Airborne SARS-CoV-2 Detection by ddPCR in Adequately Ventilated Hospital Corridors.

Abstract

Indoors, the infection risk of diseases transmitted through the airborne route is estimated from indoor carbon dioxide (CO₂) levels. However, the approaches to assess this risk do not account for the airborne concentration of pathogens, among other limitations. In this study, we analyzed the relationship between airborne SARS-CoV-2 levels and environmental parameters. Bioaerosols were sampled (n = 40) in hospital corridors of two wards differing in the COVID-19 severity of the admitted patients. SARS-CoV-2 levels were quantified using droplet digital PCR. SARS-CoV-2 was detected in 60% of the total air samples. The ward where the mildly ill patients were admitted had a higher occupancy, transit of people in the corridor, and CO₂ levels, but there were no significant differences in SARS-CoV-2 detection between wards. The mean CO₂ concentration in the positive samples was 569 ± 35.6 ppm. Considering all samples, the CO₂ levels in the corridor were positively correlated with patient door openings but inversely correlated with SARS-CoV-2 levels. In conclusion, airborne SARS-CoV-2 can be detected indoors with optimal ventilation, and its levels do not scale with CO₂ concentration in hospital corridors. Therefore, CO₂ assessment should not be interpreted as a surrogate of airborne viral presence in all indoor spaces.