COVID-19 infections among HCWs exposed to a patient with a delayed diagnosis of COVID-19

Baker, Meghan A; Rhee, Chanu; Fiumara, Karen; Bennett-Rizzo, Carin; Tucker, Robert; Williams, Sarah A.; Wickner, Paige G.; Beloff, Jennifer; McGrath, Casey; Poulton, Alexa; Klompas, Michael

doi:10.1017/ice.2020.256

Cited by 43 publications

(40 citation statements)

References 6 publications

(4 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A potential contributing factor to community acquisition is that HCW, particularly patient-facing HCW, are less able to follow stay-at- home guidelines or work remotely from home. Indeed, while PPE use is associated with decreased risk of infection from coronavirus, 26 a recent report estimated less than 5% risk to HCW inadvertently exposed to patients not known to be SARS-CoV-2-positive at the time of initial exposure with exposure likely occurring without appropriate PPE 27 suggesting that the work exposure risk may actually be low. However, universal pandemic precautions have been recommended for optimal risk mitigation for HCW.…”

Section: Discussionmentioning

confidence: 99%

Impact of the COVID-19 Pandemic on Healthcare Workers’ Risk of Infection and Outcomes in a Large, Integrated Health System

Misra‐Hebert

Jehi

et al. 2020

J GEN INTERN MED

View full text Add to dashboard Cite

BACKGROUND: Understanding the impact of the COVID-19 pandemic on healthcare workers (HCW) is crucial. OBJECTIVE: Utilizing a health system COVID-19 research registry, we assessed HCW risk for COVID-19 infection, hospitalization, and intensive care unit (ICU) admission. DESIGN: Retrospective cohort study with overlap propensity score weighting. PARTICIPANTS: Individuals tested for SARS-CoV-2 infection in a large academic healthcare system (N = 72,909) from March 8-June 9, 2020, stratified by HCW and patient-facing status. MAIN MEASURES: SARS-CoV-2 test result, hospitalization, and ICU admission for COVID-19 infection. KEY RESULTS: Of 72,909 individuals tested, 9.0% (551) of 6145 HCW tested positive for SARS-CoV-2 compared to 6.5% (4353) of 66,764 non-HCW. The HCW were younger than the non-HCW (median age 39.7 vs. 57.5, p < 0.001) with more females (proportion of males 21.5 vs. 44.9%, p < 0.001), higher reporting of COVID-19 exposure (72 vs. 17%, p < 0.001), and fewer comorbidities. However, the overlap propensity score weighted proportions were 8.9 vs. 7.7 for HCW vs. non-HCW having a positive test with weighted odds ratio (OR) 1.17, 95% confidence interval (CI) 0.99-1.38. Among those testing positive, weighted proportions for hospitalization were 7.4 vs. 15.9 for HCW vs. non-HCW with OR of 0.42 (CI 0.26-0.66) and for ICU admission: 2.2 vs. 4.5 for HCW vs. non-HCW with OR of 0.48 (CI 0.20-1.04). Those HCW identified as patient facing compared to not had increased odds of a positive SARS-CoV-2 test (OR 1.60, CI 1.08-2.39, proportions 8.6 vs. 5.5), but no statistically significant increase in hospitalization (OR 0.88, CI 0.20-3.66, proportions 10.2 vs. 11.4) and ICU admission (OR 0.34, CI 0.01-3.97, proportions 1.8 vs. 5.2). CONCLUSIONS: In a large healthcare system, HCW had similar odds for testing SARS-CoV-2 positive, but lower odds of hospitalization compared to non-HCW. Patientfacing HCW had higher odds of a positive test. These results are key to understanding HCW risk mitigation during the COVID-19 pandemic.

show abstract

Section: Discussionmentioning

confidence: 99%

Impact of the COVID-19 Pandemic on Healthcare Workers’ Risk of Infection and Outcomes in a Large, Integrated Health System

Misra‐Hebert

Jehi

et al. 2020

J GEN INTERN MED

View full text Add to dashboard Cite

show abstract

“…Medical interns in KSA are not deployed as frontline healthcare professional to combat COVID-19. However, evidence suggests that there are high chances of having undiagnosed COVID-19 patient contact at some point of time in healthcare settings [19]. Therefore, they are at risk of contracting and spreading the infection.…”

