Effectivity of a Programme for the Control &amp; Prevention of COVID-19 Healthcare-Associated Infections in a Spanish Academic Hospital

Gras-Valentí, Paula; Mora-Muriel, Juan Gabriel; Chico-Sánchez, Pablo; Algado-Sellés, Natividad; Soler-Molina, Victor M.; Hernández-Maldonado, María; Lameiras-Acevedo, Ana; Sepulveda, Natali Jimenez; Sotero, Isel Gomez; Villanueva-Ruiz, C.; Barrenengoa-Sañudo, Julio; Fuster-Pérez, Marina; Cánovas-Jávega, Sandra; Cerezo-Milán, Patricia; Palmer, Miranda Monerris; Llorens, Pere; Merino-Lucas, Esperanza; Rodríguez-Díaz, Juan Carlos; Gil-Carbonell, Joan; Sánchez-Martínez, Rosario; Pastor-Cesteros, Rogelio; Mena-Esquivias, Luis; Ivars, Maria Galiana; Jaime-Sánchez, Francisco; Margarit-Ferri, Cesar; Dios, Javier González de; Lloret-Ferrándiz, German; Garcia-Alonso, M.; Sánchez‐Paya, José

doi:10.2471/blt.20.263384

Cited by 2 publications

(2 citation statements)

References 16 publications

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“…The evaluation of the effectivity of this strategy was evaluated in a separate study. 25 Regarding the HCP characteristics, the number of evaluated female HCP was clearly higher than the number of male HCP, in line with the sex distribution among the department HCP, were the proportion of female HCP is also higher. The prevalence of COVID-19 among male and female HCP was not different, but being male was associated with the development of a more severe form of disease (OR=4.9, 95% CI=1.8, 13.6).…”

Section: Discussionmentioning

confidence: 70%

Frequency, Associated Risk Factors, and Characteristics of COVID-19 Among Healthcare Personnel in a Spanish Health Department

Algado-Sellés

Gras-Valentí

Chico-Sánchez

et al. 2020

American Journal of Preventive Medicine

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Introduction This study examines the frequency, associated factors, and characteristics of healthcare personnel coronavirus disease 2019 (COVID-19) cases in a healthcare department that comprises a tertiary hospital and its associated 12 primary healthcare centers. Methods This study included healthcare personnel that showed symptoms or were in contact with a COVID-19 case patient from March 2 to April 19, 2020. Their evolution and characteristics (age, sex, professional category, type of contact) were recorded. Correlations between the different characteristics and risk of developing COVID-19 and severe COVID-19 were analyzed using chi-square tests. Their magnitudes were quantified with ORs, AORs, and their 95% CIs using a logistic regression model. Results Of the 3,900 healthcare professionals in the department, 1,791 (45.9%) showed symptoms or were part of a contact tracing study. The prevalence of those with symptoms was 20.1% (784/3,900; 95% CI=18.8%, 21.4%), with COVID-19 was 4.0% (156/3,900; 95% CI=3.4%, 4.6%), and with severe COVID-19 was 0.5% (18/3,900; 95% CI=0.2%, 0.7%). The frequency of COVID-19 in symptomatic healthcare personnel with a non-protected exposure was 22.8% (112/491) and 13.7% (40/293) in those with a protected exposure (AOR=2.2, 95% CI=1.2, 3.9). The service in which the healthcare personnel performed their activity was not significantly associated with being diagnosed with COVID-19. A total of 26.3% (10/38) of male healthcare personnel with COVID-19 required hospitalization, compared with 6.8% (8/118) among female healthcare personnel (OR=4.9, 95% CI=1.8, 13.6). Conclusions A surveillance and monitoring program centered around healthcare personnel enables an understanding of the risk factors that lead to COVID-19 among this population. This knowledge allows the refinement of the strategies for disease control and prevention in healthcare personnel during the COVID-19 pandemic.

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Section: Discussionmentioning

confidence: 70%

Frequency, Associated Risk Factors, and Characteristics of COVID-19 Among Healthcare Personnel in a Spanish Health Department

Algado-Sellés

Gras-Valentí

Chico-Sánchez

et al. 2020

American Journal of Preventive Medicine

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“…The cumulative incidence of COVID-19 in HPs dropped from 22.1 per 1,000 workers in the pre-exposure period to 8.0 per 1,000 workers in the exposure period. 25 Data from other studies have also supported using a mask when interacting with other members of an individual's household, 26 which is essential if attempting to reduce risks across all settings. Lower compliance with this recommendation in those belonging to younger age groups, who tend to engage in more social interactions, could explain why there was a higher prevalence of anti-SARS-CoV-2 IgG in said age groups, though it is true that this hypothesis could not be tested.…”

Section: Discussionmentioning

confidence: 99%

Sero-epidemiological study of SARS-CoV-2 infection among healthcare personnel in a healthcare department

Gras-Valentí

Chico-Sánchez

Algado-Sellés

et al. 2021

Enfermedades infecciosas y microbiologia clinica (English ed.)

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Objective Estimate IgG antibody prevalence against SARS-CoV-2 in healthcare personnel (HCP) of a healthcare department (HD). Method Prevalence study. The presence of IgG antibodies against SARS-CoV-2 was determined in HCP of the HD. Enzyme linked immunosorbent assays (ELISA) tests were used. Field work took place from April 24, 2020 to May 8, 2020. The age, sex, occupation (physician, nurse, etc.) and the work area (Primary Care, Emergency Room, etc.) were gathered. The IgG antibody prevalence was then calculated with its 95% confidence interval (95% CI). To study the association between HCP characteristics and the presence IgG the Chi Square test was used, and to study the magnitude of association, the Odds Ratio (95% CI) was calculated. Results Of the 4813 HCP in the HD, 4179 (87,1%) participated. Of these, 73,3% (3065) were women and 26,7% (1114) men. The global prevalence of IgG antibodies against SARS-CoV-2 was 6,6% (95% CI: 5,8–7,3). There were statistically significant differences depending on the occupation, from 8,7% (95% CI: 6,9-10,6) on medics down to 3,2% (95% CI: 1,0-8,0) on personnel not associated with health care. The other characteristics did not associate significantly to antibody presence against SARS-CoV-2. Conclusion The SARS-CoV-2 infection frequency in HCP is similar to the estimated in the general population for big cities in Spain. This highlights the effectiveness of the infection control and prevention programme in this healthcare department targeted at healthcare personnel.

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Effectivity of a Programme for the Control & Prevention of COVID-19 Healthcare-Associated Infections in a Spanish Academic Hospital

Cited by 2 publications

References 16 publications

Frequency, Associated Risk Factors, and Characteristics of COVID-19 Among Healthcare Personnel in a Spanish Health Department

Frequency, Associated Risk Factors, and Characteristics of COVID-19 Among Healthcare Personnel in a Spanish Health Department

Sero-epidemiological study of SARS-CoV-2 infection among healthcare personnel in a healthcare department

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