Measuring SARS-CoV-2 aerosolization in rooms of hospitalized patients

Kenneth Yan, Jing Lin, Shaley Albaugh, Meredith Yang, Esther Wang, Thomas Cyberski, Mustafa Fatih Abasiyanik, Kristen E. Wroblewski, Michael O'Connor, Allan Klock, Avery Tung, Sajid Shahul, Dinesh Kurian, Savaş Tay, Jayant M. Pinto*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Objective: Airborne spread of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) remains a significant risk for healthcare workers. Understanding transmission of SARS-CoV-2 in the hospital could help minimize nosocomial infection. The objective of this pilot study was to measure aerosolization of SARS-CoV-2 in the hospital rooms of COVID-19 patients. Methods: Two air samplers (Inspirotec) were placed 1 and 4 m away from adults with SARS-CoV-2 infection hospitalized at an urban, academic tertiary care center from June to October 2020. Airborne SARS-CoV-2 concentration was measured by quantitative reverse transcription polymerase chain reaction and analyzed by clinical parameters and patient demographics. Results: Thirteen patients with COVID-19 (eight females [61.5%], median age: 57 years old, range 25–82) presented with shortness of breath (100%), cough (38.5%) and fever (15.4%). Respiratory therapy during air sampling varied: mechanical ventilation via endotracheal tube (n = 3), high flow nasal cannula (n = 4), nasal cannula (n = 4), respiratory helmet (n = 1), and room air (n = 1). SARS-CoV-2 RNA was identified in rooms of three out of three intubated patients compared with one out of 10 of the non-intubated patients (p =.014). Airborne SARS-CoV-2 tended to decrease with distance (1 vs. 4 m) in rooms of intubated patients. Conclusions: Hospital rooms of intubated patients had higher levels of aerosolized SARS-CoV-2, consistent with increased aerosolization of virus in patients with severe disease or treatment with positive pressure ventilation through an endotracheal tube. While preliminary, these data have safety implications for health care workers and design of protective measures in the hospital. Level of Evidence: 2.

Original languageEnglish (US)
Pages (from-to)1033-1041
Number of pages9
JournalLaryngoscope investigative otolaryngology
Volume7
Issue number4
DOIs
StatePublished - Aug 2022

Keywords

  • COVID-19
  • airway management
  • infectious disease transmission
  • intubation

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

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