Statewide evaluation of infection control measures for preventing coronavirus disease 2019 in hemodialysis facilities
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Clinics |
Texto Completo: | https://www.revistas.usp.br/clinics/article/view/212996 |
Resumo: | OBJECTIVE: This study aimed to evaluate the occurrence of coronavirus disease 2019 (COVID-19) in hemodialysis facilities and the occurrence of and risk factors for clustering of COVID-19 cases. METHODS: We conducted a cross-sectional online survey between March and July 2020, in all dialysis facilities in São Paulo state, using Google Forms. The online questionnaire contained questions addressing specific components of infection prevention and control practices and the number of cases during the COVID-19 pandemic. RESULTS: A total of 1,093 (5%) COVID-19 cases were reported among 20,984 patients; approximately 56% of the facilities had ≥1 cluster. Most facilities implemented various measures (such as allocation of dedicated COVID-19 areas/shifts, symptom screening, environmental disinfection, and maintenance of adequate ventilation) to prevent the transmission of severe acute respiratory syndrome coronavirus 2. Clustering of COVID-19 cases was suspected in only 7% of dialysis facilities. The only variable associated with this event was the performance of aerosol-generating procedures (odds ratio: 4.74; 95% confidence interval: 1.75-12.86). CONCLUSION: Attention should be paid to avoiding the performance of aerosol-generating procedures in dialysis facilities and monitoring the clustering of cases. |
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Clinics |
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Statewide evaluation of infection control measures for preventing coronavirus disease 2019 in hemodialysis facilitiesHemodialysisCOVID-19ClusterStatewide SurveyInfection ControlOBJECTIVE: This study aimed to evaluate the occurrence of coronavirus disease 2019 (COVID-19) in hemodialysis facilities and the occurrence of and risk factors for clustering of COVID-19 cases. METHODS: We conducted a cross-sectional online survey between March and July 2020, in all dialysis facilities in São Paulo state, using Google Forms. The online questionnaire contained questions addressing specific components of infection prevention and control practices and the number of cases during the COVID-19 pandemic. RESULTS: A total of 1,093 (5%) COVID-19 cases were reported among 20,984 patients; approximately 56% of the facilities had ≥1 cluster. Most facilities implemented various measures (such as allocation of dedicated COVID-19 areas/shifts, symptom screening, environmental disinfection, and maintenance of adequate ventilation) to prevent the transmission of severe acute respiratory syndrome coronavirus 2. Clustering of COVID-19 cases was suspected in only 7% of dialysis facilities. The only variable associated with this event was the performance of aerosol-generating procedures (odds ratio: 4.74; 95% confidence interval: 1.75-12.86). CONCLUSION: Attention should be paid to avoiding the performance of aerosol-generating procedures in dialysis facilities and monitoring the clustering of cases.Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo2023-06-10info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/clinics/article/view/21299610.6061/clinics/2021/e3299Clinics; Vol. 76 (2021); e3299Clinics; v. 76 (2021); e3299Clinics; Vol. 76 (2021); e32991980-53221807-5932reponame:Clinicsinstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/clinics/article/view/212996/195017Copyright (c) 2023 Clinicsinfo:eu-repo/semantics/openAccessGuedes, Ana RubiaTavares, Bruno de MeloAssis, Denise Brandão deFreire, Maristela PinheiroMadalosso, GeraldineLevin, Anna S. Perdigão Neto, Lauro VieiraOliveira, Maura Salaroli de2023-07-06T13:04:07Zoai:revistas.usp.br:article/212996Revistahttps://www.revistas.usp.br/clinicsPUBhttps://www.revistas.usp.br/clinics/oai||clinics@hc.fm.usp.br1980-53221807-5932opendoar:2023-07-06T13:04:07Clinics - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Statewide evaluation of infection control measures for preventing coronavirus disease 2019 in hemodialysis facilities |
title |
Statewide evaluation of infection control measures for preventing coronavirus disease 2019 in hemodialysis facilities |
spellingShingle |
Statewide evaluation of infection control measures for preventing coronavirus disease 2019 in hemodialysis facilities Guedes, Ana Rubia Hemodialysis COVID-19 Cluster Statewide Survey Infection Control |
title_short |
Statewide evaluation of infection control measures for preventing coronavirus disease 2019 in hemodialysis facilities |
title_full |
Statewide evaluation of infection control measures for preventing coronavirus disease 2019 in hemodialysis facilities |
title_fullStr |
Statewide evaluation of infection control measures for preventing coronavirus disease 2019 in hemodialysis facilities |
title_full_unstemmed |
Statewide evaluation of infection control measures for preventing coronavirus disease 2019 in hemodialysis facilities |
title_sort |
Statewide evaluation of infection control measures for preventing coronavirus disease 2019 in hemodialysis facilities |
author |
Guedes, Ana Rubia |
author_facet |
Guedes, Ana Rubia Tavares, Bruno de Melo Assis, Denise Brandão de Freire, Maristela Pinheiro Madalosso, Geraldine Levin, Anna S. Perdigão Neto, Lauro Vieira Oliveira, Maura Salaroli de |
author_role |
author |
author2 |
Tavares, Bruno de Melo Assis, Denise Brandão de Freire, Maristela Pinheiro Madalosso, Geraldine Levin, Anna S. Perdigão Neto, Lauro Vieira Oliveira, Maura Salaroli de |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Guedes, Ana Rubia Tavares, Bruno de Melo Assis, Denise Brandão de Freire, Maristela Pinheiro Madalosso, Geraldine Levin, Anna S. Perdigão Neto, Lauro Vieira Oliveira, Maura Salaroli de |
dc.subject.por.fl_str_mv |
Hemodialysis COVID-19 Cluster Statewide Survey Infection Control |
topic |
Hemodialysis COVID-19 Cluster Statewide Survey Infection Control |
description |
OBJECTIVE: This study aimed to evaluate the occurrence of coronavirus disease 2019 (COVID-19) in hemodialysis facilities and the occurrence of and risk factors for clustering of COVID-19 cases. METHODS: We conducted a cross-sectional online survey between March and July 2020, in all dialysis facilities in São Paulo state, using Google Forms. The online questionnaire contained questions addressing specific components of infection prevention and control practices and the number of cases during the COVID-19 pandemic. RESULTS: A total of 1,093 (5%) COVID-19 cases were reported among 20,984 patients; approximately 56% of the facilities had ≥1 cluster. Most facilities implemented various measures (such as allocation of dedicated COVID-19 areas/shifts, symptom screening, environmental disinfection, and maintenance of adequate ventilation) to prevent the transmission of severe acute respiratory syndrome coronavirus 2. Clustering of COVID-19 cases was suspected in only 7% of dialysis facilities. The only variable associated with this event was the performance of aerosol-generating procedures (odds ratio: 4.74; 95% confidence interval: 1.75-12.86). CONCLUSION: Attention should be paid to avoiding the performance of aerosol-generating procedures in dialysis facilities and monitoring the clustering of cases. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-06-10 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/212996 10.6061/clinics/2021/e3299 |
url |
https://www.revistas.usp.br/clinics/article/view/212996 |
identifier_str_mv |
10.6061/clinics/2021/e3299 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/212996/195017 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2023 Clinics info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2023 Clinics |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
dc.source.none.fl_str_mv |
Clinics; Vol. 76 (2021); e3299 Clinics; v. 76 (2021); e3299 Clinics; Vol. 76 (2021); e3299 1980-5322 1807-5932 reponame:Clinics instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Clinics |
collection |
Clinics |
repository.name.fl_str_mv |
Clinics - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||clinics@hc.fm.usp.br |
_version_ |
1800222766197112832 |