Detection of air and surface contamination by SARS-CoV-2 in hospital rooms of infected patients

被引:651
|
作者
Chia, Po Ying [1 ,2 ,3 ]
Coleman, Kristen Kelli [4 ]
Tan, Yian Kim [5 ]
Ong, Sean Wei Xiang [1 ,2 ]
Gum, Marcus [5 ]
Lau, Sok Kiang [5 ]
Lim, Xiao Fang [5 ]
Lim, Ai Sim [5 ]
Sutjipto, Stephanie [1 ,2 ]
Lee, Pei Hua [1 ,2 ]
Son, Than The [4 ]
Young, Barnaby Edward [1 ,2 ,3 ]
Milton, Donald K. [6 ]
Gray, Gregory C. [4 ,7 ,8 ,9 ]
Schuster, Stephan [10 ]
Barkharn, Timothy [2 ,11 ]
De, Partha Pratim [2 ,3 ]
Vasoo, Shawn [1 ,2 ,3 ]
Chan, Monica [1 ,2 ]
Ang, Brenda Sze Peng [1 ,2 ,3 ,11 ]
Tan, Boon Huan [5 ]
Leo, Yee-Sin [1 ,2 ,3 ,11 ]
Ng, Oon-Tek [1 ,2 ,3 ]
Wong, Michelle Su Yen [5 ]
Marimuthu, Kalisvar [1 ,2 ,11 ]
机构
[1] Natl Ctr Infect Dis, Singapore, Singapore
[2] Tan Tock Seng Hosp, Singapore, Singapore
[3] Nanyang Technol Univ, Lee Kong Chian Sch Med, Singapore, Singapore
[4] Natl Univ Singapore, Duke NUS Med Sch, Singapore, Singapore
[5] DSO Natl Labs, Singapore, Singapore
[6] Univ Maryland, Sch Publ Hlth, Maryland Inst Appl Environm Hlth, College Pk, MD 20742 USA
[7] Duke Univ, Sch Med, Durham, NC USA
[8] Duke Univ, Global Hlth Inst, Durham, NC USA
[9] Duke Kunshan Univ, Global Hlth Res Ctr, Kunshan, Peoples R China
[10] Nanyang Technol Univ, Singapore Ctr Environm Life Sci Engn, Singapore, Singapore
[11] Natl Univ Singapore, Yong Loo Lin Sch Med, Singapore, Singapore
关键词
D O I
10.1038/s41467-020-16670-2
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Understanding the particle size distribution in the air and patterns of environmental contamination of SARS-CoV-2 is essential for infection prevention policies. Here we screen surface and air samples from hospital rooms of COVID-19 patients for SARS-CoV-2 RNA. Environmental sampling is conducted in three airborne infection isolation rooms (AIIRs) in the ICU and 27 AIIRs in the general ward. 245 surface samples are collected. 56.7% of rooms have at least one environmental surface contaminated. High touch surface contamination is shown in ten (66.7%) out of 15 patients in the first week of illness, and three (20%) beyond the first week of illness (p = 0.01, chi(2) test). Air sampling is performed in three of the 27 AIIRs in the general ward, and detects SARS-CoV-2 PCR-positive particles of sizes >4 mu m and 1-4 mu m in two rooms, despite these rooms having 12 air changes per hour. This warrants further study of the airborne transmission potential of SARS-CoV-2.
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页数:7
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