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Note: COVID-19 Cluster at Boston Hospital

 


Brigham and Women’s Hospital in Boston is praised for its transparency in reporting clusters of in-hospital COVID-19 cases, but as a story of a warning to clinicians about being lazy about preventative measures. Also works.

As of September 26, the cluster had 34 people (11 patients and 23 employees) involved. Hospital press release.. Overall, approximately 400 employees and 54 patients have been tested for COVID-19, and it is believed that more than 650 may be connected to the cluster.

A study by the hospital’s infection control team found many factors, including lack of physical distance between staff unmasked during meals and “staff members with mild symptoms consistent with historical seasonal allergies.” I did. [who] We did not recognize that these symptoms may be related to COVID-19 and continued to function. “

Researchers also found that many patients were unmasked during interaction with staff and providers had inconsistent use of eye protection.

Finally, the first patient to test positive performed an aerosol production procedure before getting a positive test result.

The exact source of the cluster is unknown, but the infection control team said it believed the cluster was housed in two inpatient wards at the hospital’s Braunwald Tower. The patient was moved from a closed unit 16A for deep cleaning and evaluation of its heating, ventilation, and air conditioning (HVAC) systems. Unit 14CD was thoroughly cleaned and the infection control team recorded a clear route of infection.

According to the press release, “This cluster has not affected other areas of the hospital or outpatient clinics.”

Twitter clinicians have put in a value of 2 cents.

“Don’t be vigilant, everyone” Tweeted Dr. Samuel Brown, MD, ICU Doctor, Of the University of Utah in Salt Lake City. “We will see more of these [incidents] When people become lazy about hygiene habits in the hospital. “

“We applaud Brigham and Women’s transparency and sharing of the survey. By sharing the survey, we all [guard] Up due to nosocomial infection ” Nahid Bhadelia tweeted MD, Boston University Infectious Diseases Expert.

Laura Dominichi, MDA Brigham and Women’s surgeon tweeted, “I’m proud to work for a transparent and accountable organization.”

Brigham and Women said it has been offering free and voluntary tests to all employees working on the campus of the main hospital since September 14. The hospital also provides hospitalization and daily screening of symptoms.

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    Christina Fiore He leads the MedPage enterprise and investigative journalism team. She has been a medical journalist for over 10 years and her work has been recognized by Barlett & Steele, AHCJ, SABEW and others. Send story tips to [email protected]. To follow

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