Wastewater-based epidemiology for surveillance of infectious diseases in healthcare settings

dc.contributor.authorHassard, Francis
dc.contributor.authorBajón Fernández, Yadira
dc.contributor.authorCastro-Gutierrez, Víctor
dc.date.accessioned2023-07-03T10:30:25Z
dc.date.available2023-07-03T10:30:25Z
dc.date.issued2023-06-02
dc.description.abstractPurpose of review: Wastewater-based surveillance (WBS) (epidemiology) using near-source sampling (NSS) in large buildings, hospitals and care homes is reviewed covering three main areas: state-of-the-art WBS, benefits/opportunities NSS has for hospital infection control systems and new insights from hospital wastewater surveillance and policy implications. Recent findings: Wastewater provides aggregate, anonymous sources of data where the spatial resolution can be linked to populations being served. In hospitals, clear links established between wastewater RNA-fragments signal to nosocomial COVID-19 cases/outbreaks. Detecting other targets from hospital wastewater such as antimicrobial resistance markers is considered a substantial opportunity for this technology. Other clinically relevant infections, that is influenza and monkeypox, can be perceived, and sub-variant resolution to target public health response in near real time to benefit hospital infection control. WBS can reduce hospitals’ clinical testing requirements, as diagnostic costs are aggregated into fewer samples while still detecting single cases. Summary: WBS using NSS can inform infectious disease monitoring earlier, faster and cheaper than conventional monitoring. Routine sampling using wastewater provides a platform for risk-based sampling and enables smarter allocation of resources. Finally, hospital wastewater can be used for the benefit of the wastewater surveillance field as a promising source to monitor emerging threats and resolve longstanding questions on faecal shedding. Hospital monitoring in low-income settings is considered a priority for future research.en_UK
dc.identifier.citationHassard F, Bajón-Fernández Y, Castro-Gutierrez V. (2023) Wastewater-based epidemiology for surveillance of infectious diseases in healthcare settings, Current Opinion in Infectious Diseases, Volume 36, Issue 4, August 2023, pp. 288-295en_UK
dc.identifier.eissn1473-6527
dc.identifier.issn0951-7375
dc.identifier.urihttps://doi.org/10.1097/QCO.0000000000000929
dc.identifier.urihttps://dspace.lib.cranfield.ac.uk/handle/1826/19919
dc.language.isoenen_UK
dc.publisherLippincott, Williams & Wilkinsen_UK
dc.rightsAttribution-NonCommercial 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/*
dc.subjectCOVID-19en_UK
dc.subjecthospitalen_UK
dc.subjectinfectious diseasesen_UK
dc.subjectpublic healthen_UK
dc.subjectrisk managementen_UK
dc.subjectSARS-CoV-2en_UK
dc.subjectwastewater-based epidemiologyen_UK
dc.titleWastewater-based epidemiology for surveillance of infectious diseases in healthcare settingsen_UK
dc.typeArticleen_UK

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