Contamination of SARS-CoV-2 in patient surroundings and on personal protective equipment in a non-ICU isolation ward for COVID-19 patients with prolonged PCR positive status

Antimicrob Resist Infect Control. 2020 Oct 29;9(1):167. doi: 10.1186/s13756-020-00839-x.

Abstract

Objectives: We performed an environmental sampling study to investigate the environmental contamination of SARS-CoV-2 by COVID-19 patients with prolonged PCR positive status of clinical samples.

Methods: We sampled the air from rooms for nine COVID-19 patients with illness or positive PCR > 30 days, before and after nasopharyngeal/oropharyngeal swabbing and before and after nebulization treatment. We also sampled patients' surroundings and healthcare workers' personal protection equipment (PPE) in a non-ICU ward. SARS-CoV-2 was detected by PCR.

Results: Eighty-eight samples were collected from high-touch surfaces and floors in patient rooms and toilets, with only the bedsheets of two patients and one toilet positive for SARS-CoV-2. All air samples (n = 34) were negative for SARS-CoV-2. Fifty-five samples collected from PPE were all negative.

Conclusion: Contamination of near-patient surroundings was uncommon for COVID-19 patients with prolonged PCR positive status if environmental cleaning/disinfection were performed rigorously. Airborne transmission of SARS-CoV-2 was unlikely in these non-ICU settings.

Keywords: Air sampling; COVID-19; Corona virus disease 2019; Environment sampling; Healthcare workers; Personal protection equipment; SARS-CoV-2.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Betacoronavirus / growth & development
  • Betacoronavirus / isolation & purification*
  • COVID-19
  • COVID-19 Testing
  • Clinical Laboratory Techniques
  • Coronavirus Infections / diagnosis
  • Coronavirus Infections / virology*
  • Disinfection / methods
  • Environmental Microbiology
  • Environmental Monitoring / methods
  • Health Personnel
  • Hospitals
  • Humans
  • Pandemics / prevention & control
  • Patients' Rooms
  • Personal Protective Equipment*
  • Pneumonia, Viral / diagnosis
  • Pneumonia, Viral / virology*
  • Polymerase Chain Reaction
  • RNA, Viral / isolation & purification
  • SARS-CoV-2

Substances

  • RNA, Viral