Epidemiology of hospital-based COVID- 19 cluster in a tertiary care cancer hospital, Chennai, India 2020

Objectives: To identify risk factors associated with Coronavirus disease 2019 (COVID-19) in a Tertiary care cancer hospital-based cluster and recommend control measures. Methods: We conducted tracing and confirmation among hospital and community contacts. We telephonically interviewed and abstracted...

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Main Authors: Suganya Barani (Author), Nuzrath Jahan (Author), Mathan Karuppiah (Author), Sirshendu Chaudhuri (Author), Mohankumar Raju (Author), Manickam Ponnaiah (Author), Swaminathan Rajaraman (Author), Venktesh Vaidhyalingam (Author), Parasuraman Ganeshkumar (Author), Girish Kumar CP (Author), Sendhilkumar Muthappan (Author), Jegadeesan Murugesan (Author), Mahalakshmi Srinivasan (Author), Usha Krishnan (Author), Alby John Varghese (Author)
Format: Book
Published: Elsevier, 2021-10-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Suganya Barani  |e author 
700 1 0 |a Nuzrath Jahan  |e author 
700 1 0 |a Mathan Karuppiah  |e author 
700 1 0 |a Sirshendu Chaudhuri  |e author 
700 1 0 |a Mohankumar Raju  |e author 
700 1 0 |a Manickam Ponnaiah  |e author 
700 1 0 |a Swaminathan Rajaraman  |e author 
700 1 0 |a Venktesh Vaidhyalingam  |e author 
700 1 0 |a Parasuraman Ganeshkumar  |e author 
700 1 0 |a Girish Kumar CP  |e author 
700 1 0 |a Sendhilkumar Muthappan  |e author 
700 1 0 |a Jegadeesan Murugesan  |e author 
700 1 0 |a Mahalakshmi Srinivasan  |e author 
700 1 0 |a Usha Krishnan  |e author 
700 1 0 |a Alby John Varghese  |e author 
245 0 0 |a Epidemiology of hospital-based COVID- 19 cluster in a tertiary care cancer hospital, Chennai, India 2020 
260 |b Elsevier,   |c 2021-10-01T00:00:00Z. 
500 |a 2213-3984 
500 |a 10.1016/j.cegh.2021.100889 
520 |a Objectives: To identify risk factors associated with Coronavirus disease 2019 (COVID-19) in a Tertiary care cancer hospital-based cluster and recommend control measures. Methods: We conducted tracing and confirmation among hospital and community contacts. We telephonically interviewed and abstracted information from hospital records and registers. We described the cluster by time, place and person. We conducted unmatched case-control study to compare risk factors and computed Odds Ratio (OR) and 95% confidence interval. Results: We confirmed COVID-19 in 21 of 1478 tested (1.4%). Secondary attack (%) of COVID-19 among 824 contacts was higher among in-patients of block A (18), household contacts (3.4), housekeeping staff (3.3) and nurses (1.7). The cluster started on April 22 with two successive peaks five days apart and lasted until May 8. Being male, patients aged >33 years [OR = 30·7; 95% CI = 3·6 to 264], having hypertension [OR = 4·3; 95% CI = 1·1 to 16·7] or diabetes [OR = 3·8; 95% CI = 1·0 to 14·1] were associated with COVID-19. Mask compliance was poor (20%) among hospital workers. Discussion: We recommended screening of all patients for diabetes and hypertension and isolation/testing of anyone with influenza-like illness for preventing COVID-19 clusters in hospital settings. 
546 |a EN 
690 |a COVID-19 
690 |a SARS-CoV-2 
690 |a Disease outbreaks 
690 |a Hospital cluster 
690 |a Public aspects of medicine 
690 |a RA1-1270 
655 7 |a article  |2 local 
786 0 |n Clinical Epidemiology and Global Health, Vol 12, Iss , Pp 100889- (2021) 
787 0 |n http://www.sciencedirect.com/science/article/pii/S2213398421001974 
787 0 |n https://doaj.org/toc/2213-3984 
856 4 1 |u https://doaj.org/article/26d1836ec7624a54aced943bb75e7e3c  |z Connect to this object online.