A novel cohorting and isolation strategy for suspected COVID-19 cases during a pandemic

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Autor(es): dc.creatorPatterson, B.-
Autor(es): dc.creatorMarks, M.-
Autor(es): dc.creatorMartinez-Garcia, G.-
Autor(es): dc.creatorBidwell, G.-
Autor(es): dc.creatorLuintel, A.-
Autor(es): dc.creatorLudwig, D.-
Autor(es): dc.creatorParks, T.-
Autor(es): dc.creatorGothard, P.-
Autor(es): dc.creatorThomas, R.-
Autor(es): dc.creatorLogan, S.-
Autor(es): dc.creatorShaw, K.-
Autor(es): dc.creatorStone, N.-
Autor(es): dc.creatorBrown, M.-
Data de aceite: dc.date.accessioned2026-02-09T12:41:27Z-
Data de disponibilização: dc.date.available2026-02-09T12:41:27Z-
Data de envio: dc.date.issued2020-09-14-
Data de envio: dc.date.issued2020-09-14-
Data de envio: dc.date.issued2020-08-
Fonte completa do material: dc.identifierhttps://repositorio.ufla.br/handle/1/43049-
Fonte completa do material: dc.identifierhttps://www.sciencedirect.com/science/article/pii/S0195670120302759-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/capes/1166348-
Descrição: dc.descriptionBackground 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.-
Idioma: dc.languageen-
Publicador: dc.publisherElsevier-
Direitos: dc.rightsrestrictAccess-
???dc.source???: dc.sourceJournal of Hospital Infection-
Palavras-chave: dc.subjectCOVID-19 - Infection prevention-
Palavras-chave: dc.subjectCOVID-19 - Control-
Palavras-chave: dc.subjectCohorting-
Palavras-chave: dc.subjectRisk stratification-
Palavras-chave: dc.subjectTriage-
Palavras-chave: dc.subjectPandemic-
Título: dc.titleA novel cohorting and isolation strategy for suspected COVID-19 cases during a pandemic-
Tipo de arquivo: dc.typeArtigo-
Aparece nas coleções:Repositório Institucional da Universidade Federal de Lavras (RIUFLA)

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