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

Autor: Jessica R. Howard-Anderson, Carly Adams, William C. Dube, Teresa C. Smith, Amy C. Sherman, Neena Edupuganti, Minerva Mendez, Nora Chea, Shelley S. Magill, Daniel O. Espinoza, Yerun Zhu, Varun K. Phadke, Srilatha Edupuganti, James P. Steinberg, Benjamin A. Lopman, Jesse T. Jacob, Scott K. Fridkin, Matthew H. Collins
Rok vydání: 2022
Předmět:
Zdroj: Infection Control & Hospital Epidemiology. 43:1664-1671
ISSN: 1559-6834
0899-823X
Popis: 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
Databáze: OpenAIRE
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