Policy statement from the Society for Healthcare Epidemiology of America (SHEA): Only medical contraindications should be accepted as a reason for not receiving all routine immunizations as recommended by the Centers for Disease Control and Prevention

Weber, David J.; Talbot, Thomas R.; Weinmann, Allison; Mathew, Trini; Heil, Emily L.; Stenehjem, Edward; Duncan, Robert A.; Gross, Alan E.; Stinchfield, Patricia; Baliga, Christopher; Wagner, Jamie L.; Schaffner, William; Echevarria, Kelly; Drees, Marci

doi:10.1017/ice.2020.342

Cited by 15 publications

(8 citation statements)

References 14 publications

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“…As in previous studies [ 3 – 5 ], an increased prevalence was seen in HCWs who had been in contact with COVID-19 patients. Lower prevalence in the Paediatrics and Obstetrics/Gynaecology departments was to be expected due to low exposure to patients infected with SARS-CoV-2 in these settings.…”

Section: Discussionsupporting

confidence: 79%

“…Interestingly, as in the study by Grant et al [ 4 ], HCWs at Anaesthesiology/ICU had a lower seroprevalence and lower odds of being seropositive compared to the rest of the hospital adjusted for active work with COVID-19 patients. This could reflect the use of enhanced personal protective equipment or that the COVID-19 patients at the ICU may be in a later stage of the disease when viral loads of patients might have decreased.…”

Section: Discussionmentioning

confidence: 69%

“…The number of patients in need of hospital care due to the disease caused by SARS-CoV-2, Coronavirus Disease 2019 (COVID-19), in the Stockholm region escalated in March and the beginning of April and started to decline in May 2020 [ 2 ]. Healthcare workers (HCWs) with direct patient contact are more exposed to the virus and thereby have a higher risk of contracting SARS-CoV-2 compared to the general population [ 3 – 5 ]. Presence of SARS-CoV-2 IgG antibodies indicates a previous SARS-CoV-2 infection.…”

Section: Introductionmentioning

confidence: 99%

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Risk of SARS-CoV-2 exposure among hospital healthcare workers in relation to patient contact and type of care

Klevebro

Bahram

Elfström

et al. 2021

Scand J Public Health

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Aim: We aimed to assess prevalence of IgG antibodies to severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) and factors associated with seropositivity in a large cohort of healthcare workers (HCWs). Methods: From 11 May until 11 June 2020, 3981 HCWs at a large Swedish emergency care hospital provided serum samples and questionnaire data. Presence of IgG antibodies to SARS-CoV-2 was measured as an indicator of SARS-CoV-2 exposure. Results: The total seroprevalence was 18% and increased during the study period. Among the seropositive HCWs, 11% had been entirely asymptomatic. Participants who worked with COVID-19 patients had higher odds for seropositivity: adjusted odds ratio 1.96 (95% confidence intervals 1.59–2.42). HCWs from three of the departments managing COVID-19 patients had significantly higher seroprevalences, whereas the prevalence among HCWs from the intensive care unit (also managing COVID-19 patients) was significantly lower. Conclusions: HCWs in contact with SARS-CoV-2 infected patients had a variable, but on average higher, likelihood for SARS-CoV-2 infections.

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Section: Discussionsupporting

confidence: 79%

Section: Discussionmentioning

confidence: 69%

Section: Introductionmentioning

confidence: 99%

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Risk of SARS-CoV-2 exposure among hospital healthcare workers in relation to patient contact and type of care

Klevebro

Bahram

Elfström

et al. 2021

Scand J Public Health

View full text Add to dashboard Cite

show abstract

“…The National Vaccine Advisory Committee has recommended that employers consider requirements if their facilities are unable to achieve the Healthy People goal of at least 90% of HCP vaccinated for influenza (64). In 2020, SHEA recommended that medical contraindications should be accepted as a reason for not receiving all routine immunizations as recommended by CDC (68).…”

Section: Advantages Of Vaccination As a Condition Of Employmentmentioning

confidence: 99%

Multisociety statement on coronavirus disease 2019 (COVID-19) vaccination as a condition of employment for healthcare personnel

Weber

Al‐Tawfiq

Babcock

et al. 2021

Infect. Control Hosp. Epidemiol.

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Society (PIDS), and the Society of Infectious Diseases Pharmacists (SIDP), recommends that COVID-19 vaccination should be a condition of employment for all healthcare personnel.Exemptions from this policy apply to those with medical contraindications to all COVID-19 vaccines available in the United States and other exemptions as specified by federal or state law.The consensus statement also supports COVID-19 vaccination of non-employees functioning at a healthcare facility (for example, students, contract workers, volunteers, etc.). This recommendation is based on several points:The COVID-19 vaccines available in the United States (US) under the Food and Drug Administration (FDA) emergency use authorization (EUA) have high efficacy to prevent symptomatic COVID-19, even higher efficacy to prevent serious COVID-19 (i.e., hospitalizations and deaths), and high effectiveness against symptomatic and asymptomatic COVID-19 infection.The COVID-19 vaccines under FDA EUA have similar safety profiles to vaccines that are currently fully FDA-approved, shown by efficacy trials and effectiveness studies.Full vaccination against COVID-19 offers several advantages to patient and healthcare personnel (HCP) safety: individual protection against COVID-19 infection; further protection for patients and HCP who are unable to receive COVID-19 vaccination or are not able to mount an adequate immune response; reduced risk of asymptomatic or pre-symptomatic transmission of SARS-CoV-2 between HCP, and from HCP to patients or patients to HCP; reduced risk of transmitting infection to household members and community contacts; increased protection for the healthcare workforce in the community setting.

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“…49 In 2020, the Society for Healthcare Epidemiology of America (SHEA) recommended that only medical contraindications should be accepted as a reason for not receiving all routine immunizations as recommended by the CDC. 50 …”

Section: Evaluation Of Health Care Personnel and Preexposure Prophylaxismentioning

confidence: 99%

Occupational Health Update

Shenoy

Weber

2021

Infectious Disease Clinics of North America

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An effective occupational health program is a key aspect of preventing exposure to infectious agents and subsequent infection, as well as evaluation and management of postexposure prophylaxis and infections in health care personnel (HCP) by educating HCP regarding proper handling of sharps, early identification and isolation of potentially infectious patients, implementation of standard and transmission-based precautions, and offering counseling of HCP regarding nonroutine prophylaxis. Occupational health services (OHS) must also apply standardized processes for determining when exposures have occurred and providing appropriate management, and provide immediate availability of a medical evaluation following a nonprotected exposure to an infectious disease.

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Policy statement from the Society for Healthcare Epidemiology of America (SHEA): Only medical contraindications should be accepted as a reason for not receiving all routine immunizations as recommended by the Centers for Disease Control and Prevention

Cited by 15 publications

References 14 publications

Risk of SARS-CoV-2 exposure among hospital healthcare workers in relation to patient contact and type of care

Risk of SARS-CoV-2 exposure among hospital healthcare workers in relation to patient contact and type of care

Multisociety statement on coronavirus disease 2019 (COVID-19) vaccination as a condition of employment for healthcare personnel

Occupational Health Update

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