Healthcare Workers Infection Rate in the Era of Coronavirus Disease 2019 - in Tertiary Teaching Hospital
DOI:
https://doi.org/10.3889/oamjms.2021.6584Keywords:
Coronavirus disease 2019, Severe acute respiratory syndrome coronavirus-2, Health-care workers, Hospital acquired infectionAbstract
BACKGROUND: Healthcare workers (HCWs) are at the frontline defense against coronavirus disease 2019 (COVID-19) pandemic.
AIM: The study aimed to describe the characteristics and appraise potential risk factors of COVID-19 transmission among HCWs who tested positive for severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) in one of Cairo University Hospitals.
METHOD: Cross-sectional descriptive analysis of confirmed polymerase chain reaction (PCR) positive versus negative cases for COVID-19.
RESULTS: Through March–June 2020, (145/846; 17%) suspected HCWs were tested for COVID-19 by PCR; out of them (70/145; 48.3%) were confirmed as positive, these positive cases represented (70/846; 8.3%) of all HCWs of the hospital. About 33% of confirmed COVID-19 positive HCWs acquired the infection from the healthcare while only (13/70; 19%) from community settings, and no clear exposure data were identified in (34/70; 48%) of cases. Most of symptomatic cases showed a positive PCR test for SARS-CoV-2 versus asymptomatic cases, p < 0.001. There was no statistical significance regarding gender, age, presence of comorbidity, workload or the type of acquisition.
CONCLUSION: HCWs are at an increased risk of COVID-19 infection at the workplace. Strict implementation of infection control measures is of crucial role in preventing transmission of COVID-19 infection in health-care settings.Downloads
Metrics
Plum Analytics Artifact Widget Block
References
Zhang M, Zhou M, Tang F, Wang Y, Nie H, Zhang L, et al. Knowledge, attitude, and practice regarding COVID-19 among healthcare workers in Henan, China. J Hosp Infect. 2020;105(2):183-7. https://doi.org/10.1016/j.jhin.2020.04.012 PMid:32278701 DOI: https://doi.org/10.1016/j.jhin.2020.04.012
World Health Organization. Coronavirus Disease (COVID-19) Pandemic; 2020. Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019. [Last accessed on 2020 Jul 25].
Dev N, Kumar V, Sankar J. COVID-19 infection outbreak among health care workers: Perspective from a low-middle income country. Monaldi Arch Chest Dis. 2020;90(3):1474. PMid:32657563 DOI: https://doi.org/10.4081/monaldi.2020.1474
Al Abri ZG, Al Zeedi MA, Al Lawati AA. Risk factors associated with COVID-19 infected healthcare workers in Muscat governorate, Oman. J Prim Care Community Health. 2021;12. https://doi.org/10.1177/2150132721995454 PMid:33576288 DOI: https://doi.org/10.1177/2150132721995454
Chersich MF, Gray G, Fairlie L, Eichbaum Q, Mayhew S, Allwood B, et al. COVID-19 in Africa: Care and protection for frontline healthcare workers. Global Health. 2020;16(1):46. https://doi.org/10.1186/s12992-020-00574-3 DOI: https://doi.org/10.1186/s12992-020-00574-3
Tan T, Chang C, Chang M. Intra-hospital preventive principles to protect frontline healthcare workers to overcome pandemic COVID-19 in Taiwan. Crit. Care. 2020;24:328. https://doi.org/10.1186/s13054-020-02983-7 DOI: https://doi.org/10.1186/s13054-020-02983-7
Wang J, Zhou M, Liu F. Reasons for healthcare workers becoming infected with novel coronavirus disease 2019 (COVID-19) in China. J Hosp Infect. 2020;105(1):100-1. https://doi.org/10.1016/j.jhin.2020.03.002 PMid:32147406 DOI: https://doi.org/10.1016/j.jhin.2020.03.002
The National Institute for Occupational Safety and Health (NIOSH). Hierarchy of Controls. Center for Disease Control and Prevention. Available from: https://www.cdc.gov/niosh/topics/hierarchy/default.html;2020. [Last accessed on 2020 Jul 13]. https://doi.org/10.1037/e371562004-001 DOI: https://doi.org/10.1037/e371562004-001
Nugroho BJ, Soetjahjo B, Heru Nefihancoro U, Ermawan R, Darma Saputra R, Putra GS, et al. Orthopedic department of education center and service provide during coronavirus disease-2019 pandemic: An experience from single-center hospital. Open Access Maced J Med Sci. 2021;9:250-4. https://doi.org/10.3889/oamjms.2021.6027 DOI: https://doi.org/10.3889/oamjms.2021.6027
World Health Organization. Coronavirus Disease 2019 (COVID-19) Situation Report-26. Available from: https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200215- sitrep-26-covid-19.pdf?sfvrsn=a4cc6787_2;2020. [Last accessed on 2020 Aug 15].
