<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1561-3003</journal-id>
<journal-title><![CDATA[Revista Cubana de Higiene y Epidemiología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Hig Epidemiol]]></abbrev-journal-title>
<issn>1561-3003</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Información de Ciencias MédicasEditorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1561-30032022000100011</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Transmisión intrahospitalaria de SARS-CoV-2]]></article-title>
<article-title xml:lang="en"><![CDATA[In-hospital SARS-CoV-2 Transmission]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Molina Águila]]></surname>
<given-names><![CDATA[Niurka]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morejón Díaz]]></surname>
<given-names><![CDATA[Yanet]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Álvarez González]]></surname>
<given-names><![CDATA[Lucy]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cruz Rodríguez]]></surname>
<given-names><![CDATA[Elba]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Baldoquín Rodríguez]]></surname>
<given-names><![CDATA[Waldemar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto de Medicina Tropical &#8220;Pedro Kourí&#8221; (IPK)  ]]></institution>
<addr-line><![CDATA[ La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Universiario Clínico Quirúrgico &#8220; General Calixto García&#8221;  ]]></institution>
<addr-line><![CDATA[ La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2022</year>
</pub-date>
<volume>59</volume>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1561-30032022000100011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1561-30032022000100011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1561-30032022000100011&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La alta transmisión de la COVID-19 propicia que el personal de salud contraiga la infección durante la atención a los pacientes con la probabilidad de propagarla a otros pacientes hospitalizados y compañeros de trabajo.  Objetivo:  Describir un brote intrahospitalario de COVID-19.  Métodos:  Estudio descriptivo, transversal realizado en el Hospital Universiario Clínico Quirúrgico &#8220; General Calixto García&#8221; , La Habana en marzo de 2020. Se estudiaron 545 personas entre pacientes y trabajadores. Los datos se recolectaron mediante fichas clínico-epidemiológicas e historias clínicas. Los casos se describieron según: tipo de personal de salud, servicios que atienden, sexo, síntomas, signos y comorbilidades. Se realizó una matriz de contactos y para evaluar la intensidad del brote se calculó el número reproductivo y el valor de dispersion.  Resultados: De los 545 estudiados, 30 % fueron pacientes y 70 % trabajadores de siete servicios, 30 tuvieron el diagnóstico confirmado de SARS-CoV-2. Las acciones de control de foco se dirigieron a la identificacion, notificacion y aislamiento de los enfermos. La edad promedio fue de 45 años, el cuadro clínico caracterizado por tos, disnea y astenia. Las comorbilidades más frecuentes (60 %) fueron hipertensión arterial, cardiopatia isquémica y diabetes mellitus, asintomaticos 53,3 % y tres fallecidos. La tasa de ataque fue de 5,5 %.  Conclusiones:  Los trabajadores más afectados son los médicos y las enfermeras. La oportunidad en las acciones del control de foco y la calidad en la investigacion epidemiológica son esenciales para lograr un control efectivo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: The high transmission of COVID-19 has resulted in healthcare workers becoming infected while caring for patients and spreading the disease to other hospital patients or coworkers.  Objective: To describe an in-hospital COVID-19 outbreak.  Methods: A cross-sectional descriptive study conducted in March 2020 at the &#8220;General Calixto García Íñiguez&#8221; Clinical-Surgical University Hospital, Havana. The study included 545 individuals among patients and healthcare workers. The data was collected from the clinical-epidemiological profiles and the medical records. Each case was described using the following criteria: type of health worker, service provided, sex, signs, symptoms, and comorbidities. To determine the outbreak intensity, a contact matrix was created and the reproductive number and the dispersion value were calculated.  Results: Of the 545 studied individuals, 30% were patients and 70% workers of seven services, 30 tested positive for SARS-CoV-2. Outbreak control actions were aimed at identifying, reporting and isolating sick individuals. The average age was 45 years. The clinical pictures was characterized by cough, dyspnea and asthenia. The most common comorbidities (60%) were hypertension, ischemic cardiopathology, and diabetes mellitus; 53.3% were asymptomatic and three people died. The attack rate was 5.5%.  Conclusions: During the outbreak, medical doctors and nurses were the most affected. The timeliness of outbreak control actions and the quality of the epidemiological investigation are essential to ensure effective control.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[transmision intrahospitalaria]]></kwd>
<kwd lng="es"><![CDATA[SARS-CoV-2]]></kwd>
<kwd lng="en"><![CDATA[in-hospital transmission]]></kwd>
<kwd lng="en"><![CDATA[SARS-CoV-2, hospitalized patients]]></kwd>
</kwd-group>
</article-meta>
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