Report of the Investigation of the Coronavirus outbreak 2019, a private hospital, Bangkok, 16th April 2020
Keywords:
SARS-CoV-2, Nasopharyngeal swab, Throat swabAbstract
This report demonstrates investigation, implementation and management of COVID-19 infection in private hospital A in April 2020. The objectives are to confirm a diagnostic case, explain the spreading of the disease including time place and person, finding source and transmission of disease. The methods of study are that review medical records from index case who is working as a nurse in hospital A. Interview case index and close contacts with others. Send the nasopharyngeal and throat swab from suspected case to confirm SARS-CoV-2. Review environment around the hospital and review the universal precautions taken by healthcare workers during working time. We discovered 42 close contact cases; low risk 31 and high risk 11. One case was detected with suspected SARS-CoV-2. She is a 62-year-old and the nurse (index case) was taking care of within 14 days. There is no evidentiary proof of who is the first case of COVID-19 in hospital A. The first case may have been either a nurse or patient. However, universal precautions must be taken amongst both healthcare workers, patients and all people who could have come in contact.
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