ArticleThe Journal of infection2021
Healthcare-associated COVID-19 in England: A national data linkage study.
Article in The Journal of infection, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.
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Who cites it
42 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Usefulness of linked data for infectious disease events: a systematic review.Epidemiology and infection · 2023Pooled it
- Global prevalence and determinants of hospital-acquired COVID-19: protocol for a systematic review and meta-analysis.BMJ open · 2026Article
- Article
- Impact of COVID-19 on nurse staffing levels and healthcare-associated infections in medical institutions: a retrospective cohort study.Scientific reports · 2025Article
- Mandatory COVID-19 Vaccination in the Health Sector: a Comparative Approach Between the Greek and American Examples.Health care analysis : HCA : journal of health philosophy and policy · 2025Article
- Development of the ECHOES national dataset: a resource for monitoring post-acute and long-term COVID-19 health outcomes in England.Frontiers in public health · 2025Article
- Impact of interventions to reduce nosocomial transmission of SARS-CoV-2 in English NHS Trusts: a computational modelling study.BMC infectious diseases · 2024Article
- A Bayesian approach to identifying the role of hospital structure and staff interactions in nosocomial transmission of SARS-CoV-2.Journal of the Royal Society, Interface · 2024Article
- Article
- The effectiveness and efficiency of asymptomatic SARS-CoV-2 testing strategies for patient and healthcare workers within acute NHS hospitals during an omicron-like period.BMC infectious diseases · 2024Article
- Evolution of illness severity in hospital admissions due to COVID-19, Québec, Canada, January to April 2022.Canada communicable disease report = Releve des maladies transmissibles au Canada · 2024Article
- Three Years of the Coronavirus Disease 2019 Pandemic in a European Region: A Population-Based Longitudinal Assessment in Madrid Between 2020 and 2022.Open forum infectious diseases · 2024Article
- Evaluating pooled testing for asymptomatic screening of healthcare workers in hospitals.BMC infectious diseases · 2023Article
- Vaccine effectiveness against hospitalisation estimated using a test-negative case-control study design, and comparative odds of hospital admission and severe outcomes with COVID-19 sub-lineages BQ.1, CH.1.1. and XBB.1.5 in England.The Lancet regional health. Europe · 2023Article
- Descriptive epidemiology of SARS-CoV-2 Beta (B.1.351) variant cases in England, December 2020 to June 2022.Influenza and other respiratory viruses · 2023Article
- Risk of severe outcomes among Omicron sub-lineages BA.4.6, BA.2.75, and BQ.1 compared to BA.5 in England.Epidemiology and infection · 2023Article
- Attribution of nosocomial seeding to long-term care facility COVID-19 outbreaks.Epidemiology and infection · 2023Article
- Nosocomial outbreak in a respiratory ward caused by the SARS-CoV-2 Omicron BA 5.2.1 subvariant associated with non-severe illness in vaccinated patients.Epidemiology and infection · 2023Article
- Hospital admissions linked to SARS-CoV-2 infection in children and adolescents: cohort study of 3.2 million first ascertained infections in England.BMJ (Clinical research ed.) · 2023Article
- The impact of COVID-19 on residents of long-term care facilities with learning disabilities and/or autism.Influenza and other respiratory viruses · 2023Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
objectivesNosocomial transmission was an important aspect of SARS-CoV-1 and MERS-CoV outbreaks. Healthcare-associated SARS-CoV-2 infection has been reported in single and multi-site hospital-based studies in England, but not nationally.
methodsAdmission records for all hospitals in England were linked to SARS-CoV-2 national test data for the period 01/03/2020 to 31/08/2020. Case definitions were: community-onset community-acquired, first positive test <14 days pre-admission, up to day 2 of admission; hospital-onset indeterminate healthcare-associated, first positive on day 3-7; hospital-onset probable healthcare-associated, first positive on day 8-14; hospital-onset definite healthcare-associated, first positive from day 15 of admission until discharge; community-onset possible healthcare-associated, first positive test ≤14 days post-discharge.
resultsOne-third (34.4%, 100,859/293,204) of all laboratory-confirmed COVID-19 cases were linked to a hospital record. Hospital-onset probable and definite cases represented 5.3% (15,564/293,204) of all laboratory-confirmed cases and 15.4% (15,564/100,859) of laboratory-confirmed cases among hospital patients. Community-onset community-acquired and community-onset possible healthcare-associated cases represented 86.5% (253,582/293,204) and 5.1% (14,913/293,204) of all laboratory-confirmed cases, respectively.
conclusionsUp to 1 in 6 SARS-CoV-2 infections among hospitalised patients with COVID-19 in England during the first 6 months of the pandemic could be attributed to nosocomial transmission, but these represent less than 1% of the estimated 3 million COVID-19 cases in this period.
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