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Nosocomial infection with SARS-Cov-2 within Departments of Digestive Surgery - 29/07/20

Doi : 10.1016/j.jviscsurg.2020.04.016 
M. Luong-Nguyen a, H. Hermand a, S. Abdalla b, N. Cabrit c, C. Hobeika c, A. Brouquet b, D. Goéré a, A. Sauvanet c,
a Digestive, Oncologic and endocrine Surgery Department, Saint Louis Hospital, APHP, Paris University, 1, rue Claude Vellefaux, 75010 Paris, France 
b Digestive Surgery, Bicêtre Hospital, APHP, Paris Sud University, 78, rue du Général Leclerc, 94270 Le Kremlin-Bicêtre, France 
c Hepatic and Pancreatic Surgery, Beaujon Hospital, AP–HP, Paris University, 100, boulevard du Général Leclerc, 92110 Clichy, France 

Corresponding author at : Service de Chirurgie Hépatobiliaire et Pancréatique, DMU Digest, Hôpital Beaujon, 100, boulevard Général Leclerc 92110 Clichy, France.Pôle des Maladies de l’Appareil Digestif, Service de Chirurgie Hépatobiliaire et Pancréatique, Hôpital Beaujon100, boulevard Général Leclerc Clichy92110France

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Summary

Introduction

The COVID-19 pandemic imposed a drastic reduction in surgical activity in order to respond to the influx of hospital patients and to protect uninfected patients by avoiding hospitalization. However, little is known about the risk of infection during hospitalization or its consequences. The aim of this work was to report a series of patients hospitalized on digestive surgery services who developed a nosocomial infection with SARS-Cov-2 virus.

Methods

This is a non-interventional retrospective study carried out within three departments of digestive surgery. The clinical, biological and radiological data of the patients who developed a nosocomial infection with SARS-Cov-2 were collected from the computerized medical record.

Results

From March 1, 2020 to April 5, 2020, among 305 patients admitted to digestive surgery departments, 15 (4.9%) developed evident nosocomial infection with SARS-Cov-2. There were nine men and six women, with a median age of 62 years (35–68 years). All patients had co-morbidities. The reasons for hospitalization were: surgical treatment of cancer (n=5), complex emergencies (n=5), treatment of complications linked to cancer or its treatment (n=3), gastroplasty (n=1), and stoma closure (n=1). The median time from admission to diagnosis of SARS-Cov-2 infection was 34 days (5–61 days). In 12 patients (80%), the diagnosis was made after a hospital stay of more than 14 days (15–63 days). At the end of the follow-up, two patients had died, seven were still hospitalized with two of them on respiratory assistance, and six patients were discharged post-hospitalization.

Conclusions

The risk of SARS-Cov-2 infection during hospitalization or following digestive surgery is a real and potentially serious risk. Measures are necessary to minimize this risk in order to return to safe surgical activity.

El texto completo de este artículo está disponible en PDF.

Keywords : COVID-19, SARS-cov-2, Nosocomial transmission, Digestive surgery


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© 2020  Elsevier Masson SAS. Reservados todos los derechos.
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Vol 157 - N° 3S1

P. S13-S18 - juin 2020 Regresar al número
Artículo precedente Artículo precedente
  • Strategy for the practice of digestive and oncological surgery during the Covid-19 epidemic
  • J.-J. Tuech, A. Gangloff, F. Di Fiore, P. Michel, C. Brigand, K. Slim, M. Pocard, L. Schwarz
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  • Management of the COVID-19 epidemic by public health establishments–Analysis by the Fédération Hospitalière de France
  • K. Barro, A. Malone, A. Mokede, C. Chevance

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