TY - JOUR T1 - Reducing nosocomial transmission of COVID-19: implementation of a COVID-19 triage system JF - Clinical Medicine JO - Clin Med SP - e141 LP - e145 DO - 10.7861/clinmed.2020-0411 VL - 20 IS - 5 AU - Rachel M Wake AU - Matthew Morgan AU - Jenny Choi AU - Simon Winn Y1 - 2020/09/01 UR - http://www.rcpjournals.org/content/20/5/e141.abstract N2 - Nosocomial transmission of COVID-19 puts patients with other medical problems at risk of severe illness and death. Of 662 inpatients with COVID-19 at an NHS Trust in South London, 45 (6.8%) were likely to have acquired COVID-19 in hospital. These patients had no evidence of respiratory or influenza-like illness on admission and developed symptoms, with positive SARS-CoV-2 PCR test results, more than 7 days after admission (>14 days for 38 [5.7%] patients). Forty (88.9%) of these patients had shared a ward with a confirmed COVID-19 case prior to testing positive. Implementation of a triage system combining clinical assessment with rapid SARS-CoV-2 testing facilitated cohorting so that fewer susceptible patients were exposed to COVID-19 on shared wards. With hospital service resumption alongside the possibility of future waves of COVID-19 related admissions, strategies to prevent nosocomial transmission are essential. Point-of-care diagnostics can complement clinical assessment to rapidly identify patients with COVID-19 and reduce risk of transmission within hospitals. ER -