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451. Evaluation of Exposure History in Healthcare Personnel with Coronavirus 2019 Disease
BACKGROUND: During the Coronavirus Disease 2019 (COVID-19) pandemic, many healthcare personnel (HCP) have developed COVID-19. However, there is uncertainty regarding whether severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) was acquired at work versus in the community. METHODS: We conduct...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7777088/ http://dx.doi.org/10.1093/ofid/ofaa439.644 |
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author | Silva, Sandra Mana, Thriveen Bhullar, Davinder Tabor, Beatrice Donskey, Curtis |
author_facet | Silva, Sandra Mana, Thriveen Bhullar, Davinder Tabor, Beatrice Donskey, Curtis |
author_sort | Silva, Sandra |
collection | PubMed |
description | BACKGROUND: During the Coronavirus Disease 2019 (COVID-19) pandemic, many healthcare personnel (HCP) have developed COVID-19. However, there is uncertainty regarding whether severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) was acquired at work versus in the community. METHODS: We conducted a cohort study to examine exposure history of personnel with COVID-19 infection or asymptomatic carriage in a VA healthcare system. High-risk exposures were classified based Centers for Disease Control and Prevention criteria. RESULTS: Of 578 personnel tested, 49 (8%) had nasopharyngeal swabs with positive PCR results, including 45 (92%) with and 4 (8%) without COVID-19 symptoms. Of the 49 cases, 21 (43%) had a documented high-risk exposure at work, including 14 exposures to COVID-19 patients and 7 exposures to colonized or infected personnel. Exposures to infected patients most often were a result of delays in recognition of COVID-19 due to atypical presentations. Exposures to personnel with COVID-19 most often involved activities such as meals when facemasks were not worn. Most cases occurred among nurses (26, 53%) and administrative personnel (10, 20%); only 3 physicians developed COVID-19. No cases occurred in personnel working on COVID-19 wards. All personnel had mild or moderate disease. CONCLUSION: Forty-three percent of healthcare personnel with COVID-19 had prior high-risk exposures at work. Improved detection of patients with atypical presentations and efforts to reduce high-risk contacts among personnel may reduce the risk for acquisition of SARS-CoV-2. DISCLOSURES: All Authors: No reported disclosures |
format | Online Article Text |
id | pubmed-7777088 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-77770882021-01-07 451. Evaluation of Exposure History in Healthcare Personnel with Coronavirus 2019 Disease Silva, Sandra Mana, Thriveen Bhullar, Davinder Tabor, Beatrice Donskey, Curtis Open Forum Infect Dis Poster Abstracts BACKGROUND: During the Coronavirus Disease 2019 (COVID-19) pandemic, many healthcare personnel (HCP) have developed COVID-19. However, there is uncertainty regarding whether severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) was acquired at work versus in the community. METHODS: We conducted a cohort study to examine exposure history of personnel with COVID-19 infection or asymptomatic carriage in a VA healthcare system. High-risk exposures were classified based Centers for Disease Control and Prevention criteria. RESULTS: Of 578 personnel tested, 49 (8%) had nasopharyngeal swabs with positive PCR results, including 45 (92%) with and 4 (8%) without COVID-19 symptoms. Of the 49 cases, 21 (43%) had a documented high-risk exposure at work, including 14 exposures to COVID-19 patients and 7 exposures to colonized or infected personnel. Exposures to infected patients most often were a result of delays in recognition of COVID-19 due to atypical presentations. Exposures to personnel with COVID-19 most often involved activities such as meals when facemasks were not worn. Most cases occurred among nurses (26, 53%) and administrative personnel (10, 20%); only 3 physicians developed COVID-19. No cases occurred in personnel working on COVID-19 wards. All personnel had mild or moderate disease. CONCLUSION: Forty-three percent of healthcare personnel with COVID-19 had prior high-risk exposures at work. Improved detection of patients with atypical presentations and efforts to reduce high-risk contacts among personnel may reduce the risk for acquisition of SARS-CoV-2. DISCLOSURES: All Authors: No reported disclosures Oxford University Press 2020-12-31 /pmc/articles/PMC7777088/ http://dx.doi.org/10.1093/ofid/ofaa439.644 Text en © The Author 2020. Published by Oxford University Press on behalf of Infectious Diseases Society of America. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is not altered or transformed in any way, and that the work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Poster Abstracts Silva, Sandra Mana, Thriveen Bhullar, Davinder Tabor, Beatrice Donskey, Curtis 451. Evaluation of Exposure History in Healthcare Personnel with Coronavirus 2019 Disease |
title | 451. Evaluation of Exposure History in Healthcare Personnel with Coronavirus 2019 Disease |
title_full | 451. Evaluation of Exposure History in Healthcare Personnel with Coronavirus 2019 Disease |
title_fullStr | 451. Evaluation of Exposure History in Healthcare Personnel with Coronavirus 2019 Disease |
title_full_unstemmed | 451. Evaluation of Exposure History in Healthcare Personnel with Coronavirus 2019 Disease |
title_short | 451. Evaluation of Exposure History in Healthcare Personnel with Coronavirus 2019 Disease |
title_sort | 451. evaluation of exposure history in healthcare personnel with coronavirus 2019 disease |
topic | Poster Abstracts |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7777088/ http://dx.doi.org/10.1093/ofid/ofaa439.644 |
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