TY - JOUR
T1 - An epidemiologic study of COVID-19 patients in a state psychiatric hospital
T2 - High penetrance with early CDC guidelines
AU - Thompson, John W.
AU - Mikolajewski, Amy J.
AU - Kissinger, Patricia
AU - McCrossen, Patrick
AU - Smither, Allison
AU - Chamarthi, Govind Datta
AU - Lin, Zhen
AU - Tian, Di
N1 - Publisher Copyright:
© 2020 American Psychiatric Association. All rights reserved.
PY - 2020/12
Y1 - 2020/12
N2 - 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. Eightyeight 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.
AB - 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. Eightyeight 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.
UR - http://www.scopus.com/inward/record.url?scp=85096951003&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85096951003&partnerID=8YFLogxK
U2 - 10.1176/appi.ps.202000270
DO - 10.1176/appi.ps.202000270
M3 - Review article
C2 - 33019856
AN - SCOPUS:85096951003
SN - 1075-2730
VL - 71
SP - 1285
EP - 1287
JO - Psychiatric Services
JF - Psychiatric Services
IS - 12
ER -