Infectious Diseases Unit, Central Adelaide Local Health Network, Adelaide, South Australia, Australia; Department of Medicine, Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, South Australia, Australia.
Infectious Diseases Unit, Central Adelaide Local Health Network, Adelaide, South Australia, Australia; Department of Medicine, Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, South Australia, Australia.
Infect Dis Health. 2024 Feb;29(1):25-31. doi: 10.1016/j.idh.2023.08.004. Epub 2023 Oct 6.
To describe the new Royal Adelaide Hospital (RAH) design and infrastructure features that helped mitigate the risk of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) transmission within the hospital during the pre-vaccination and pre-antiviral period.
The RAH infrastructure, design and initial pandemic response was assessed. A retrospective review of all confirmed or suspected coronavirus disease 2019 (COVID-19) patients admitted from 1 February 2020 to 30 May 2020 was also performed to assess risk of transmission. Outbreak response reports were reviewed to identify episodes of nosocomial COVID-19.
Key infrastructure features include single-bed overnight rooms with dedicated bathrooms, creation of pandemic areas accessible only to pandemic staff, and sophisticated air-handling units with improved ventilation. A total of 264 COVID-19 related admission occurred, with 113 confirmed cases and 1579 total cumulative bed days. Despite a limited understanding of SARS-CoV-2 transmission, no vaccination or anti-viral therapy, global shortages of particulate filter respirators and restricted testing during this period, only one probable nosocomial COVID-19 case occurred in a healthcare worker, with no nosocomial cases involving patients.
The RAH design and pandemic features complimented existing infection control interventions and was important in limiting nosocomial spread of SARS-CoV-2.
描述新的皇家阿德莱德医院 (RAH) 的设计和基础设施特点，这些特点有助于在疫苗接种和抗病毒药物问世前的时期降低医院内严重急性呼吸综合征冠状病毒 2 (SARS-CoV-2) 传播的风险。
评估了 RAH 的基础设施、设计和最初的大流行应对措施。还对 2020 年 2 月 1 日至 5 月 30 日期间所有确诊或疑似 2019 年冠状病毒病 (COVID-19) 患者的入院情况进行了回顾性审查，以评估传播风险。审查了暴发应对报告，以确定医院获得性 COVID-19 病例。
关键的基础设施特点包括带专用浴室的单人过夜病房、仅为大流行工作人员提供的大流行区的创建以及具有改进通风功能的复杂空气处理装置。共发生 264 例与 COVID-19 相关的住院治疗，其中 113 例确诊病例，1579 例总累计住院天数。尽管对 SARS-CoV-2 传播的了解有限，没有疫苗或抗病毒治疗，全球颗粒物过滤呼吸器短缺，在此期间限制了检测，只有一名医护人员发生了一起可能的医院获得性 COVID-19 病例，没有涉及患者的医院获得性病例。
RAH 的设计和大流行特点补充了现有的感染控制干预措施，对于限制 SARS-CoV-2 的医院内传播非常重要。
