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Consistent FFP2-masking as part of reducing viral respiratory infections on medical wards for allogeneic hematopoietic stem cell transplantation.
Richardson, T; Schütte, D; Feyer, K; Grass, L; Hallek, M; Scheid, C; Simon, F; Braun, T; Fürstenau, M; Gödel, P; Holtick, U.
Afiliación
  • Richardson T; University of Cologne Hospital, Cologne, Germany. tim.richardson@uk-koeln.de.
  • Schütte D; University of Cologne Hospital, Cologne, Germany.
  • Feyer K; University of Cologne Hospital, Cologne, Germany.
  • Grass L; University of Cologne Hospital, Cologne, Germany.
  • Hallek M; University of Cologne Hospital, Cologne, Germany.
  • Scheid C; University of Cologne Hospital, Cologne, Germany.
  • Simon F; University of Cologne Hospital, Cologne, Germany.
  • Braun T; University of Cologne Hospital, Cologne, Germany.
  • Fürstenau M; University of Cologne Hospital, Cologne, Germany.
  • Gödel P; University of Cologne Hospital, Cologne, Germany.
  • Holtick U; University of Cologne Hospital, Cologne, Germany.
Sci Rep ; 14(1): 21481, 2024 09 14.
Article en En | MEDLINE | ID: mdl-39277641
ABSTRACT
Patients undergoing allogenic hematopoietic stem cell transplantation (allo-HSCT) are highly susceptible to infections. The consequent use of masks on wards for allo-HSCT has been controversial in the past decades and was not common before the COVID-19 pandemic. We retrospectively compared incidence and outcomes of viral respiratory infections during allo-HSCT on our specialized ward between 01/2018 and 09/2020 to the era of FFP2 masking between 10/2020 and 10/2022 covering similar seasons of the year. Each group consisted of 150 matched patients. The usage of FFP2 masks reduced the incidence of viral respiratory infections from 22.1 to 2.1% (p < 0.005). This reduced the time on ward from a median of 26 days to 23.5 days (p = 0.002). It also resulted in less use of CT-scans (p = 0.003) and bronchoalveolar lavage procedures (p = 0.057). Median time to proof of infection was 21 days after admission in both groups. No difference was detected in progression free survival, hospital survival or non-relapse mortality (p = 0.78). Our retrospective results indicate that FFP2 masks worn by patients and hospital staff may help to significantly reduce the incidence of viral respiratory infections, including COVID-19, shorten the in-hospital time, and reduce costs without affecting survival.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infecciones del Sistema Respiratorio / Trasplante de Células Madre Hematopoyéticas / COVID-19 / Máscaras Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Sci Rep Año: 2024 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infecciones del Sistema Respiratorio / Trasplante de Células Madre Hematopoyéticas / COVID-19 / Máscaras Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Sci Rep Año: 2024 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Reino Unido