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Published in: Langenbeck's Archives of Surgery 2/2021

01-03-2021 | Nosocomial Infection | Original Article

SARS-CoV-2 transmission rate is low when following a COVID+ patient in the operating room

Authors: Lucas G. Axiotakis Jr., Deborah M. Boyett, Brett E. Youngerman, Guy M. McKhann, Anil K. Lalwani

Published in: Langenbeck's Archives of Surgery | Issue 2/2021

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Abstract

Purpose

Acquiring SARS-CoV-2 infection for uninfected patients undergoing surgical procedures following a COVID positive (COVID+) patient is of significant concern, both for patients seeking medical care in hospital settings and for management of surgical services during pandemic times.

Methods

Using data identifying all COVID+ surgical patients during the initial pandemic peak in New York City (March 15 to May 15, 2020), we analyzed the rate of postoperative symptomatic SARS-CoV-2 infection in COVID negative (COVID−) patients undergoing surgery in the same operating room within 48 h, thus determining nosocomial symptomatic infection rate attributable to COVID operating room exposure.

Results

Five COVID− patients directly followed a COVID+ patient, while 19 patients were exposed to COVID+ operating rooms within 24 h. By 48 h, 21 additional patients were exposed. No exposed patients acquired symptomatic SARS-CoV-2 infection postoperatively.

Conclusion

With implementation of infection prevention and control procedures in the operating room under local pandemic conditions, our findings suggest that the risk of acquiring SARS-CoV-2 infection, when following a COVID+ patient in the same operating room, is very low.
Literature
Metadata
Title
SARS-CoV-2 transmission rate is low when following a COVID+ patient in the operating room
Authors
Lucas G. Axiotakis Jr.
Deborah M. Boyett
Brett E. Youngerman
Guy M. McKhann
Anil K. Lalwani
Publication date
01-03-2021
Publisher
Springer Berlin Heidelberg
Published in
Langenbeck's Archives of Surgery / Issue 2/2021
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI
https://doi.org/10.1007/s00423-021-02085-0

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