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should continue to remain the default approach. Clinical Trial Registration Not applicable.Background SARS-CoV-2 is known to transmit in hospital settings, but the contribution of infections acquired in hospitals to the epidemic at a national scale is unknown. Methods We used comprehensive national English datasets to determine the number of COVID-19 patients with identified hospital-acquired infections (with symptom onset 7 days after admission and before discharge) in acute English hospitals up to August 2020. As patients may leav
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