Please use this identifier to cite or link to this item: http://repositorio.ufla.br/jspui/handle/1/43049
metadata.artigo.dc.title: A novel cohorting and isolation strategy for suspected COVID-19 cases during a pandemic
metadata.artigo.dc.creator: Patterson, B.
Marks, M.
Martinez-Garcia, G.
Bidwell, G.
Luintel, A.
Ludwig, D.
Parks, T.
Gothard, P.
Thomas, R.
Logan, S.
Shaw, K.
Stone, N.
Brown, M.
metadata.artigo.dc.subject: COVID-19 - Infection prevention
COVID-19 - Control
Cohorting
Risk stratification
Triage
Pandemic
metadata.artigo.dc.publisher: Elsevier
metadata.artigo.dc.date.issued: Aug-2020
metadata.artigo.dc.identifier.citation: PATTERSON, B. et al. A novel cohorting and isolation strategy for suspected COVID-19 cases during a pandemic. Journal of Hospital Infection, [S.l.], v. 105, n. 4, p. 632-637, Aug. 2020.
metadata.artigo.dc.description.abstract: Background The COVID-19 pandemic presents a significant infection prevention and control challenge. The admission of large numbers of patients with suspected COVID-19 disease risks overwhelming the capacity to protect other patients from exposure. The delay between clinical suspicion and confirmatory testing adds to the complexity of the problem. Methods We implemented a triage tool aimed at minimizing hospital-acquired COVID-19 particularly in patients at risk of severe disease. Patients were allocated to triage categories defined by likelihood of COVID-19 and risk of a poor outcome. Category A (low-likelihood; high-risk), B (high-likelihood; high-risk), C (high-likelihood; low-risk) and D (low-likelihood; low-risk). This determined the order of priority for isolation in single-occupancy rooms with Category A the highest. Patients in other groups were cohorted when isolation capacity was limited with additional interventions to reduce transmission. Results Ninety-three patients were evaluated with 79 (85%) receiving a COVID-19 diagnosis during their admission. Of those without a COVID-19 diagnosis: 10 were initially triaged to Category A; 0 to B; 1 to C and 4 to D. All high-risk patients requiring isolation were, therefore, admitted to single-occupancy rooms and protected from exposure. Twenty-eight (30%) suspected COVID-19 patients were evaluated to be low risk (groups C and D) and eligible for cohorting. No symptomatic hospital-acquired infections were detected in the cohorted patients. Discussion Application of a clinical triage tool to guide isolation and cohorting decisions may reduce the risk of hospital-acquired transmission of COVID-19 especially to individuals at the greatest of risk of severe disease.
metadata.artigo.dc.identifier.uri: https://www.sciencedirect.com/science/article/pii/S0195670120302759
http://repositorio.ufla.br/jspui/handle/1/43049
metadata.artigo.dc.language: en_US
Appears in Collections:FCS - Artigos sobre Coronavirus Disease 2019 (COVID-19)

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