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Risk-Factors for Exposure Associated With SARS-CoV-2 Detection After Recent Known or Potential COVID-19 Exposures Among Patients Seeking Medical Care at a Large Urban, Public Hospital in Fulton County, Georgia — A Cross-Sectional Investigation

We aimed to describe frequency of COVID-19 exposure risk factors among patients presenting for medical care at an urban, public hospital serving mostly uninsured/Medicare/Medicaid clients and risk factors associated with SARS-CoV-2 infection. Consenting, adult patients seeking care at a public hospi...

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Autores principales: Smith-Jeffcoat, Sarah E., Sleweon, Sadia, Koh, Mitsuki, Khalil, George M., Schechter, Marcos C., Rebolledo, Paulina A., Kasinathan, Vyjayanti, Hoffman, Adam, Rossetti, Rebecca, Shragai, Talya, O'Laughlin, Kevin, Espinosa, Catherine C., Bankamp, Bettina, Bowen, Michael D., Paulick, Ashley, Gargis, Amy S., Folster, Jennifer M., da Silva, Juliana, Biedron, Caitlin, Stewart, Rebekah J., Wang, Yun F., Kirking, Hannah L., Tate, Jacqueline E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9004481/
https://www.ncbi.nlm.nih.gov/pubmed/35425748
http://dx.doi.org/10.3389/fpubh.2022.809356
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author Smith-Jeffcoat, Sarah E.
Sleweon, Sadia
Koh, Mitsuki
Khalil, George M.
Schechter, Marcos C.
Rebolledo, Paulina A.
Kasinathan, Vyjayanti
Hoffman, Adam
Rossetti, Rebecca
Shragai, Talya
O'Laughlin, Kevin
Espinosa, Catherine C.
Bankamp, Bettina
Bowen, Michael D.
Paulick, Ashley
Gargis, Amy S.
Folster, Jennifer M.
da Silva, Juliana
Biedron, Caitlin
Stewart, Rebekah J.
Wang, Yun F.
Kirking, Hannah L.
Tate, Jacqueline E.
author_facet Smith-Jeffcoat, Sarah E.
Sleweon, Sadia
Koh, Mitsuki
Khalil, George M.
Schechter, Marcos C.
Rebolledo, Paulina A.
Kasinathan, Vyjayanti
Hoffman, Adam
Rossetti, Rebecca
Shragai, Talya
O'Laughlin, Kevin
Espinosa, Catherine C.
Bankamp, Bettina
Bowen, Michael D.
Paulick, Ashley
Gargis, Amy S.
Folster, Jennifer M.
da Silva, Juliana
Biedron, Caitlin
Stewart, Rebekah J.
Wang, Yun F.
Kirking, Hannah L.
Tate, Jacqueline E.
author_sort Smith-Jeffcoat, Sarah E.
collection PubMed
description We aimed to describe frequency of COVID-19 exposure risk factors among patients presenting for medical care at an urban, public hospital serving mostly uninsured/Medicare/Medicaid clients and risk factors associated with SARS-CoV-2 infection. Consenting, adult patients seeking care at a public hospital from August to November 2020 were enrolled in this cross-sectional investigation. Saliva, anterior nasal and nasopharyngeal swabs were collected and tested for SARS-CoV-2 using RT-PCR. Participant demographics, close contact, and activities ≤14 days prior to enrollment were collected through interview. Logistic regression was used to identify risk factors associated with testing positive for SARS-CoV-2. Among 1,078 participants, 51.8% were male, 57.0% were aged ≥50 years, 81.3% were non-Hispanic Black, and 7.6% had positive SARS-CoV-2 tests. Only 2.7% reported COVID-19 close contact ≤14 days before enrollment; this group had 6.79 adjusted odds of testing positive (95%CI = 2.78–16.62) than those without a reported exposure. Among participants who did not report COVID-19 close contact, working in proximity to ≥10 people (adjusted OR = 2.17; 95%CI = 1.03–4.55), choir practice (adjusted OR = 11.85; 95%CI = 1.44–97.91), traveling on a plane (adjusted OR = 5.78; 95%CI = 1.70–19.68), and not participating in an essential indoor activity (i.e., grocery shopping, public transit use, or visiting a healthcare facility; adjusted OR = 2.15; 95%CI = 1.07–4.30) were associated with increased odds of testing positive. Among this population of mostly Black, non-Hispanic participants seeking care at a public hospital, we found several activities associated with testing positive for SARS-CoV-2 infection in addition to close contact with a case. Understanding high-risk activities for SARS-CoV-2 infection among different communities is important for issuing awareness and prevention strategies.
