Cargando…

Factors Associated with SARS-CoV-2 Infection in Physician Trainees in New York City during the First COVID-19 Wave

Occupational and non-occupational risk factors for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection have been reported in healthcare workers (HCWs), but studies evaluating risk factors for infection among physician trainees are lacking. We aimed to identify sociodemographic, oc...

Descripción completa

Detalles Bibliográficos
Autores principales: Pawloski, Kate R., Kolod, Betty, Khan, Rabeea F., Midya, Vishal, Chen, Tania, Oduwole, Adeyemi, Camins, Bernard, Colicino, Elena, Leitman, I. Michael, Nabeel, Ismail, Oliver, Kristin, Valvi, Damaskini
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8156350/
https://www.ncbi.nlm.nih.gov/pubmed/34063533
http://dx.doi.org/10.3390/ijerph18105274
_version_ 1783699424431570944
author Pawloski, Kate R.
Kolod, Betty
Khan, Rabeea F.
Midya, Vishal
Chen, Tania
Oduwole, Adeyemi
Camins, Bernard
Colicino, Elena
Leitman, I. Michael
Nabeel, Ismail
Oliver, Kristin
Valvi, Damaskini
author_facet Pawloski, Kate R.
Kolod, Betty
Khan, Rabeea F.
Midya, Vishal
Chen, Tania
Oduwole, Adeyemi
Camins, Bernard
Colicino, Elena
Leitman, I. Michael
Nabeel, Ismail
Oliver, Kristin
Valvi, Damaskini
author_sort Pawloski, Kate R.
collection PubMed
description Occupational and non-occupational risk factors for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection have been reported in healthcare workers (HCWs), but studies evaluating risk factors for infection among physician trainees are lacking. We aimed to identify sociodemographic, occupational, and community risk factors among physician trainees during the first wave of coronavirus disease 2019 (COVID-19) in New York City. In this retrospective study of 328 trainees at the Mount Sinai Health System in New York City, we administered a survey to assess risk factors for SARS-CoV-2 infection between 1 February and 30 June 2020. SARS-CoV-2 infection was determined by self-reported and laboratory-confirmed IgG antibody and reverse transcriptase-polymerase chain reaction test results. We used Bayesian generalized linear mixed effect regression to examine associations between hypothesized risk factors and infection odds. The cumulative incidence of infection was 20.1%. Assignment to medical-surgical units (OR, 2.51; 95% CI, 1.18–5.34), and training in emergency medicine, critical care, and anesthesiology (OR, 2.93; 95% CI, 1.24–6.92) were independently associated with infection. Caring for unfamiliar patient populations was protective (OR, 0.16; 95% CI, 0.03–0.73). Community factors were not statistically significantly associated with infection after adjustment for occupational factors. Our findings may inform tailored infection prevention strategies for physician trainees responding to the COVID-19 pandemic.
format Online
Article
Text
id pubmed-8156350
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-81563502021-05-28 Factors Associated with SARS-CoV-2 Infection in Physician Trainees in New York City during the First COVID-19 Wave Pawloski, Kate R. Kolod, Betty Khan, Rabeea F. Midya, Vishal Chen, Tania Oduwole, Adeyemi Camins, Bernard Colicino, Elena Leitman, I. Michael Nabeel, Ismail Oliver, Kristin Valvi, Damaskini Int J Environ Res Public Health Article Occupational and non-occupational risk factors for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection have been reported in healthcare workers (HCWs), but studies evaluating risk factors for infection among physician trainees are lacking. We aimed to identify sociodemographic, occupational, and community risk factors among physician trainees during the first wave of coronavirus disease 2019 (COVID-19) in New York City. In this retrospective study of 328 trainees