Sandwell and West Birmingham NHS Trust, Birmingham, UK.
Sandwell and West Birmingham NHS Trust, Birmingham, UK
Clin Med (Lond). 2020 Sep;20(5):e173-e177. doi: 10.7861/clinmed.2020-0422. Epub 2020 Jul 27.
We 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.
我们描述了 COVID-19 在伯明翰神经科/中风病房 25 张床位的早期爆发情况（2020 年 3 月至 5 月）。133 名入院患者中有 21 名（16%）COVID-19 检测呈阳性，其中 8 名（占该病房所有入院患者的 6%）被确定为医院获得性。因此，COVID-19 感染中有 38%（8/21）是医院获得性的。21 名感染 COVID-19 的患者中有 10 人死亡；其中 3 例为医院获得性病例。21 名患者中有 5 名在接受阳性检测结果之前的咽拭子检测结果为阴性。本研究强调了与高风险患者（包括中风和伴有气管切开的复杂脑损伤患者）一起正确使用个人防护设备（PPE）的重要性，以及在高危患者人群中管理 COVID-19 的困难。
