Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Silva, Sandra, Mana, Thriveen, Bhullar, Davinder, Tabor, Beatrice, Donskey, Curtis
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7777088/
http://dx.doi.org/10.1093/ofid/ofaa439.644
_version_ 1783630824020639744
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
work_keys_str_mv AT silvasandra 451evaluationofexposurehistoryinhealthcarepersonnelwithcoronavirus2019disease
AT manathriveen 451evaluationofexposurehistoryinhealthcarepersonnelwithcoronavirus2019disease
AT bhullardavinder 451evaluationofexposurehistoryinhealthcarepersonnelwithcoronavirus2019disease
AT taborbeatrice 451evaluationofexposurehistoryinhealthcarepersonnelwithcoronavirus2019disease
AT donskeycurtis 451evaluationofexposurehistoryinhealthcarepersonnelwithcoronavirus2019disease