at the Mount Sinai Health System in New York City, we administered a survey to assess risk factors for SARS-CoV-2 infection between 1 February and 30 June 2020. SARS-CoV-2 infection was determined by self-reported and laboratory-confirmed IgG antibody and reverse transcriptase-polymerase chain reaction test results. We used Bayesian generalized linear mixed effect regression to examine associations between hypothesized risk factors and infection odds. The cumulative incidence of infection was 20.1%. Assignment to medical-surgical units (OR, 2.51; 95% CI, 1.18–5.34), and training in emergency medicine, critical care, and anesthesiology (OR, 2.93; 95% CI, 1.24–6.92) were independently associated with infection. Caring for unfamiliar patient populations was protective (OR, 0.16; 95% CI, 0.03–0.73). Community factors were not statistically significantly associated with infection after adjustment for occupational factors. Our findings may inform tailored infection prevention strategies for physician trainees responding to the COVID-19 pandemic. MDPI 2021-05-15 /pmc/articles/PMC8156350/ /pubmed/34063533 http://dx.doi.org/10.3390/ijerph18105274 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Pawloski, Kate R.
Kolod, Betty
Khan, Rabeea F.
Midya, Vishal
Chen, Tania
Oduwole, Adeyemi
Camins, Bernard
Colicino, Elena
Leitman, I. Michael
Nabeel, Ismail
Oliver, Kristin
Valvi, Damaskini
Factors Associated with SARS-CoV-2 Infection in Physician Trainees in New York City during the First COVID-19 Wave
title Factors Associated with SARS-CoV-2 Infection in Physician Trainees in New York City during the First COVID-19 Wave
title_full Factors Associated with SARS-CoV-2 Infection in Physician Trainees in New York City during the First COVID-19 Wave
title_fullStr Factors Associated with SARS-CoV-2 Infection in Physician Trainees in New York City during the First COVID-19 Wave
title_full_unstemmed Factors Associated with SARS-CoV-2 Infection in Physician Trainees in New York City during the First COVID-19 Wave
title_short Factors Associated with SARS-CoV-2 Infection in Physician Trainees in New York City during the First COVID-19 Wave
title_sort factors associated with sars-cov-2 infection in physician trainees in new york city during the first covid-19 wave
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8156350/
https://www.ncbi.nlm.nih.gov/pubmed/34063533
http://dx.doi.org/10.3390/ijerph18105274
work_keys_str_mv AT pawloskikater factorsassociatedwithsarscov2infectioninphysiciantraineesinnewyorkcityduringthefirstcovid19wave
AT kolodbetty factorsassociatedwithsarscov2infectioninphysiciantraineesinnewyorkcityduringthefirstcovid19wave
AT khanrabeeaf factorsassociatedwithsarscov2infectioninphysiciantraineesinnewyorkcityduringthefirstcovid19wave
AT midyavishal factorsassociatedwithsarscov2infectioninphysiciantraineesinnewyorkcityduringthefirstcovid19wave
AT chentania factorsassociatedwithsarscov2infectioninphysiciantraineesinnewyorkcityduringthefirstcovid19wave
AT oduwoleadeyemi factorsassociatedwithsarscov2infectioninphysiciantraineesinnewyorkcityduringthefirstcovid19wave
AT caminsbernard factorsassociatedwithsarscov2infectioninphysiciantraineesinnewyorkcityduringthefirstcovid19wave
AT colicinoelena factorsassociatedwithsarscov2infectioninphysiciantraineesinnewyorkcityduringthefirstcovid19wave
AT leitmanimichael factorsassociatedwithsarscov2infectioninphysiciantraineesinnewyorkcityduringthefirstcovid19wave
AT nabeelismail factorsassociatedwithsarscov2infectioninphysiciantraineesinnewyorkcityduringthefirstcovid19wave
AT oliverkristin factorsassociatedwithsarscov2infectioninphysiciantraineesinnewyorkcityduringthefirstcovid19wave
AT valvidamaskini factorsassociatedwithsarscov2infectioninphysiciantraineesinnewyorkcityduringthefirstcovid19wave