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Occupational risk factors for severe acute respiratory coronavirus virus 2 (SARS-CoV-2) infection among healthcare personnel: A 6-month prospective analysis of the COVID-19 Prevention in Emory Healthcare Personnel (COPE) Study.
Howard-Anderson, Jessica R; Adams, Carly; Dube, William C; Smith, Teresa C; Sherman, Amy C; Edupuganti, Neena; Mendez, Minerva; Chea, Nora; Magill, Shelley S; Espinoza, Daniel O; Zhu, Yerun; Phadke, Varun K; Edupuganti, Srilatha; Steinberg, James P; Lopman, Benjamin A; Jacob, Jesse T; Fridkin, Scott K; Collins, Matthew H.
Afiliación
  • Howard-Anderson JR; Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia.
  • Adams C; Georgia Emerging Infections Program, Decatur, Georgia.
  • Dube WC; Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia.
  • Smith TC; Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia.
  • Sherman AC; Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia.
  • Edupuganti N; Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia.
  • Mendez M; Hope Clinic of the Emory Vaccine Center, Atlanta, Georgia.
  • Chea N; Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia.
  • Magill SS; Division of Healthcare Quality Promotion, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
  • Espinoza DO; Division of Healthcare Quality Promotion, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
  • Zhu Y; Hope Clinic of the Emory Vaccine Center, Atlanta, Georgia.
  • Phadke VK; Hope Clinic of the Emory Vaccine Center, Atlanta, Georgia.
  • Edupuganti S; Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia.
  • Steinberg JP; Hope Clinic of the Emory Vaccine Center, Atlanta, Georgia.
  • Lopman BA; Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia.
  • Jacob JT; Hope Clinic of the Emory Vaccine Center, Atlanta, Georgia.
  • Fridkin SK; Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia.
  • Collins MH; Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia.
Infect Control Hosp Epidemiol ; 43(11): 1664-1671, 2022 11.
Article en En | MEDLINE | ID: mdl-35156597
OBJECTIVES: To determine the incidence of severe acute respiratory coronavirus virus 2 (SARS-CoV-2) infection among healthcare personnel (HCP) and to assess occupational risks for SARS-CoV-2 infection. DESIGN: Prospective cohort of healthcare personnel (HCP) followed for 6 months from May through December 2020. SETTING: Large academic healthcare system including 4 hospitals and affiliated clinics in Atlanta, Georgia. PARTICIPANTS: HCP, including those with and without direct patient-care activities, working during the coronavirus disease 2019 (COVID-19) pandemic. METHODS: Incident SARS-CoV-2 infections were determined through serologic testing for SARS-CoV-2 IgG at enrollment, at 3 months, and at 6 months. HCP completed monthly surveys regarding occupational activities. Multivariable logistic regression was used to identify occupational factors that increased the risk of SARS-CoV-2 infection. RESULTS: Of the 304 evaluable HCP that were seronegative at enrollment, 26 (9%) seroconverted for SARS-CoV-2 IgG by 6 months. Overall, 219 participants (73%) self-identified as White race, 119 (40%) were nurses, and 121 (40%) worked on inpatient medical-surgical floors. In a multivariable analysis, HCP who identified as Black race were more likely to seroconvert than HCP who identified as White (odds ratio, 4.5; 95% confidence interval, 1.3-14.2). Increased risk for SARS-CoV-2 infection was not identified for any occupational activity, including spending >50% of a typical shift at a patient's bedside, working in a COVID-19 unit, or performing or being present for aerosol-generating procedures (AGPs). CONCLUSIONS: In our study cohort of HCP working in an academic healthcare system, <10% had evidence of SARS-CoV-2 infection over 6 months. No specific occupational activities were identified as increasing risk for SARS-CoV-2 infection.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: COVID-19 Tipo de estudio: Etiology_studies / Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Infect Control Hosp Epidemiol Asunto de la revista: DOENCAS TRANSMISSIVEIS / ENFERMAGEM / EPIDEMIOLOGIA / HOSPITAIS Año: 2022 Tipo del documento: Article País de afiliación: Georgia Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: COVID-19 Tipo de estudio: Etiology_studies / Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Infect Control Hosp Epidemiol Asunto de la revista: DOENCAS TRANSMISSIVEIS / ENFERMAGEM / EPIDEMIOLOGIA / HOSPITAIS Año: 2022 Tipo del documento: Article País de afiliación: Georgia Pais de publicación: Estados Unidos