454. Healthcare Workers with COVID-19 infection: Experience from a Designated COVID-19 Clinic

BACKGROUND: Healthcare workers (HCW) are at the frontline of the COVID-19 pandemic, risking infection through hospital contacts. Data regarding predisposing factors in the healthcare field is limited. In this study, we characterized presenting symptoms, occupation and hospitalizations for HCW who te...

Descripción completa

Detalles Bibliográficos
Autores principales: Arya, Radhika, Tran, Jennifer, Foroughi, Negar, Oluigbo, Nnenna, Barbhaya, Dweep, Neupane, Rabin, Franco, Stephanie M, Gandhi, Kejal D, Fishbein, Dawn
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2020
Materias:
Poster Abstracts
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7776423/
http://dx.doi.org/10.1093/ofid/ofaa439.647
Descripción
Sumario:BACKGROUND: Healthcare workers (HCW) are at the frontline of the COVID-19 pandemic, risking infection through hospital contacts. Data regarding predisposing factors in the healthcare field is limited. In this study, we characterized presenting symptoms, occupation and hospitalizations for HCW who tested COVID-19 positive. METHODS: This is a retrospective study of HCW who presented for screening to a designated COVID-19 clinic at the largest hospital in Washington, DC between 3/13/20 - 5/28/20. Variables extracted included profession, exposure, presenting symptoms, past medical history and outcomes. Univariate analysis was performed using Fischer’s exact tests, with significance defined as p < 0.05. IRB approval was obtained. RESULTS: There were a total of 881 HCW who presented for COVID-19 testing: 316 (35.8%) tested positive; 216 (68.4%) were female, mean age was 39. Cough was the most common presenting symptom (92.7%), followed by subjective fever (63.3%), myalgia (57.9%), and chills (46.8%)(Fig 1). RNs [110 (34.8%)] and physicians [39 (12.3%)] accounted for nearly 50% of cases. Hospitalizations occurred in 22(6.9%); 2(0.6%) died from COVID-19. See Fig 2 for symptoms associated with hospitalizations. African Americans (OR 4.52, CI95 1.54–12.50), and those with hypertension (3.14, 1.32–7.23) and obesity (2.98, 1.25–6.89) were more likely to be hospitalized. Figure 1 [Image: see text] Figure 2 [Image: see text] CONCLUSION: HCW remain at risk for COVID-19 infection with respiratory and constitutional symptoms as the most common presentation. RNs were among the most affected. This study supports other reports that African Americans and those with pre-existing comorbidities have greater morbidity with COVID-19 – we have documented that these inequities are also prevalent amongst HCW. This should be considered when testing for and implementing practices to avoid risk of COVID-19 among HCW. DISCLOSURES: All Authors: No reported disclosures

Ejemplares similares