious Diseases, Department of Pediatrics, Duke University, Durham, North Carolina
Jessica Seidelman
Affiliation:
Division of Infectious Diseases, Department of Medicine, Durham, North Carolina Duke Center for Antimicrobial Stewardship and Infection Prevention, Duke University, Durham, North Carolina
Deverick J. Anderson
Affiliation:
Division of Infectious Diseases, Department of Medicine, Durham, North Carolina Duke Center for Antimicrobial Stewardship and Infection Prevention, Duke University, Durham, North Carolina
Rebekah W. Moehring
Affiliation:
Division of Infectious Diseases, Department of Medicine, Durham, North Carolina Duke Center for Antimicrobial Stewardship and Infection Prevention, Duke University, Durham, North Carolina
Becky A. Smith
Affiliation:
Division of Infectious Diseases, Department of Medicine, Durham, North Carolina Duke Center for Antimicrobial Stewardship and Infection Prevention, Duke University, Durham, North Carolina
*
Author for correspondence: Sarah S. Lewis, E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

We performed surveillance for hospital-acquired COVID-19 (HA-COVID-19) and compared time-based, electronic definitions to real-time adjudication of the most likely source of acquisition. Without real-time adjudication, nearly 50% of HA-COVID-19 cases identified using electronic definitions were misclassified. Both electronic and traditional contact tracing methods likely underestimated the incidence of HA-COVID-19.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 43 , Issue 12 , December 2022 , pp. 1914 - 1917
Check for updates
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Responding to SARS-CoV-2 infections in acute care facilities. Centers for Disease Control and Prevention website. https://www.cdc.gov/coronavirus/2019-ncov/hcp/responding-acute-care-facilities.html. Accessed May 10, 2021.Google Scholar
Habermann, EB, Tande, AJ, Pollock, BD, Neville, MR, Ting, HH, Sampathkumar, P. Providing safe care for patients in the coronavirus disease 2019 (COVID-19) era: a case series evaluating risk for hospital-associated COVID-19. Infect Control Hosp Epidemiol 2021. doi: 10.1017/ice.2021.38.CrossRefGoogle Scholar
Carter, B, Collins, JT, Barlow-Pay, F, et al. Nosocomial COVID-19 infection: examining the risk of mortality. The COPE-Nosocomial Study (COVID in Older PEople). J Hosp Infect 2020;106:376–384.CrossRefGoogle ScholarPubMed
Rhee, C, Baker, M, Vaidya, V, et al. Incidence of nosocomial COVID-19 in patients hospitalized at a large US academic medical center. JAMA Netw Open 2020;3(9):e2020498.Google Scholar
Wake, RM, Morgan, M, Choi, J, Winn, S. Reducing nosocomial transmission of COVID-19: implementation of a COVID-19 triage system. Clin Med (Lond) 2020;20:e141–e145.CrossRefGoogle ScholarPubMed
Kobayashi, T, Trannel, A, Holley, SA, et al. COVID-19 Serial testing among hospitalized patients in a midwest tertiary medical center, July–September 2020. Clin Infect Dis 2020. doi: 10.1093/cid/ciaa1630.Google Scholar
Johns Hopkins University of Medicine Coronavirus Resource Center website. https://coronavirus.jhu.edu/. Accessed May 14, 2021.Google Scholar