• Clin Med (Lond) · Sep 2020

    Nosocomial spread of COVID-19: lessons learned from an audit on a stroke/neurology ward in a UK district general hospital.

    • Soraya V Jewkes, Yimeng Zhang, and David J Nicholl.
    • Sandwell and West Birmingham NHS Trust, Birmingham, UK.
    • Clin Med (Lond). 2020 Sep 1; 20 (5): e173e177e173-e177.

    AbstractWe describe the details of a COVID-19 outbreak in a 25-bedded Birmingham neurology/stroke ward in the early phase of the pandemic (March to May 2020). Twenty-one of 133 admissions (16%) tested positive for COVID-19 and of those, 8 (6% of all admissions to the ward) were determined to be nosocomial. Thus 38% (8/21) of COVID-19 infections were hospital-acquired. Ten of the patients that contracted COVID-19 died; of these three were hospital-acquired cases. Five of the 21 patients had negative swabs prior to receiving a positive test result. This study highlights the importance of appropriate use of personal protective equipment (PPE) with high-risk patients (including those with stroke and complex brain injury with tracheostomies) and the difficulties of COVID-19 management in a high-risk patient population.© Royal College of Physicians 2020. All rights reserved.

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