Universal COVID-19 testing and a three-space triage protocol is associated with a nine-fold decrease in possible nosocomial infections in an inpatient psychiatric facility

PSYCHIATRY RESEARCH

卷:302

Article

Brody, Benjamin D.¹  Shi, Zhenzhen²  Shaffer, Charles¹  Eden, Daniel²  Wyka, Katarzyna^1,3  Parish, Sharon J.¹  Alexopoulos, George S.¹  Nazario, Helen²  Russ, Mark J.¹  Kanellopoulos, Dora¹ 

[1] Weill Cornell Med, Psychiat, New York, NY 10065 USA

[2] New York Presbyterian Hosp, New York, NY USA

[3] CUNY, Grad Sch Publ Hlth, New York, NY 10021 USA

关键词: COVID-19;    Inpatient Psychiatric Hospitals;    Infection Control;    Epidemiology;    COVID-19 Psychiatry;   

DOI  :  10.1016/j.psychres.2021.114036

来源: Elsevier

【 摘 要 】

In May of 2020, the Substance Abuse and Mental Health Service Administration (SAMSA) issued guidelines for state psychiatric hospitals, recommending that these facilities adopt universal testing for COVID-19 and three-space triage protocols for dedicated COVID-19 positive, negative, and quarantine spaces to mitigate the risk of nosocomial infection. The Westchester Behavioral Health Center of New York Presbyterian Hospital (WBHC-NYP) adopted a comprehensive infection control protocol consistent with these recommendations in April, 2020. We reviewed the records of 1,139 patients treated on the inpatient service at WBHC-NYP between March 14th and June 10th, 2020, dates corresponding to the first COVID-19 surge in the New York City metropolitan region. The incidence of detected nosocomial or possible nosocomial infections before and during the implementation of the protocol was 0.096 (16/167), or 0.96 infections per 10 at-risk patients. The incidence of nosocomial or possible nosocomial infections after complete implementation was 0.0110 (2/182), or 1.1 infections per 100 at-risk patients. The difference in incidence between the two time points was statistically significant (p<.0003) and represents a 9-fold decrease. Our findings support the institutional use of a combined testing and space allocation protocol to mitigate risk of outbreaks in confined settings.

【 授权许可】

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