Harnessing a real-time location system for contact tracing in a busy emergency department

被引：0
|
作者：
Aung, A. H. [1 ]
Li, A. L. [1 ]
Kyaw, W. M. [1 ]
Khanna, R. [1 ]
Lim, W-Y. [1 ]
Ang, H. [2 ]
Chow, A. L. P. [1 ,3 ,4 ,5 ]
机构：
[1] Tan Tock Seng Hosp, Dept Prevent & Populat Med, 11 Jalan Tan Tock Seng, Singapore 308433, Singapore
[2] Tan Tock Seng Hosp, Dept Emergency Med, Singapore, Singapore
[3] Lee Kong Chian Sch Med, Singapore, Singapore
[4] Natl Ctr Infect Dis, Infect Dis Res & Training Off, Singapore, Singapore
[5] Saw Swee Hock Sch Publ Hlth, Singapore, Singapore
来源：
JOURNAL OF HOSPITAL INFECTION | 2023年 / 141卷
关键词：
Communicable diseases; emerging; Communicable disease contact; tracing; Contact tracing/methods; Epidemiology; Infection control;
D O I：
10.1016/j.jhin.2023.08.015
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
Background: With the persistent threat of emerging infectious diseases (EIDs), digital contact tracing (CT) tools can augment conventional CT for the prevention of healthcare-associated infectious disease transmission. However, their performance has yet to be evaluated comprehensively in the fast-paced emergency department (ED) setting.Objective: This study compared the CT performance of a radiofrequency identification (RFID)-based real-time location system (RTLS) with conventional electronic medical record (EMR) review against continuous direct observation of close contacts ('gold standard') in a busy ED during the coronavirus disease 2019 pandemic period.Methods: This cross-sectional study was conducted at the ED of a large tertiary care hospital in Singapore from December 2020 to April 2021. CT performance [sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and kappa] of the RTLS, EMR review and a combination of the two approaches (hybrid CT) was compared with direct observation. Finally, the mean absolute error (MAE) in the duration of each contact episode found via the RTLS and direct observation was calculated.Results: In comparison with EMR review, both the RTLS and the hybrid CT approach had higher sensitivity (0.955 vs 0.455 for EMR review) and a higher NPV (0.997 vs 0.968 for EMR review). The RTLS had the highest PPV (0.777 vs 0.714 for EMR review vs 0.712 for hybrid CT). The RTLS had the strongest agreement with direct observation (kappa1/40.848). The MAE between contact durations of 80 direct observations and their respective RTLS contact times was 1.81 min.Conclusion: The RTLS was validated to be a high-performing CT tool, with significantly higher sensitivity than conventional CT via EMR review. The RTLS can be used with confidence in time-strapped EDs for time-sensitive CT for the prevention of healthcare -associated transmission of EIDs.(c) 2023 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.
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页码：63 / 70
页数：8
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