Daily Report on COVID-19 by Egyptian Ministry of Health and Population. Available from: https://www.facebook.com/egypt.mohp/photos/a.123442675873020/177239867159967;2020. [Last accessed on 2020 Aug 15].
Daily Report on COVID-19 by Egyptian Ministry of Health and Population. Available from: https://www.facebook.com/egypt.mohp/photos/a.123442675873020/196941851856435;2020 [Last accessed on 2020 Aug 15].
Martin C, Montesinos I, Dauby N, Gilles C, Dahma H, Van Den Wijngaert S, et al. Dynamics of SARS-CoV-2 RT-PCR positivity and seroprevalence among high-risk healthcare workers and hospital staff. J Hosp Infect. 2020;106(1):102-6. https://doi.org/10.1016/j.jhin.2020.06.028 PMid:32593608 DOI: https://doi.org/10.1016/j.jhin.2020.06.028
Kassem AM, Talaat H, Shawky S, Fouad R, Amer K, Elnagdy T, et al. SARS-CoV-2 infection among healthcare workers of a gastroenterological service in a tertiary care facility. Arab J Gastroenterol. 2020;21(3):151-5. https://doi.org/10.1016/j.ajg.2020.07.005 PMid:32732168 DOI: https://doi.org/10.1016/j.ajg.2020.07.005
Schwierzeck V, Correa-Martinez CL, Schneider KN, Mellmann A, Hennies MT, Hafezi W, et al. SARS-CoV-2 in the employees of a large university hospital. Dtsch Arztebl Int. 2020;117(19):344-5. https://doi.org/10.3238/arztebl.2020.0344 PMid:32527380 DOI: https://doi.org/10.3238/arztebl.2020.0344
Kluytmans-van den Bergh M, Buiting A, Pas S, Bentvelsen RG, van den Bijllaardt W, van Oudheusden AJ, et al. Prevalence and clinical presentation of health care workers with symptoms of coronavirus disease 2019 in 2 Dutch hospitals during an early phase of the pandemic. JAMA Network Open. 2020;3(5):e209673. https://doi.org/10.1001/jamanetworkopen.2020.9673 PMid:32437576 DOI: https://doi.org/10.1001/jamanetworkopen.2020.9673
World Health Organization. Coronavirus Disease (COVID-19) Pandemic. Available from: https://www.who.int/news-room/commentaries/detail/modes-of-transmissionof-virus-causing-covid-19-implications-for-ipc-precautionrecommendations; 2020. [Last accessed on 2020 May 03].
