Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Multicenter Study
. 2021 Jan;28(1):62-67.
doi: 10.1111/iju.14402. Epub 2020 Oct 13.

Nosocomial SARS-CoV-2 infection in urology departments: Results of a prospective multicentric study

María Dolores Sánchez  1 , Miguel Sánchez  2 , José Manuel De La Morena  1 , Gabriel Ogaya-Pinies  2 , Erika Mateo  1 , Pietro Moscatiello  2 , Susana Sánchez  1 , Victor Rubio  2 , Carolina Bueno  1 , Raquel Barba  3 , David Carracedo  4
Affiliations
Multicenter Study

Nosocomial SARS-CoV-2 infection in urology departments: Results of a prospective multicentric study

María Dolores Sánchez et al. Int J Urol. 2021 Jan.

Abstract

Objective: To evaluate the coronavirus disease 2019 perioperative infection rate and mortality rate of patients undergoing urological surgeries during the early pandemic period in Spain.

Methods: This was a non-interventional multicenter prospective study carried out from 9 March to 3 May 2020 in two urology departments in Madrid, Spain. Clinical, microbiological and radiological data of patients who underwent surgery were collected from computerized medical records.

Results: A total of 148 patients were included in the study, and 141 were analyzed for nosocomial infection risk, after excluding previous and concomitant severe acute respiratory syndrome coronavirus type 2 infections. Elective surgeries represented 76.6% of the procedures, whereas emergent surgeries represented 23.4%. Preoperative screening was carried out with polymerase chain reaction test in 34 patients, all were negative. A total of 14 patients also had chest X-ray (not suspicious in all cases). Three patients (2.1%) developed severe acute respiratory syndrome coronavirus type 2 nosocomial infection (symptoms developed between the third day after surgery to the 14th day after hospital discharge). Time from admission to a compatible clinical case was 5.5 days (4-12 days). Two patients underwent surgery with concomitant diagnosis of coronavirus disease. The mortality rate due to severe acute respiratory syndrome coronavirus type 2 infection is 0.7%, and the specific mortality rate in patients undergoing surgery with community-acquired coronavirus disease 2019 infection was 50% (1/2).

Conclusions: The nosocomial severe acute respiratory syndrome coronavirus type 2 infection rate was low in patients undergoing urological surgical procedures during the peak of the pandemic in Madrid. With appropriate perioperative screening, urological surgical activity can be carried out in safety conditions.

Keywords: COVID-19; SARS-CoV-2; nosocomial infection; surgery; urology.

PubMed Disclaimer

Conflict of interest statement

None declared.

Figures

Fig. 1
Fig. 1
Flowchart of the inclusion process for nosocomial SARS‐CoV‐2 infection rate analysis.
See this image and copyright information in PMC

Comment in

References

    1. Naspro R, Da Pozzo LF. Urology in the time of corona. Nat. Rev. Urol. 2020; 17: 251–3. - PMC - PubMed
    1. Hui DS, Azhar EI, Madani TA et al. The continuing 2019‐nCov epidemic threat of novel coronavirus to global health – the latest 2019 novel coronavirus outbreak in Wuhan, China. Int. J. Infect. Dis. 2020; 91: 264–6. - PMC - PubMed
    1. WHO Director‐General’s opening remarks at the media briefing on COVID‐19–11 March 2020. 2020. [Cited 14 May 2020.] Available from URL: https://www.who.int/dg/speeches/detail/who‐director‐general‐s‐opening‐re...
    1. World Health Organization . Coronavirus disease (COVID‐19) pandemic. 2020. [Cited 20 Aug 2020.] Available from URL: https://www.who.int/emergencies/diseases/novel‐coronavirus‐2019/situatio...
    1. Lei S, Jiang F, Su W et al. Clinical characteristics and outcomes of patients undergoing surgeries during the incubation period of COVID‐19 infection. EClinicalMedicine 2020; 21: 100331. - PMC - PubMed

Publication types