Genetic epidemiology of SARS-CoV-2 transmission in renal dialysis units - A high risk community-hospital interface

Copyright © 2021 The Authors. Published by Elsevier Ltd.. All rights reserved..

OBJECTIVES: Patients requiring haemodialysis are at increased risk of serious illness with SARS-CoV-2 infection. To improve the understanding of transmission risks in six Scottish renal dialysis units, we utilised the rapid whole-genome sequencing data generated by the COG-UK consortium.

METHODS: We combined geographical, temporal and genomic sequence data from the community and hospital to estimate the probability of infection originating from within the dialysis unit, the hospital or the community using Bayesian statistical modelling and compared these results to the details of epidemiological investigations.

RESULTS: Of 671 patients, 60 (8.9%) became infected with SARS-CoV-2, of whom 16 (27%) died. Within-unit and community transmission were both evident and an instance of transmission from the wider hospital setting was also demonstrated.

CONCLUSIONS: Near-real-time SARS-CoV-2 sequencing data can facilitate tailored infection prevention and control measures, which can be targeted at reducing risk in these settings.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:83

Enthalten in:

The Journal of infection - 83(2021), 1 vom: 25. Juli, Seite 96-103

Sprache:

Englisch

Beteiligte Personen:

Li, Kathy K [VerfasserIn]
Woo, Y Mun [VerfasserIn]
Stirrup, Oliver [VerfasserIn]
Hughes, Joseph [VerfasserIn]
Ho, Antonia [VerfasserIn]
Filipe, Ana Da Silva [VerfasserIn]
Johnson, Natasha [VerfasserIn]
Smollett, Katherine [VerfasserIn]
Mair, Daniel [VerfasserIn]
Carmichael, Stephen [VerfasserIn]
Tong, Lily [VerfasserIn]
Nichols, Jenna [VerfasserIn]
Aranday-Cortes, Elihu [VerfasserIn]
Brunker, Kirstyn [VerfasserIn]
Parr, Yasmin A [VerfasserIn]
Nomikou, Kyriaki [VerfasserIn]
McDonald, Sarah E [VerfasserIn]
Niebel, Marc [VerfasserIn]
Asamaphan, Patawee [VerfasserIn]
Sreenu, Vattipally B [VerfasserIn]
Robertson, David L [VerfasserIn]
Taggart, Aislynn [VerfasserIn]
Jesudason, Natasha [VerfasserIn]
Shah, Rajiv [VerfasserIn]
Shepherd, James [VerfasserIn]
Singer, Josh [VerfasserIn]
Taylor, Alison H M [VerfasserIn]
Cousland, Zoe [VerfasserIn]
Price, Jonathan [VerfasserIn]
Lees, Jennifer S [VerfasserIn]
Jones, Timothy P W [VerfasserIn]
Lopez, Carlos Varon [VerfasserIn]
MacLean, Alasdair [VerfasserIn]
Starinskij, Igor [VerfasserIn]
Gunson, Rory [VerfasserIn]
Morris, Scott T W [VerfasserIn]
Thomson, Peter C [VerfasserIn]
Geddes, Colin C [VerfasserIn]
Traynor, Jamie P [VerfasserIn]
Breuer, Judith [VerfasserIn]
Thomson, Emma C [VerfasserIn]
Mark, Patrick B [VerfasserIn]
COVID-19 Genomics UK (COG-UK) consortium [VerfasserIn]

Links:

Volltext

Themen:

COVID-19
Haemodialysis
Infection control
Journal Article
Nosocomial
Outbreak
Rapid sequencing
Renal dialysis unit
Research Support, Non-U.S. Gov't
SARS-CoV-2

Anmerkungen:

Date Completed 24.06.2021

Date Revised 01.04.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.jinf.2021.04.020

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM324487878