COVID-19 Infection and Symptoms Among Emergency Medicine Residents and Fellows in an Urban Academic Hospital Setting: Cross-sectional Questionnaire Study.

Autor:	Frisch S; Department of Emergency Medicine SUNY Downstate Health Sciences University Brooklyn, NY United States., Jones S; Department of Emergency Medicine Jackson Health System Miami, FL United States., Willis J; Department of Emergency Medicine SUNY Downstate Health Sciences University Brooklyn, NY United States., Sinert R; Department of Emergency Medicine SUNY Downstate Health Sciences University Brooklyn, NY United States.
Jazyk:	angličtina
Zdroj:	JMIRx med [JMIRx Med] 2022 Jan 27; Vol. 3 (1), pp. e29539. Date of Electronic Publication: 2022 Jan 27 (Print Publication: 2022).
DOI:	10.2196/29539
Abstrakt:	Background: COVID-19, an illness caused by the novel coronavirus SARS-CoV-2, affected many aspects of health care worldwide in 2020. From March to May 2020, New York City experienced a large surge of cases. Objective: The aim of this study is to characterize the prevalence of illness and symptoms experienced by residents and fellows in 2 New York City hospitals during the period of March to May 2020. Methods: An institutional review board-exempt survey was distributed to emergency medicine housestaff in May 2020, and submissions were accepted through August 2020. Results: Out of 104 residents and fellows, 64 responded to our survey (a 61.5% response rate). Out of 64 responders, 27 (42%) tested positive for SARS-CoV-2 antibodies. Most residents experienced symptoms that are consistent with COVID-19; however, few received polymerase chain reaction testing. Out of 27 housestaff with SARS-CoV-2 antibodies, 18 (67%) experienced fever and chills, compared with 8 out of 34 housestaff (24%) without SARS-CoV-2 antibodies. Of the 27 housestaff with SARS-CoV-2 antibodies, 19 (70%) experienced loss of taste and smell, compared with 2 out of 34 housestaff (6%) without SARS-CoV-2 antibodies. Both fever and chills and loss of taste and smell were significantly more commonly experienced by antibody-positive compared to antibody-negative housestaff ( P =.002 and <.001, respectively). All 13 housestaff who reported no symptoms during the study period tested negative for SARS-CoV-2 antibodies. Conclusions: Our study demonstrated that in our hospitals, the rate of COVID-19 illness among emergency department housestaff was much higher than previously reported. Further studies are needed to characterize illness among medical staff in emergency departments across the nation. The high infection rate among emergency medicine trainees stresses the importance of supplying adequate personal protective equipment for health care professionals. Competing Interests: Conflicts of Interest: None declared. (©Stacey Frisch, Sarah Jones, James Willis, Richard Sinert. Originally published in JMIRx Med (https://med.jmirx.org), 27.01.2022.)
Databáze:	MEDLINE
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