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spelling pubmed-90044812022-04-13 Risk-Factors for Exposure Associated With SARS-CoV-2 Detection After Recent Known or Potential COVID-19 Exposures Among Patients Seeking Medical Care at a Large Urban, Public Hospital in Fulton County, Georgia — A Cross-Sectional Investigation Smith-Jeffcoat, Sarah E. Sleweon, Sadia Koh, Mitsuki Khalil, George M. Schechter, Marcos C. Rebolledo, Paulina A. Kasinathan, Vyjayanti Hoffman, Adam Rossetti, Rebecca Shragai, Talya O'Laughlin, Kevin Espinosa, Catherine C. Bankamp, Bettina Bowen, Michael D. Paulick, Ashley Gargis, Amy S. Folster, Jennifer M. da Silva, Juliana Biedron, Caitlin Stewart, Rebekah J. Wang, Yun F. Kirking, Hannah L. Tate, Jacqueline E. Front Public Health Public Health We aimed to describe frequency of COVID-19 exposure risk factors among patients presenting for medical care at an urban, public hospital serving mostly uninsured/Medicare/Medicaid clients and risk factors associated with SARS-CoV-2 infection. Consenting, adult patients seeking care at a public hospital from August to November 2020 were enrolled in this cross-sectional investigation. Saliva, anterior nasal and nasopharyngeal swabs were collected and tested for SARS-CoV-2 using RT-PCR. Participant demographics, close contact, and activities ≤14 days prior to enrollment were collected through interview. Logistic regression was used to identify risk factors associated with testing positive for SARS-CoV-2. Among 1,078 participants, 51.8% were male, 57.0% were aged ≥50 years, 81.3% were non-Hispanic Black, and 7.6% had positive SARS-CoV-2 tests. Only 2.7% reported COVID-19 close contact ≤14 days before enrollment; this group had 6.79 adjusted odds of testing positive (95%CI = 2.78–16.62) than those without a reported exposure. Among participants who did not report COVID-19 close contact, working in proximity to ≥10 people (adjusted OR = 2.17; 95%CI = 1.03–4.55), choir practice (adjusted OR = 11.85; 95%CI = 1.44–97.91), traveling on a plane (adjusted OR = 5.78; 95%CI = 1.70–19.68), and not participating in an essential indoor activity (i.e., grocery shopping, public transit use, or visiting a healthcare facility; adjusted OR = 2.15; 95%CI = 1.07–4.30) were associated with increased odds of testing positive. Among this population of mostly Black, non-Hispanic participants seeking care at a public hospital, we found several activities associated with testing positive for SARS-CoV-2 infection in addition to close contact with a case. Understanding high-risk activities for SARS-CoV-2 infection among different communities is important for issuing awareness and prevention strategies. Frontiers Media S.A. 2022-03-24 /pmc/articles/PMC9004481/ /pubmed/35425748 http://dx.doi.org/10.3389/fpubh.2022.809356 Text en Copyright © 2022 Smith-Jeffcoat, Sleweon, Koh, Khalil, Schechter, Rebolledo, Kasinathan, Hoffman, Rossetti, Shragai, O'Laughlin, Espinosa, Bankamp, Bowen, Paulick, Gargis, Folster, da Silva, Biedron, Stewart, Wang, Kirking, Tate and CDC COVID-19 Emergency Response GA-10 Field. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Smith-Jeffcoat, Sarah E.
Sleweon, Sadia
Koh, Mitsuki
Khalil, George M.
Schechter, Marcos C.
Rebolledo, Paulina A.
Kasinathan, Vyjayanti
Hoffman, Adam
Rossetti, Rebecca
Shragai, Talya
O'Laughlin, Kevin
Espinosa, Catherine C.
Bankamp, Bettina
Bowen, Michael D.
Paulick, Ashley
Gargis, Amy S.
Folster, Jennifer M.
da Silva, Juliana
Biedron, Caitlin
Stewart, Rebekah J.
Wang, Yun F.
Kirking, Hannah L.
Tate, Jacqueline E.
Risk-Factors for Exposure Associated With SARS-CoV-2 Detection After Recent Known or Potential COVID-19 Exposures Among Patients Seeking Medical Care at a Large Urban, Public Hospital in Fulton County, Georgia — A Cross-Sectional Investigation
title Risk-Factors for Exposure Associated With SARS-CoV-2 Detection After Recent Known or Potential COVID-19 Exposures Among Patients Seeking Medical Care at a Large Urban, Public Hospital in Fulton County, Georgia — A Cross-Sectional Investigation
title_full Risk-Factors for Exposure Associated With SARS-CoV-2 Detection After Recent Known or Potential COVID-19 Exposures Among Patients Seeking Medical Care at a Large Urban, Public Hospital in Fulton County, Georgia — A Cross-Sectional Investigation
title_fullStr Risk-Factors for Exposure Associated With SARS-CoV-2 Detection After Recent Known or Potential COVID-19 Exposures Among Patients Seeking Medical Care at a Large Urban, Public Hospital in Fulton County, Georgia — A Cross-Sectional Investigation
title_full_unstemmed Risk-Factors for Exposure Associated With SARS-CoV-2 Detection After Recent Known or Potential COVID-19 Exposures Among Patients Seeking Medical Care at a Large Urban, Public Hospital in Fulton County, Georgia — A Cross-Sectional Investigation
title_short Risk-Factors for Exposure Associated With SARS-CoV-2 Detection After Recent Known or Potential COVID-19 Exposures Among Patients Seeking Medical Care at a Large Urban, Public Hospital in Fulton County, Georgia — A Cross-Sectional Investigation
title_sort risk-factors for exposure associated with sars-cov-2 detection after recent known or potential covid-19 exposures among patients seeking medical care at a large urban, public hospital in fulton county, georgia — a cross-sectional investigation
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9004481/
https://www.ncbi.nlm.nih.gov/pubmed/35425748
http://dx.doi.org/10.3389/fpubh.2022.809356
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