Risk Groups for SARS-CoV-2 Infection among Healthcare Workers: Community Versus Hospital Transmission.

COVID-19 healthcare workers predictor risk factors seroprevalence

Journal

Infectious disease reports
ISSN: 2036-7430
Titre abrégé: Infect Dis Rep
Pays: Switzerland
ID NLM: 101537203

Informations de publication

Date de publication:
13 Aug 2021
Historique:
received: 17 06 2021
revised: 29 07 2021
accepted: 10 08 2021
entrez: 27 8 2021
pubmed: 28 8 2021
medline: 28 8 2021
Statut: epublish

Résumé

We aimed to detect the risk factors for SARS-CoV-2 infection among healthcare workers (HCWs) in 2020 before the vaccination era. We surveyed SARS-CoV-2 infection among the HCWs in a hospital through screening for antibody levels and the detection of viral RNA by RT-PCR between May 2020 and December 2020. Occupational and non-occupational potential predictors of disease were surveyed for the HCWs included in this study. Among 1925 personnel in the hospital, 1732 were included to the study with a response rate of 90%. The overall infection rate of HCWs was 16.3% at the end of 2020, before vaccinations started. In the multivariate analysis, being janitorial staff (OR: 2.24, CI: 1.21-4.14, Medical secretaries and janitorial staff were under increased risk of SARS-CoV-2 infection. The community-hospital gradient can explain the mode of transmission for infection among HCWs. In the setting of this study, community measures were less strict, whereas hospital infection control was adequate and provided necessary personal protective equipment. Increasing risk in larger households and households with diagnosed COVID-19 patient indicates the community-acquired transmission of the infection.

Sections du résumé

BACKGROUND BACKGROUND
We aimed to detect the risk factors for SARS-CoV-2 infection among healthcare workers (HCWs) in 2020 before the vaccination era.
METHODS METHODS
We surveyed SARS-CoV-2 infection among the HCWs in a hospital through screening for antibody levels and the detection of viral RNA by RT-PCR between May 2020 and December 2020. Occupational and non-occupational potential predictors of disease were surveyed for the HCWs included in this study.
RESULTS RESULTS
Among 1925 personnel in the hospital, 1732 were included to the study with a response rate of 90%. The overall infection rate of HCWs was 16.3% at the end of 2020, before vaccinations started. In the multivariate analysis, being janitorial staff (OR: 2.24, CI: 1.21-4.14,
CONCLUSIONS CONCLUSIONS
Medical secretaries and janitorial staff were under increased risk of SARS-CoV-2 infection. The community-hospital gradient can explain the mode of transmission for infection among HCWs. In the setting of this study, community measures were less strict, whereas hospital infection control was adequate and provided necessary personal protective equipment. Increasing risk in larger households and households with diagnosed COVID-19 patient indicates the community-acquired transmission of the infection.

Identifiants

pubmed: 34449648
pii: idr13030067
doi: 10.3390/idr13030067
pmc: PMC8395820
doi:

Types de publication

Journal Article

Langues

eng

Pagination

724-729

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Auteurs

Fatihan Pınarlık (F)

Department of Infectious Diseases and Clinical Microbiology, School of Medicine, Koc University, 34010 Istanbul, Turkey.
Graduate School of Health Sciences, Koc University, 34450 Istanbul, Turkey.
Koç University İşbank Center for Infectious Diseases (KUISCID), Koc University Hospital, 34010 Istanbul, Turkey.

Zeliha Genç (Z)

Infectious Diseases and Clinical Microbiology, Koc University Hospital, 34010 Istanbul, Turkey.

Mahir Kapmaz (M)

Infectious Diseases and Clinical Microbiology, Koc University Hospital, 34010 Istanbul, Turkey.

Süda Tekin (S)

Department of Infectious Diseases and Clinical Microbiology, School of Medicine, Koc University, 34010 Istanbul, Turkey.
Infectious Diseases and Clinical Microbiology, Koc University Hospital, 34010 Istanbul, Turkey.

Önder Ergönül (Ö)

Department of Infectious Diseases and Clinical Microbiology, School of Medicine, Koc University, 34010 Istanbul, Turkey.
Koç University İşbank Center for Infectious Diseases (KUISCID), Koc University Hospital, 34010 Istanbul, Turkey.

Classifications MeSH