Environmental contamination related to SARS-CoV-2 in ICU patients
Background The coronavirus disease 2019 (COVID-19) outbreak is a primary global concern, and data are lacking concerning risk of novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) environmental contamination. Objective To identify risk factors for SARS-CoV-2 environmental contaminati...
Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
European Respiratory Society
2020-11-01
|
Series: | ERJ Open Research |
Online Access: | http://openres.ersjournals.com/content/6/4/00595-2020.full |
id |
doaj-ea44ab52a0d1413a95a400332e8f3a38 |
---|---|
record_format |
Article |
spelling |
doaj-ea44ab52a0d1413a95a400332e8f3a382021-01-18T17:10:10ZengEuropean Respiratory SocietyERJ Open Research2312-05412020-11-016410.1183/23120541.00595-202000595-2020Environmental contamination related to SARS-CoV-2 in ICU patientsAlexandra Lomont0Marouane Boubaya1Warda Khamis2Antoine Deslandes3Hugues Cordel4Delphine Seytre5Chakib Alloui6Célie Malaure7Nicolas Bonnet8Etienne Carbonnelle9Yves Cohen10Hilario Nunes11Olivier Bouchaud12Jean-Ralph Zahar13Yacine Tandjaoui-Lambiotte14AIRMIC study group:Jean-Ralph ZaharEtienne CarbonnelleYacine Tandjaoui-LambiotteFrédéric Le GalFrédéric MechaiTyphaine Billard-PomaresAlexandra LomontChakib AllouiNerville-Emmanuel GordienOlivier BouchaudJohann CailholSophie BrunAthenaïs GerberPaul Deny Clinical Microbiology Dept and Infection Control Unit, Hôpitaux Universitaires Paris-Seine-Saint-Denis, Bobigny, France Clinical Research Unit, Hôpitaux Universitaires Paris-Seine-Saint-Denis, Bobigny, France University Sorbonne Paris Nord, Bobigny, France Clinical Microbiology Dept and Infection Control Unit, Hôpitaux Universitaires Paris-Seine-Saint-Denis, Bobigny, France Infectious and Tropical Diseases Dept, Hôpitaux Universitaires Paris-Seine-Saint-Denis, Bobigny, France Clinical Microbiology Dept and Infection Control Unit, Hôpitaux Universitaires Paris-Seine-Saint-Denis, Bobigny, France Clinical Microbiology Dept, Hôpitaux Universitaires Paris-Seine-Saint-Denis, Bobigny, France Clinical Microbiology Dept, Hôpitaux Universitaires Paris-Seine-Saint-Denis, Bobigny, France University Sorbonne Paris Nord, Bobigny, France University Sorbonne Paris Nord, Bobigny, France University Sorbonne Paris Nord, Bobigny, France University Sorbonne Paris Nord, Bobigny, France Infectious and Tropical Diseases Dept, Hôpitaux Universitaires Paris-Seine-Saint-Denis, Bobigny, France Clinical Microbiology Dept and Infection Control Unit, Hôpitaux Universitaires Paris-Seine-Saint-Denis, Bobigny, France Intensive Care Unit, Hôpitaux Universitaires Paris-Seine-Saint-Denis, Bobigny, France Background The coronavirus disease 2019 (COVID-19) outbreak is a primary global concern, and data are lacking concerning risk of novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) environmental contamination. Objective To identify risk factors for SARS-CoV-2 environmental contamination in COVID-19 patients admitted to the intensive care unit (ICU). Methods A prospective single centre 1-day study was carried out in an ICU. Four surfaces (the ventilator control screen, the control buttons of the syringe pump, the bed rails and the computer table located >1 m away from the patient) were systematically swabbed at least 8 h after any cleaning process. We analysed clinical, microbiological and radiological data to identify risk factors for SARS-CoV-2 environmental contamination. Results 40% of ICU patients were found to contaminate their environment. No particular trend emerged regarding the type of surface contaminated. Modality of oxygen support (high-flow nasal cannula oxygenation, invasive mechanical ventilation, standard oxygen mask) was not associated with the risk of environmental contamination. Univariate analysis showed that lymphopenia <0.7×109·L−1 was associated with environmental contamination. Conclusion Despite small sample size, our study generated surprising results. Modality of oxygen support is not associated with risk of environmental contamination. Further studies are needed.http://openres.ersjournals.com/content/6/4/00595-2020.full |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Alexandra Lomont Marouane Boubaya Warda Khamis Antoine Deslandes Hugues Cordel Delphine Seytre Chakib Alloui Célie Malaure Nicolas Bonnet Etienne Carbonnelle Yves Cohen Hilario Nunes Olivier Bouchaud Jean-Ralph Zahar Yacine Tandjaoui-Lambiotte AIRMIC study group: Jean-Ralph Zahar Etienne Carbonnelle Yacine Tandjaoui-Lambiotte Frédéric Le Gal Frédéric Mechai Typhaine Billard-Pomares Alexandra Lomont Chakib Alloui Nerville-Emmanuel Gordien Olivier Bouchaud Johann Cailhol Sophie Brun Athenaïs Gerber Paul Deny |
spellingShingle |
Alexandra Lomont Marouane Boubaya Warda Khamis Antoine Deslandes Hugues Cordel Delphine Seytre Chakib Alloui Célie Malaure Nicolas Bonnet Etienne Carbonnelle Yves Cohen Hilario Nunes Olivier Bouchaud Jean-Ralph Zahar Yacine Tandjaoui-Lambiotte AIRMIC study group: Jean-Ralph Zahar Etienne Carbonnelle Yacine Tandjaoui-Lambiotte Frédéric Le Gal Frédéric Mechai Typhaine Billard-Pomares Alexandra Lomont Chakib Alloui Nerville-Emmanuel Gordien Olivier Bouchaud Johann Cailhol Sophie Brun Athenaïs Gerber Paul Deny Environmental contamination related to SARS-CoV-2 in ICU patients ERJ Open Research |
