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Detection of air and surface contamination by SARS-CoV-2 in hospital rooms of infected patients

Open access
Chia, Po Ying, Coleman, Kristen Kelli, Tan, Yian Kim, Ong, Sean Wei Xiang, Gum, Marcus, Lau, Sok Kiang, Lim, Xiao Fang, Lim, Ai Sim, Sutjipto, Stephanie, Lee, Pei Hua, Son, Than The, Young, Barnaby Edward, Milton, Donald K., Gray, Gregory C., Schuster, Stephan, Barkham, Timothy, De, Partha Pratim, Vasoo, Shawn, Chan, Monica, Ang, Brenda Sze Peng, Tan, Boon Huan, Leo, Yee-Sin, Ng, Oon-Tek, Wong, Michelle Su Yen, Marimuthu, Kalisvar, for the Singapore 2019 Novel Coronavirus Outbreak Research Team, Lye, David Chien, Lim, Poh Lian, Lee, Cheng Chuan, Ling, Li Min, Lee, Lawrence, Lee, Tau Hong, Wong, Chen Seong, Sadarangani, Sapna, Lin, Ray Junhao, Ng, Deborah Hee Ling, Sadasiv, Mucheli, Yeo, Tsin Wen, Choy, Chiaw Yee, Tan, Glorijoy Shi En, Dimatatac, Frederico, Santos, Isais Florante, Go, Chi Jong, Chan, Yu Kit, Tay, Jun Yang, Tan, Jackie Yu-Ling, Pandit, Nihar, Ho, Benjamin Choon Heng, Mendis, Shehara, Chen, Yuan Yi Constance, Abdad, Mohammad Yazid, Moses, Daniela·2020·Nature Communications

Published version of a preprint

Abstract

Understanding the particle size distribution in the air and patterns of environmental contamination of SARS-CoV-2 is essential for infection prevention policies. Here we screen surface and air samples from hospital rooms of COVID-19 patients for SARS-CoV-2 RNA. Environmental sampling is conducted in three airborne infection isolation rooms (AIIRs) in the ICU and 27 AIIRs in the general ward. 245 surface samples are collected. 56.7% of rooms have at least one environmental surface contaminated. High touch surface contamination is shown in ten (66.7%) out of 15 patients in the first week of illness, and three (20%) beyond the first week of illness ( p = 0.01, χ 2 test). Air sampling is performed in three of the 27 AIIRs in the general ward, and detects SARS-CoV-2 PCR-positive particles of sizes >4 µm and 1–4 µm in two rooms, despite these rooms having 12 air changes per hour. This warrants further study of the airborne transmission potential of SARS-CoV-2.

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Metadata

Authors
Chia, P. Y., Coleman, K. K., Tan, Y. K., Ong, S. W. X., Gum, M., Lau, S. K., Lim, X. F., Lim, A. S., Sutjipto, S., Lee, P. H., Son, T. T., Young, B. E., Milton, D. K., Gray, G. C., Schuster, S., Barkham, T., De, P. P., Vasoo, S., Chan, M., Ang, B. S. P., Tan, B. H., Leo, Y.-S., Ng, O.-T., Wong, M. S. Y., Marimuthu, K., for the Singapore 2019 Novel Coronavirus Outbreak Research Team, Lye, D. C., Lim, P. L., Lee, C. C., Ling, L. M., Lee, L., Lee, T. H., Wong, C. S., Sadarangani, S., Lin, R. J., Ng, D. H. L., Sadasiv, M., Yeo, T. W., Choy, C. Y., Tan, G. S. E., Dimatatac, F., Santos, I. F., Go, C. J., Chan, Y. K., Tay, J. Y., Tan, J. Y.-L., Pandit, N., Ho, B. C. H., Mendis, S., Chen, Y. Y. C., Abdad, M. Y., & Moses, D.
Venue
Nature Communications
Published
2020-05-29
Volume
11
Issue
1
Pages
2800-2800
ISSN
2041-1723 (ISSN-L)
OpenAlex
W3030968929
Cited by
934
References
5
FWCI
99.49
Type
journal article
Language
en
Open access
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CoChat. (2026). Citation check: Detection of air and surface contamination by SARS-CoV-2 in hospital rooms of infected patients. https://app.cochat.ai/papers/10.1038/s41467-020-16670-2
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Chia, P. Y., Coleman, K. K., Tan, Y. K., Ong, S. W. X., Gum, M., Lau, S. K., Lim, X. F., Lim, A. S., Sutjipto, S., Lee, P. H., Son, T. T., Young, B. E., Milton, D. K., Gray, G. C., Schuster, S., Barkham, T., De, P. P., Vasoo, S., Chan, M., . . . Moses, D. (2020). Detection of air and surface contamination by SARS-CoV-2 in hospital rooms of infected patients. Nature Communications. https://doi.org/10.1038/s41467-020-16670-2

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