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In this study, a patient space occupied by a patient with confirmed COVID-19 in an open-space multiple bed area in the Intermediate Care Unit will be equipped with a mobile, optimally placed high efficiency particulate air ("HEPA")-equivalent air filtration unit ("Baldachin") in addition to existing hospital policy infection prevention and control measures. The investigators are going to evaluate this intervention regarding its capacity to prevent the nosocomial onwards transmission of Sars-COV2 to patients located in the same multiple-bed open space patient area.
SARS-CoV-2 transmission includes a considerable amount of long-distance aerosol transmission. Ideal isolation is in single rooms. Isolation in special care multiple bed open-space patient areas (e.g. in the Intensive and Intermediate Care Unit) is set back to onsite isolation with distancing and ventilation as partial mitigation measures against nosocomial transmission.
The investigators want to assess the effect of supplementation of existing room ventilation by means of an optimally placed mobile high efficiency particulate air ("HEPA") filtration unit ("Baldachin") in the ceiling area over confirmed COVID-19 infected patients on nosocomial onwards transmission to patients located in the same open-space multiple bed area. In order to quantify the effect, the investigators will determine the proportion of nosocomially infected individuals as assessed by nasopharyngeal swab on day 4 after the last exposure amongst all in the same room exposed patients in cardiovascular open-space Intermediate Care Unit rooms with "Baldachin" vs. open-space Intermediate Care Unit rooms without "Baldachin".
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Standard of Care | No Intervention | Patients exposed to a patient with COVID-19 isolated at the site - standard of care | |
| Baldachin-Intervention | Active Comparator | Patients exposed to a patient with COVID-19 isolated at the site - under Baldachin |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Baldachin | Device | Environmental intervention: Equipment of a patient space of a patient with confirmed COVID-19 in open-space multiple bed Intermediate Care Unit areas with a mobile, optimally placed high efficiency particulate air ("HEPA")-equivalent air filtration unit ("Baldachin") in addition to existing room ventilation and hospital policy infection prevention and control measures. |
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of nosocomially infected individuals within 4 days after exposure | Assessed by nasopharyngeal swab on day 4 after the last exposure amongst all in the same room exposed patients in cardiovascular open-space Intermediate Care Unit ("IMC") rooms with the environmental interventions vs. open-space IMC rooms without the environmental intervention | 4 days after last exposure |
| Measure | Description | Time Frame |
|---|---|---|
| Exposure duration | Expected to be on average hours up to a few days | Period when exposed to a patient with confirmed COVID-19 in the same room |
| Proportion of immunocompromised patients among those exposed |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Philipp Jent, MD | Contact | +41 31 632 99 92 | philipp.jent@insel.ch | |
| Karin J Grimm, MD | Contact | +41 31 63 2 76 85 | KarinJanina.Grimm@insel.ch |
| Name | Affiliation | Role |
|---|---|---|
| Philipp Jent, MD | Department of Infectious Diseases Inselspital Bern University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Inselspital Bern University Hospital | Recruiting | Bern | Canton of Bern | 3010 | Switzerland |
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| ID | Term |
|---|---|
| D000086382 | COVID-19 |
| D012141 | Respiratory Tract Infections |
| D014777 | Virus Diseases |
| ID | Term |
|---|---|
| D011024 | Pneumonia, Viral |
| D011014 | Pneumonia |
| D007239 | Infections |
| D018352 | Coronavirus Infections |
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|
e.g. patients under treatment with steroids, chemotherapy
| At the time of exposure |
| Preexisting air change rate per hour in the rooms where exposure occurs | At the time of exposure |
| Age of exposed patients | As part of the demographic characteristics | At the time of exposure |
| Gender of exposed patients | As part of the demographic characteristics | At the time of exposure |
| Proportion of nosocomially infected patients within 10 days after exposure | As documented in the electronic patient record | 10 days after last exposure |
| D003333 |
| Coronaviridae Infections |
| D030341 | Nidovirales Infections |
| D012327 | RNA Virus Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |