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Cited 8 time in webofscience Cited 8 time in scopus
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Response System for and Epidemiological Features of COVID-19 in Gyeongsangnam-do Province in South Koreaopen access

Authors
Wi, Yu MiLim, Su JinKim, Si-HoLim, SeungjinLee, Su JinRyu, Byung-HanHong, Sun InCho, Oh-HyunMoon, KyunglanHong, Kyung-WookKim, SunjooBae, In-Gyu
Issue Date
15-Feb-2021
Publisher
OXFORD UNIV PRESS INC
Keywords
COVID-19; response system; asymptomatic patients; anosmia; ageusia
Citation
CLINICAL INFECTIOUS DISEASES, v.72, no.4, pp.661 - 667
Indexed
SCIE
SCOPUS
Journal Title
CLINICAL INFECTIOUS DISEASES
Volume
72
Number
4
Start Page
661
End Page
667
URI
https://scholarworks.bwise.kr/gnu/handle/sw.gnu/4093
DOI
10.1093/cid/ciaa967
ISSN
1058-4838
Abstract
Background. The South Korean government has been combating the coronavirus disease 2019 (COVID-19) outbreak using public information and extensive viral screening. We describe the application of the Korean response system in Gyeongsangnam-do province and outline the epidemiological features of COVID-19 in the cohort. Methods. A Rapid Response Team tracked the patients' activities and identified close contacts. A Patient Management Team made decisions regarding the severity of illness, hospital allocation depending on severity, and time of discharge. A national medical center with 155 beds and 4 university-affiliated hospitals with 48 negative-pressure isolation rooms were dedicated for patients with COVID-19. Results. As of 15 April, 17400 residents were tested, of whom 111 were confirmed positive cases. Of the 111 patients, 78 were cured and discharged, 2 recovered after mechanical ventilation, and none died. One healthcare worker at the national center tested positive for SARS-CoV-2. All 412 staff members at the center were tested, but there were no additional infections. Cough (30.0%) was the most common initial symptom, whereas anosmia and ageusia were the first symptoms in 14.7% and 15.7% of the patients, respectively. Overall, 25 patients (22.5%) reported having no symptoms at admission and 7 (6.3%) remained asymptomatic at discharge. Conclusions. A response system that enabled the early detection of COVID-19 cases, including asymptomatic and presymptomatic cases, and timely quarantine of these patients and their contacts, along with efficient allocation of medical resources, was the key to curbing the COVID-19 outbreak in Gyeongsangnam-do Province.
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