Li Q, Guan X, Wu P, Wang X, Zhou L, Tong Y, et al. Early transmission dynamics in Wuhan, China, of novel coronavirusinfected pneumonia. N Engl J Med. 2020;382(13):1199-207. DOI: https://doi.org/10.1056/NEJMoa2001316
Chen Y, Tong X, Wang J, Huang W, Yin S, Huang R, et al. High SARS-CoV-2 antibody prevalence among healthcare workers exposed to COVID-19 patients. J Infect. 2020;81(3):420-6. https://doi.org/10.1016/j.jinf.2020.05.067 PMid:32504745 DOI: https://doi.org/10.1016/j.jinf.2020.05.067
Keeley AJ, Evans C, Colton H, Ankcorn M, Cope A, State A, et al. Roll-out of SARS-CoV-2 testing for healthcare workers at a large NHS foundation trust in the United Kingdom, March 2020. Euro Surveill. 2020;25(14):2000433. https://doi.org/10.2807/1560-7917.es.2020.25.14.2000433 PMid:32290904 DOI: https://doi.org/10.2807/1560-7917.ES.2020.25.14.2000433
Suárez-García I, Martínez de Aramayona López MJ, Sáez Vicente A, Lobo Abascal P. SARS-CoV-2 infection among healthcare workers in a hospital in Madrid, Spain. J Hosp Infect. 2020;106(2):357-63. https://doi.org/10.1016/j.jhin.2020.07.020 PMid:32702465 DOI: https://doi.org/10.1016/j.jhin.2020.07.020
Chen N, Zhou M, Dong X, Qu J, Gong F, Han Y, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: A descriptive study. Lancet. 2020;395(10223):507-13. https://doi.org/10.1016/s0140-6736(20)30211-7 PMid:32007143 DOI: https://doi.org/10.1016/S0140-6736(20)30211-7
Moradali MR, Simbar M, Roozbahani S, Koochaksaraei FY, Hosseinzadeh P, Zareipour M, et al. Epidemiology, prevention and control strategies of coronavirus COVID 19 in Iran: A systematic review. Open Access Maced J Med Sci. 2020;8(1):480-8. https://doi.org/10.3889/oamjms.2020.5479 DOI: https://doi.org/10.3889/oamjms.2020.5479
Sikkema RS, Pas SD, Nieuwenhuijse DF, Toole ÁO, Verweij J, Van Der Linden A, et al. Articles COVID-19 in health-care workers in three hospitals in the south of the Netherlands : A cross-sectional study. Lancet Infect Dis. 2020;20(11):1273-80. PMid:32622380 DOI: https://doi.org/10.1016/S1473-3099(20)30527-2
Verbeek JH, Rajamaki B, Ijaz S, Sauni R, Toomey E, Blackwood B, et al. Personal protective equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthcare staff. Cochrane Database Syst Rev. 2020;5:CD011621. https://doi.org/10.1002/14651858.cd011621.pub5 PMid:27093058 DOI: https://doi.org/10.1002/14651858.CD011621.pub5
Maskari ZA, Blushi AA, Khamis F, Tai AA, Salmi IA, Harthi HA, et al. Characteristic of healthcare workers infected with COVID-19, a cross-sectional observational study. Int J Infect Dis. 2021;102:32-6. https://doi.org/10.1016/j.ijid.2020.10.009 PMid:33039607 DOI: https://doi.org/10.1016/j.ijid.2020.10.009
Kim R, Nachman S, Fernandes R, Meyers K, Taylor M, LeBlanc D, et al. Comparison of COVID-19 infections among healthcare workers and non-healthcare workers. PLoS One. 2020;15(12):e0241956. https://doi.org/10.1371/journal.pone.0241956 PMid:33296367 DOI: https://doi.org/10.1371/journal.pone.0241956
Yang JY, Parkins MD, Canakis A, Aroniadis OC, Yadav D, Dixon RE, et al. Outcomes of COVID-19 among hospitalized health care workers in North America. JAMA Netw Open. 2021;4(1):e2035699. https://doi.org/10.1001/jamanetworkopen.2020.35699 PMid:33507259 DOI: https://doi.org/10.1001/jamanetworkopen.2020.35699
World Health Organization. Coronavirus Disease (COVID-19) Pandemic. Available from: https://www.who.int/news-room/commentaries/detail/criteria-for-releasing-covid-19-patientsfrom-isolation;2020. [Last accessed on 2020 Jul 13].
Downloads
Published
How to Cite
License
Copyright (c) 2021 Mona Mohiedden, Aml M. Said, Ahmed M. Ali, Mohammed M. Abdel Razik, Maha Ali Gad (Author)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
http://creativecommons.org/licenses/by-nc/4.0