Section: Practicesmentioning

confidence: 99%

“…The most common clinical manifestations of are fever, fatigue, cough, myalgia, and dyspnea, while the less common manifestations are sputum production, headache, diarrhea and hemoptysis [6]. To date there is no effective vaccine against COVID- 19 and treatment options are experimental. COVID-19 patients are currently managed with supportive care and antibiotics to counter secondary bacterial infections [7].…”

mentioning

confidence: 99%

Knowledge, Attitudes, and Practices of Medical Interns Toward COVID-19 in Saudi Arabia: A Cross-Sectional Survey, April-May 2020

Alnohair¹,

Mahmud²,

Alshehri³

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: COVID-19 is a highly infectious, rapidly spreading disease without any proven vaccine or treatment. Poor knowledge, attitude and practices (KAP) toward COIVD-19 prevention measures among healthcare workers may lead to further transmission of the disease. Lack of attention towards non-frontline healthcare workers may put them at higher risk of infection from undetected cases. Here, we evaluate medical interns’ KAP toward COVID-19 prevention measures in the Kingdom of Saudi Arabia (KSA). Methods: We conducted a cross-sectional online survey. We distributed a structured questionnaire to the medical interns through different social media. Data was collected between April and May 2020. We estimated the prevalence of good KAP toward COVID-19 prevention measures. We did T-test or ANOVA to investigate the mean differences in KAP between socio-demographic groups. In addition, we did multivariable logistic regression analysis to investigate the socio-demographic determinants of good KAP.Results: Of the total 250 participants, 60% were males, 64% were aged between 20 and 25 years, and 90% was Saudi. 24% interns are relying on social media, newspaper, television or friends as primary source of COVID-19 information, while others are relying on formal sources like official websites of national and international bodies. Overall, the prevalence of good knowledge, attitude and practices are 38% (95% CI: 32.2-44.2), 55.2% (48.9-61.3) and 24% (19.1-29.7), respectively. Graduating from government universities are associated with higher odds of good knowledge (aOR: 3.87; 95% CI: 1.05-14.22) and positive attitude (aOR: 4.84; 95% CI: 1.28-18.23) than private or foreign universities. While, practicing in the west region-Mecca and Medina (aOR: 2.35; 95% CI: 1.05-5.23); and the North region-Hail, Jouf, Tabuk & Northern borders (aOR: 3.2; 95% CI: 1.32-7.75) are associated to higher odds of moderate/good practice compared to practicing in the central region- Riyadh and Qassim. Conclusions: Our findings reveal gaps in KAP among medical interns. Medical interns in Saudi Arabia are not deployed as front-line health worker to combat COVID-19. However, community transmission of COVID-19 make it critical to improve KAP of medical interns toward COVID-19 prevention measures. Repeated training to improve KAP and competency of the medical interns in this regard are warranted.

show abstract

“…An increasing number of reports indicate low rates of SARS-CoV-2-transmission from non-isolated patients to HCWs [ [4] , [5] , [6] , [7] , [8] , [9] ]. It is interesting that the incidence of asymptomatic cases amongst HCWs in a hospital showed the same trend of virus transmission as the general community and dropped following social distancing despite the hospital remaining full of patients with COVID-19 [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Transmission of infection from non-isolated patients with COVID-19 to healthcare workers

Basso

Nordbø

Sundqvist

et al. 2020

Journal of Hospital Infection

View full text Add to dashboard Cite

Summary Insufficiently protected health care workers (HCWs) defined as high-risk contacts of patients with COVID-19 are routinely quarantined. This study evaluated transmission of infection from a symptomatic patient with COVID-19 to 60 HCWs exposed ≤2 m for ≥15 minutes, or during aerosol generating procedures. Following ≥106 unique high-risk contacts, none of the HCWs tested positive for SARS-CoV-2 RNA or had developed antibodies. The HCWs reported adherence to basic infection control procedures. These results were in accordance with other reports and should reassure HCWs and further stimulate a broader evaluation of the foundation for the current practice of home-quarantine of non-symptomatic HCWs.

show abstract

COVID-19 infections among HCWs exposed to a patient with a delayed diagnosis of COVID-19

Cited by 43 publications

References 6 publications

Impact of the COVID-19 Pandemic on Healthcare Workers’ Risk of Infection and Outcomes in a Large, Integrated Health System

Impact of the COVID-19 Pandemic on Healthcare Workers’ Risk of Infection and Outcomes in a Large, Integrated Health System

Knowledge, Attitudes, and Practices of Medical Interns Toward COVID-19 in Saudi Arabia: A Cross-Sectional Survey, April-May 2020

Transmission of infection from non-isolated patients with COVID-19 to healthcare workers

Contact Info

Product

Resources

About