Yang Jinyan, Sun Dan, Xia Tingting, Shi Shi, Suo Jijiang, Kuang Huihui, Sun Nana, Hu Hongyan, Zheng Zhecheng, Zhou Yang, Li Xiaocui, Chen Shaojuan, Huang Haiqiang, Yan Zhongqiang
Department of Disease Prevention and Control, Hainan Hospital of People's Liberation Army of China General Hospital, Sanya, China.
Department of Laboratory Medicine, Hainan Hospital of People's Liberation Army of China General Hospital, Sanya, China.
Int J Public Health. 2023 Sep 12;68:1605994. doi: 10.3389/ijph.2023.1605994. eCollection 2023.
To investigate the details of environmental contamination status by SARS-CoV-2 in a makeshift COVID-19 hospital. Environmental samples were collected from a makeshift hospital. The extent of contamination was assessed by quantitative reverse transcription polymerase chain reaction (RT-qPCR) for SARS-CoV-2 RNA from various samples. There was a wide range of total collected samples contaminated with SARS-CoV-2 RNA, ranging from 8.47% to 100%. Results revealed that 70.00% of sewage from the bathroom and 48.19% of air samples were positive. The highest rate of contamination was found from the no-touch surfaces (73.07%) and the lowest from frequently touched surfaces (33.40%). The most contaminated objects were the top surfaces of patient cubic partitions (100%). The median Ct values among strongly positive samples were 33.38 (IQR, 31.69-35.07) and 33.24 (IQR, 31.33-34.34) for ORF1ab and N genes, respectively. SARS-CoV-2 relic RNA can be detected on indoor surfaces for up to 20 days. The findings show a higher prevalence and persistence in detecting the presence of SARS-CoV-2 in the makeshift COVID-19 hospital setting. The contamination mode of droplet deposition may be more common than contaminated touches.
调查一家临时 COVID-19 医院中 SARS-CoV-2 环境污染状况的详细情况。从一家临时医院采集环境样本。通过定量逆转录聚合酶链反应(RT-qPCR)对各种样本中的 SARS-CoV-2 RNA 进行检测,以评估污染程度。所采集的样本中,被 SARS-CoV-2 RNA 污染的比例范围很广,从 8.47% 到 100% 不等。结果显示,浴室污水样本中有 70.00% 呈阳性,空气样本中有 48.19% 呈阳性。未接触表面的污染率最高(73.07%),频繁接触表面的污染率最低(33.40%)。污染最严重的物品是患者病房隔断的顶面(100%)。对于 ORF1ab 和 N 基因,强阳性样本的 Ct 值中位数分别为 33.38(四分位间距,31.69 - 35.07)和 33.24(四分位间距,31.33 - 34.34)。在室内表面可检测到 SARS-CoV-2 残留 RNA 长达 20 天。研究结果表明,在临时 COVID-19 医院环境中检测到 SARS-CoV-2 的发生率和持续性较高。飞沫沉积的污染模式可能比接触污染更为常见。