Evaluation of healthcare personnel exposures to patients with severe acute respiratory coronavirus virus 2 (SARS-CoV-2) associated with personal protective equipment.

Autor:	Shah VP; Division of Preventive, Occupational and Aerospace Medicine, Mayo Clinic, Rochester, Minnesota., Breeher LE; Division of Preventive, Occupational and Aerospace Medicine, Mayo Clinic, Rochester, Minnesota.; Occupational Health Services, Mayo Clinic, Rochester, Minnesota., Hainy CM; Occupational Health Services, Mayo Clinic, Rochester, Minnesota., Swift MD; Division of Preventive, Occupational and Aerospace Medicine, Mayo Clinic, Rochester, Minnesota.; Occupational Health Services, Mayo Clinic, Rochester, Minnesota.
Jazyk:	angličtina
Zdroj:	Infection control and hospital epidemiology [Infect Control Hosp Epidemiol] 2022 Jun; Vol. 43 (6), pp. 770-774. Date of Electronic Publication: 2021 May 12.
DOI:	10.1017/ice.2021.219
Abstrakt:	Objective: Personal protective equipment (PPE) is a critical aspect of preventing the transmission of severe acute respiratory coronavirus virus 2 (SARS-CoV-2) in healthcare settings. We aimed to identify factors related to lapses in PPE use that may influence transmission of SARS-CoV-2 from patients to healthcare personnel (HCP). Design: Retrospective cohort study. Setting: Tertiary-care medical center in Minnesota. Participants: In total, 345 HCP who sustained a significant occupational exposure to a patient with coronavirus disease 2019 (COVID-19) from May 13, 2020, through November 30, 2020, were evaluated. Results: Overall, 8 HCP (2.3%) were found to have SARS-CoV-2 infection during their 14-day postexposure quarantine. A lack of eye protection during the care of a patient with COVID-19 was associated with HCP testing positive for SARS-CoV-2 by reverse-transcriptase polymerase chain reaction (RT-PCR) during the postexposure quarantine (relative risk [RR], 10.25; 95% confidence interval [CI], 1.28-82.39; P = .009). Overall, the most common reason for a significant exposure was the use of a surgical face mask instead of a respirator during an aerosol-generating procedure (55.9%). However, this was not associated with HCP testing positive for SARS-CoV-2 during the postexposure quarantine (RR, 0.99; 95% CI, 0.96-1; P = 1). Notably, transmission primarily occurred in units that did not regularly care for patients with COVID-19. Conclusions: The use of universal eye protection is a critical aspect of PPE to prevent patient-to-HCP transmission of SARS-CoV-2.
Databáze:	MEDLINE
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