Risk of SARS-CoV-2 Transmission in Health Care Personnel Working in a Pediatric COVID-19 Unit.

Autor: Lo Vecchio A; Section of Pediatrics, Departments of Translational Medical Science and andrea.lovecchio@unina.it., Pierri L; Section of Pediatrics, Departments of Translational Medical Science and., Poeta M; Section of Pediatrics, Departments of Translational Medical Science and., Vassallo E; Section of Pediatrics, Departments of Translational Medical Science and., Varelli M; Istituto Diagnostico Varelli Srl, Naples, Italy., Montella E; Public Health, University of Naples Federico II, Naples, Italy; and., Guarino A; Section of Pediatrics, Departments of Translational Medical Science and., Bruzzese E; Section of Pediatrics, Departments of Translational Medical Science and.
Jazyk: angličtina
Zdroj: Hospital pediatrics [Hosp Pediatr] 2021 Mar; Vol. 11 (3), pp. e42-e47. Date of Electronic Publication: 2020 Dec 23.
DOI: 10.1542/hpeds.2020-003855
Abstrakt: Objectives: The paucity of symptoms and the difficulties in wearing personal protective equipment make children a potential source of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection for health care workers (HCWs). Previous experience in pediatric settings reported high rate of intrahospital SARS-CoV-2 transmission in HCWs caring for children. We aimed at investigating the rate and determinants of SARS-CoV-2 infection among HCWs working in a regional reference center in the Southern Italy.
Methods: A prospective observational study was conducted to monitor the occurrence of SARS-CoV-2 infections among HCWs and investigate the relation between the infection rate and hours of exposure or number and characteristics of procedures, including nasopharyngeal swab, high-flow oxygen delivery, suctioning of airway secretions, sputum induction, and nebulizer administration.
Results: After 5 months of monitoring, 425.6 hours of SARS-CoV-2 exposure (18.5 hours per person), and 920 hospital procedures, no case of nosocomial transmission was reported among the 23 HCWs enrolled in the study.
Conclusions: The application of stringent preventive measures, also outside the area dedicated to patients' care, can effectively control infection spreading also in pediatric settings.
Competing Interests: POTENTIAL CONFLICT OF INTEREST: The authors have indicated they have no potential conflicts of interest to disclose.
(Copyright © 2021 by the American Academy of Pediatrics.)
Databáze: MEDLINE