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Specific risk factors for SARS-CoV-2 transmission among health care workers in a university hospital
AIM: To investigate the specific risk factors for novel coronavirus (SARS-CoV-2) transmission among health care workers (HCWs) in a tertiary care university hospital. METHODS: Upper respiratory samples of HCWs were tested for SARS-CoV-2 by reverse transcriptase polymerase chain reaction. A case-cont...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc.
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7409872/ https://www.ncbi.nlm.nih.gov/pubmed/32771498 http://dx.doi.org/10.1016/j.ajic.2020.07.039 |
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author | Çelebi, Güven Pişkin, Nihal Çelik Bekleviç, Arzum Altunay, Yurdagül Salcı Keleş, Ayşegül Tüz, Mehmet Ali Altınsoy, Bülent Hacıseyitoğlu, Demet |
author_facet | Çelebi, Güven Pişkin, Nihal Çelik Bekleviç, Arzum Altunay, Yurdagül Salcı Keleş, Ayşegül Tüz, Mehmet Ali Altınsoy, Bülent Hacıseyitoğlu, Demet |
author_sort | Çelebi, Güven |
collection | PubMed |
description | AIM: To investigate the specific risk factors for novel coronavirus (SARS-CoV-2) transmission among health care workers (HCWs) in a tertiary care university hospital. METHODS: Upper respiratory samples of HCWs were tested for SARS-CoV-2 by reverse transcriptase polymerase chain reaction. A case-control study was conducted to explore the possible risk factors that lead to SARS-CoV-2 transmission to HCWs. RESULTS: Of 703 HCWs screened between March 20 and May 20, 2020, 50 (7.1%) were found to be positive for SARS-CoV-2. The positivity rates for SARS-CoV-2 among physicians, nurses, cleaning personnel, and the other occupations were 6.3%, 8.0%, 9.1%, and 2.6%, respectively. The infection rate was 8.3% among HCWs who worked in COVID-19 units and 3.4% among those who did not work in coronavirus disease 2019 (COVID-19) units (RR = 2.449, confidence interval = 1.062-5.649, P= .027). The presence of a SARS-CoV-2 positive person in the household (P = .016), inappropriate use of personnel protective equipment while caring for patients with COVID-19 infection (P = .003), staying in the same personnel break room as an HCW without a medical mask for more than 15 minutes (P = .000), consuming food within 1 m of an HCW (P = .003), and failure to keep a safe social distance from an HCW (P = .003) were statistically significant risk factors for infection. CONCLUSION: HCWs have a high risk for SARS-CoV-2 transmission while providing care to COVID-19 patients. Transmission may also occur in nonmedical areas of the hospital while speaking or eating. Periodic screening of HCWs for SARS-CoV-2 may enable early detection and isolation of infected HCWs. |
format | Online Article Text |
id | pubmed-7409872 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-74098722020-08-07 Specific risk factors for SARS-CoV-2 transmission among health care workers in a university hospital Çelebi, Güven Pişkin, Nihal Çelik Bekleviç, Arzum Altunay, Yurdagül Salcı Keleş, Ayşegül Tüz, Mehmet Ali Altınsoy, Bülent Hacıseyitoğlu, Demet Am J Infect Control Major Article AIM: To investigate the specific risk factors for novel coronavirus (SARS-CoV-2) transmission among health care workers (HCWs) in a tertiary care university hospital. METHODS: Upper respiratory samples of HCWs were tested for SARS-CoV-2 by reverse transcriptase polymerase chain reaction. A case-control study was conducted to explore the possible risk factors that lead to SARS-CoV-2 transmission to HCWs. RESULTS: Of 703 HCWs screened between March 20 and May 20, 2020, 50 (7.1%) were found to be positive for SARS-CoV-2. The positivity rates for SARS-CoV-2 among physicians, nurses, cleaning personnel, and the other occupations were 6.3%, 8.0%, 9.1%, and 2.6%, respectively. The infection rate was 8.3% among HCWs who worked in COVID-19 units and 3.4% among those who did not work in coronavirus disease 2019 (COVID-19) units (RR = 2.449, confidence interval = 1.062-5.649, P= .027). The presence of a SARS-CoV-2 positive person in the household (P = .016), inappropriate use of personnel protective equipment while caring for patients with COVID-19 infection (P = .003), staying in the same personnel break room as an HCW without a medical mask for more than 15 minutes (P = .000), consuming food within 1 m of an HCW (P = .003), and failure to keep a safe social distance from an HCW (P = .003) were statistically significant risk factors for infection. CONCLUSION: HCWs have a high risk for SARS-CoV-2 transmission while providing care to COVID-19 patients. Transmission may also occur in nonmedical areas of the hospital while speaking or eating. Periodic screening of HCWs for SARS-CoV-2 may enable early detection and isolation of infected HCWs. Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. 2020-10 2020-08-06 /pmc/articles/PMC7409872/ /pubmed/32771498 http://dx.doi.org/10.1016/j.ajic.2020.07.039 Text en © 2020 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active. |
spellingShingle | Major Article Çelebi, Güven Pişkin, Nihal Çelik Bekleviç, Arzum Altunay, Yurdagül Salcı Keleş, Ayşegül Tüz, Mehmet Ali Altınsoy, Bülent Hacıseyitoğlu, Demet Specific risk factors for SARS-CoV-2 transmission among health care workers in a university hospital |
title | Specific risk factors for SARS-CoV-2 transmission among health care workers in a university hospital |
title_full | Specific risk factors for SARS-CoV-2 transmission among health care workers in a university hospital |
title_fullStr | Specific risk factors for SARS-CoV-2 transmission among health care workers in a university hospital |
title_full_unstemmed | Specific risk factors for SARS-CoV-2 transmission among health care workers in a university hospital |
title_short | Specific risk factors for SARS-CoV-2 transmission among health care workers in a university hospital |
title_sort | specific risk factors for sars-cov-2 transmission among health care workers in a university hospital |
topic | Major Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7409872/ https://www.ncbi.nlm.nih.gov/pubmed/32771498 http://dx.doi.org/10.1016/j.ajic.2020.07.039 |
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