Potential Locations of Covid-19 Transmission in Hospitals

DOI

10.2991/978-94-6463-112-8_39How to use a DOI?

Keywords

Covid-19 transmission; hospitals; swab surface; Intensive Care Unit; environment contamination

Abstract

Hospital is a place with the highest risk of Covid-19 transmission. Healthcare workers should apply safety precautions in order to avoid infection. This study was conducted to obtain information about hospital loci (rooms) that are at risk of transmission of the SARSCov-2 virus. Six hospitals located in DKI Jakarta, East Java, West Java, and North Sumatra provinces were chosen as study locations. Surface swab specimens from rooms and objects that were potential as a source of transmission, based on WHO recommendations were collected. The RNA virus was detected using RT-qPCR, with N1, and N2 genes (CDC) as primers, also the RNP gene as a control. All 556 surface swab samples were retrieved on the first week of December 2020, taken from 14 types of rooms consisting of 67 rooms. The distribution of genetic material of the SARS-CoV-2 virus was mostly obtained in the ICU by 60% (3/5), followed by patient rooms, patient bathrooms, and ER, each 30% (2/6) respectively. Based on the number of specimens, the ICU rooms have also the highest proportion of positive results (12,77% of 47), then the ERs (9.8% of 51). The RNA virus was detected in oximeters, ventilation/air filters, floors, walls, beddings, IV poles, call buttons, garbage bins, tables, lavatory flush buttons, and sinks. In conclusion, ICUs, ERs, patient rooms, and patient bathrooms were sites where the RNA virus was mostly obtained in hospitals, especially in ICUs for Covid-19 patients. It is recommended that hospitals should improve measures to contain the virus and protect healthcare workers, including engineering controls, providing adequate personal protective equipment and maintaining health protocols.

Copyright

© 2023 The Author(s)

Open Access

Open Access This chapter is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made.

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TY  - CONF
AU  - Lisa A. Lienggonegoro
AU  - Harimat Hendarwan
AU  - Telly Purnamasari
AU  - Nelly Puspandari
AU  - Subangkit Subangkit
AU  - Kambang Sariadji
AU  - Jontari Hutagalung
AU  - Kartika D. Puspa
AU  - Agustina Puspitasari
AU  - Sarwo Handayani
AU  - Holy A. Wibowo
AU  - Sundari N. Sofiah
AU  - Dyah A. Riana
AU  - Masri S. Maha
AU  - Vivi Setiawaty
PY  - 2023
DA  - 2023/03/01
TI  - Potential Locations of Covid-19 Transmission in Hospitals
BT  - Proceedings of the 1st International Conference for Health Research – BRIN (ICHR 2022)
PB  - Atlantis Press
SP  - 426
EP  - 434
SN  - 2468-5739
UR  - https://doi.org/10.2991/978-94-6463-112-8_39
DO  - 10.2991/978-94-6463-112-8_39
ID  - Lienggonegoro2023
ER  -