| Autor: |
David Nicolás, Anna Camós-Carreras, Felipe Spencer, Andrea Arenas, Eugenia Butori, Pol Maymó, Gerard Anmella, Orla Torrallardona, Eduarda Alves, Laura García, Irene Pereta, Eva Castells, Nuria Seijas, Begoña Ibáñez, Carme Grané, Marta Bodro, Celia Cardozo, Sonia Barroso, Victoria Olive, Marta Tortajada, Carme Hernández, David Cucchiari, Emmanuel Coloma, Juan M. Pericas, Hospital Clínic Hospital at Home Team |
| Rok vydání: |
2020 |
| Předmět: |
|
| Zdroj: |
SSRN Electronic Journal. |
| ISSN: |
1556-5068 |
| DOI: |
10.2139/ssrn.3619789 |
| Popis: |
Background: During COVID-19 outbreak healthcare professionals were at high risk of infection, due to increased assistance pressure, shortage of personal protection equipment and screening tests. Strategies to reduce in-hospital transmission between HCPs and to safely manage infected HCPs are lacking. Methods: Prospective cohort of SARS-CoV-2 infected healthcare professionals of a tertiary teaching hospital in Barcelona, Spain. An active strategy of weekly PCR screening for SARS-CoV-2 on HCPs was established by the Occupational Health department. Every positive HCP was admitted in the Hospital at Home Unit with daily virtual assessment and in-person discretionary visits. Clinical and epidemiological data was recorded. Findings: Of the 590 HCP included in the cohort, 134 (22%) were asymptomatic at diagnosis, and 15% (89 patients) remained asymptomatic during the follow up. One third of the positives were detected during routine screening. The most frequent symptoms were cough (68%), hyposmia/anosmia (49%) and fever (41%). 10% of the patients required specific treatment at home, while only 4% of the patients developed pneumonia. Seventeen patients required an extra visit to the hospital, while six patients (1%) required hospital readmission. None of them required ICU admission or died. Interpretation: The high percentage of asymptomatic HCPs detected in our study point out the necessity of an active screening for SARS-CoV-2 among HCPs for early diagnosis, and stopping in-hospital transmission chains. Follow up of HCPs in Hospital at Home units is safe and effective, with low rates of severe infection and readmission. Funding Statement: The authors received no specific funding for this work. Declaration of Interests: None of the authors declare competing interests with regards to the current work. Ethics Approval Statement: The study protocol was evaluated and approved by the Ethical Board of the Hospital Clinic (HCB/2020/0444). A waiver for informed consent was provided due to the state of infectious disease emergency. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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