Hospital-Acquired COVID-19: Case Discussions of Two Patients Treated at a Level I Trauma Center

The community spread of COVID-19 is well known and has been rigorously studied since the onset of the pandemic; however, little is known about the risk of transmission to hospitalized patients. Many practices have been adopted by healthcare facilities to protect patients and staff by attempting to m...

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Main Authors: Ryan M. Desrochers, Jonathan D. Gates, Daniel Ricaurte, Jane J. Keating
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2021/5531557
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author Ryan M. Desrochers
Jonathan D. Gates
Daniel Ricaurte
Jane J. Keating
author_facet Ryan M. Desrochers
Jonathan D. Gates
Daniel Ricaurte
Jane J. Keating
author_sort Ryan M. Desrochers
collection DOAJ
description The community spread of COVID-19 is well known and has been rigorously studied since the onset of the pandemic; however, little is known about the risk of transmission to hospitalized patients. Many practices have been adopted by healthcare facilities to protect patients and staff by attempting to mitigate internal spread of the disease; however, these practices are highly variable among institutions, and it is difficult to identify which interventions are both practical and impactful. Our institution, for example, adopted the most rigorous infection control methods in an effort to keep patients and staff as safe as possible throughout the pandemic. This case report details the hospital courses of two trauma patients, both of whom tested negative for the COVID-19 virus multiple times prior to producing positive tests late in their hospital courses. The two patients share many common features including history of psychiatric illness, significant injuries, ICU stays, one-to-one observers, multiple consulting services, and a prolonged hospital course prior to discharge to a rehabilitation facility. Analysis of these hospital courses can help provide a better understanding of potential risk factors for acquisition of a nosocomial COVID-19 infection and insight into which measures may be most effective in preventing future occurrences. This is important to consider not only for COVID-19 but also for future novel infectious diseases.
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spelling doaj-art-a80b2db5609541a9ab653db620cf68a22025-02-03T01:24:43ZengWileyCase Reports in Surgery2090-69002090-69192021-01-01202110.1155/2021/55315575531557Hospital-Acquired COVID-19: Case Discussions of Two Patients Treated at a Level I Trauma CenterRyan M. Desrochers0Jonathan D. Gates1Daniel Ricaurte2Jane J. Keating3Division of Acute Care Surgery at Hartford Hospital, University of Connecticut School of Medicine, USADivision of Acute Care Surgery at Hartford Hospital, University of Connecticut School of Medicine, USADivision of Acute Care Surgery at Hartford Hospital, University of Connecticut School of Medicine, USADivision of Acute Care Surgery at Hartford Hospital, University of Connecticut School of Medicine, USAThe community spread of COVID-19 is well known and has been rigorously studied since the onset of the pandemic; however, little is known about the risk of transmission to hospitalized patients. Many practices have been adopted by healthcare facilities to protect patients and staff by attempting to mitigate internal spread of the disease; however, these practices are highly variable among institutions, and it is difficult to identify which interventions are both practical and impactful. Our institution, for example, adopted the most rigorous infection control methods in an effort to keep patients and staff as safe as possible throughout the pandemic. This case report details the hospital courses of two trauma patients, both of whom tested negative for the COVID-19 virus multiple times prior to producing positive tests late in their hospital courses. The two patients share many common features including history of psychiatric illness, significant injuries, ICU stays, one-to-one observers, multiple consulting services, and a prolonged hospital course prior to discharge to a rehabilitation facility. Analysis of these hospital courses can help provide a better understanding of potential risk factors for acquisition of a nosocomial COVID-19 infection and insight into which measures may be most effective in preventing future occurrences. This is important to consider not only for COVID-19 but also for future novel infectious diseases.http://dx.doi.org/10.1155/2021/5531557
spellingShingle Ryan M. Desrochers
Jonathan D. Gates
Daniel Ricaurte
Jane J. Keating
Hospital-Acquired COVID-19: Case Discussions of Two Patients Treated at a Level I Trauma Center
Case Reports in Surgery
title Hospital-Acquired COVID-19: Case Discussions of Two Patients Treated at a Level I Trauma Center
title_full Hospital-Acquired COVID-19: Case Discussions of Two Patients Treated at a Level I Trauma Center
title_fullStr Hospital-Acquired COVID-19: Case Discussions of Two Patients Treated at a Level I Trauma Center
title_full_unstemmed Hospital-Acquired COVID-19: Case Discussions of Two Patients Treated at a Level I Trauma Center
title_short Hospital-Acquired COVID-19: Case Discussions of Two Patients Treated at a Level I Trauma Center
title_sort hospital acquired covid 19 case discussions of two patients treated at a level i trauma center
url http://dx.doi.org/10.1155/2021/5531557
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