author_facet |
Alexandra Lomont Marouane Boubaya Warda Khamis Antoine Deslandes Hugues Cordel Delphine Seytre Chakib Alloui Célie Malaure Nicolas Bonnet Etienne Carbonnelle Yves Cohen Hilario Nunes Olivier Bouchaud Jean-Ralph Zahar Yacine Tandjaoui-Lambiotte AIRMIC study group: Jean-Ralph Zahar Etienne Carbonnelle Yacine Tandjaoui-Lambiotte Frédéric Le Gal Frédéric Mechai Typhaine Billard-Pomares Alexandra Lomont Chakib Alloui Nerville-Emmanuel Gordien Olivier Bouchaud Johann Cailhol Sophie Brun Athenaïs Gerber Paul Deny |
author_sort |
Alexandra Lomont |
title |
Environmental contamination related to SARS-CoV-2 in ICU patients |
title_short |
Environmental contamination related to SARS-CoV-2 in ICU patients |
title_full |
Environmental contamination related to SARS-CoV-2 in ICU patients |
title_fullStr |
Environmental contamination related to SARS-CoV-2 in ICU patients |
title_full_unstemmed |
Environmental contamination related to SARS-CoV-2 in ICU patients |
title_sort |
environmental contamination related to sars-cov-2 in icu patients |
publisher |
European Respiratory Society |
series |
ERJ Open Research |
issn |
2312-0541 |
publishDate |
2020-11-01 |
description |
Background
The coronavirus disease 2019 (COVID-19) outbreak is a primary global concern, and data are lacking concerning risk of novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) environmental contamination.
Objective
To identify risk factors for SARS-CoV-2 environmental contamination in COVID-19 patients admitted to the intensive care unit (ICU).
Methods
A prospective single centre 1-day study was carried out in an ICU. Four surfaces (the ventilator control screen, the control buttons of the syringe pump, the bed rails and the computer table located >1 m away from the patient) were systematically swabbed at least 8 h after any cleaning process. We analysed clinical, microbiological and radiological data to identify risk factors for SARS-CoV-2 environmental contamination.
Results
40% of ICU patients were found to contaminate their environment. No particular trend emerged regarding the type of surface contaminated. Modality of oxygen support (high-flow nasal cannula oxygenation, invasive mechanical ventilation, standard oxygen mask) was not associated with the risk of environmental contamination. Univariate analysis showed that lymphopenia <0.7×109·L−1 was associated with environmental contamination.
Conclusion
Despite small sample size, our study generated surprising results. Modality of oxygen support is not associated with risk of environmental contamination. Further studies are needed. |
url |
http://openres.ersjournals.com/content/6/4/00595-2020.full |
work_keys_str_mv |
AT alexandralomont environmentalcontaminationrelatedtosarscov2inicupatients AT marouaneboubaya environmentalcontaminationrelatedtosarscov2inicupatients AT wardakhamis environmentalcontaminationrelatedtosarscov2inicupatients AT antoinedeslandes environmentalcontaminationrelatedtosarscov2inicupatients AT huguescordel environmentalcontaminationrelatedtosarscov2inicupatients AT delphineseytre environmentalcontaminationrelatedtosarscov2inicupatients AT chakiballoui environmentalcontaminationrelatedtosarscov2inicupatients AT celiemalaure environmentalcontaminationrelatedtosarscov2inicupatients AT nicolasbonnet environmentalcontaminationrelatedtosarscov2inicupatients AT etiennecarbonnelle environmentalcontaminationrelatedtosarscov2inicupatients AT yvescohen environmentalcontaminationrelatedtosarscov2inicupatients AT hilarionunes environmentalcontaminationrelatedtosarscov2inicupatients AT olivierbouchaud environmentalcontaminationrelatedtosarscov2inicupatients AT jeanralphzahar environmentalcontaminationrelatedtosarscov2inicupatients AT yacinetandjaouilambiotte environmentalcontaminationrelatedtosarscov2inicupatients AT airmicstudygroup environmentalcontaminationrelatedtosarscov2inicupatients AT jeanralphzahar environmentalcontaminationrelatedtosarscov2inicupatients AT etiennecarbonnelle environmentalcontaminationrelatedtosarscov2inicupatients AT yacinetandjaouilambiotte environmentalcontaminationrelatedtosarscov2inicupatients AT fredericlegal environmentalcontaminationrelatedtosarscov2inicupatients AT fredericmechai environmentalcontaminationrelatedtosarscov2inicupatients AT typhainebillardpomares environmentalcontaminationrelatedtosarscov2inicupatients AT alexandralomont environmentalcontaminationrelatedtosarscov2inicupatients AT chakiballoui environmentalcontaminationrelatedtosarscov2inicupatients AT nervilleemmanuelgordien environmentalcontaminationrelatedtosarscov2inicupatients AT olivierbouchaud environmentalcontaminationrelatedtosarscov2inicupatients AT johanncailhol environmentalcontaminationrelatedtosarscov2inicupatients AT sophiebrun environmentalcontaminationrelatedtosarscov2inicupatients AT athenaisgerber environmentalcontaminationrelatedtosarscov2inicupatients AT pauldeny environmentalcontaminationrelatedtosarscov2inicupatients |
_version_ |
1724333155876339712 |