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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...

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Autores principales: Çelebi, Güven, Pişkin, Nihal, Çelik Bekleviç, Arzum, Altunay, Yurdagül, Salcı Keleş, Ayşegül, Tüz, Mehmet Ali, Altınsoy, Bülent, Hacıseyitoğlu, Demet
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. 2020
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.
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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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