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An Epidemiologic Study of COVID-19 Patients in a State Psychiatric Hospital: High Penetrance With Early CDC Guidelines
- Source :
- Psychiatr Serv
- Publication Year :
- 2020
-
Abstract
- OBJECTIVE: This study aimed to explore the transmission of COVID-19 in a U.S. state psychiatric hospital setting. METHODS: Symptomatic and asymptomatic patients were tested throughout a large psychiatric hospital to determine penetrance. The hospital followed initial Centers for Disease Control and Prevention (CDC) guidelines. RESULTS: Seventy-eight percent (N=51 of 65) of tested patients in the building where the first positive patient was housed (building zero) tested positive for COVID-19. Eighty-eight percent (N=14 of 16) of tested asymptomatic patients in building zero were positive, compared with 12% (N=6 of 51) of randomly selected asymptomatic patients in a sample from the rest of the hospital. CONCLUSIONS: A high percentage of patients can become positive for COVID-19 despite following initial CDC guidelines. As such, use of masks by all patients in close-quarter settings prior to the first positive case appears warranted. Recent CDC guidelines align with this strategy.
- Subjects :
- Hospitals, Psychiatric
Male
Pediatrics
medicine.medical_specialty
Coronavirus disease 2019 (COVID-19)
Asymptomatic
Hospitals, State
Article
03 medical and health sciences
Random Allocation
0302 clinical medicine
COVID-19 Testing
Epidemiology
Psychiatric hospital
Infection control
Medicine
Humans
030212 general & internal medicine
Statistics & numerical data
Asymptomatic Infections
Cross Infection
Infection Control
Inpatients
business.industry
Transmission (medicine)
SARS-CoV-2
Mental Disorders
COVID-19
Middle Aged
Penetrance
United States
030227 psychiatry
Psychiatry and Mental health
Epidemiologic Studies
Practice Guidelines as Topic
Female
medicine.symptom
business
Subjects
Details
- ISSN :
- 15579700
- Volume :
- 71
- Issue :
- 12
- Database :
- OpenAIRE
- Journal :
- Psychiatric services (Washington, D.C.)
- Accession number :
- edsair.doi.dedup.....16a14b5cc94c25c9bfb33477f0441230