Extremely low prevalence of asymptomatic COVID-19 among healthcare workers caring for COVID-19 patients in Israeli hospitals: a cross-sectional study

Autor: Dror Marchaim, Alexandra Bibliv, Shoshana Yashaev, Haya Friedman, Talya Finn Fried, Nava Teitler, Evgeny Berkov, Debby Ben-David, Dafna Hen, Inna Estrin, Regev Cohen, Orna Schwartz Harar, Miriam Ottolenghi, Yehuda Carmeli, Malka Yakobov, Ilana Gross, Galit Ben Yossef, Pnina Shitrit, Elizabeth Temkin, Shaul Lev, Haim Ben-Zvi, Mitchell J. Schwaber, Yonit Wiener-Well, Shmuel Benenson, Ester Solter, Viktoria Beilin, Amir Nutman, Tamar Gottesman, Azza Vaturi, Natalia Halel Wolf, Rana Shbita, Marina Afraimov, Alia Yassin, Carmela Gweta Lugassy, Carole Slama, Bina Rubinovitch, Hani Laderman, Noga Vered Egozi, Michal Itach Ben-Dor, Hodaya Saadon
Rok vydání: 2020
Předmět:
0301 basic medicine
Microbiology (medical)
Adult
Male
medicine.medical_specialty
Infectious Disease Transmission
Patient-to-Professional

Coronavirus disease 2019 (COVID-19)
Critical Care
Cross-sectional study
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
Health Personnel
030106 microbiology
education
Physical Distancing
Disease
Asymptomatic
03 medical and health sciences
0302 clinical medicine
COVID-19 Testing
Health care
medicine
Prevalence
Infection control
Humans
030212 general & internal medicine
Israel
Personal protective equipment
Personal Protective Equipment
business.industry
Reverse Transcriptase Polymerase Chain Reaction
SARS-CoV-2
virus diseases
COVID-19
General Medicine
Middle Aged
Research Note
Infectious Diseases
Cross-Sectional Studies
Family medicine
Asymptomatic Diseases
Practice Guidelines as Topic
Female
medicine.symptom
business
Zdroj: Clinical Microbiology and Infection
ISSN: 1469-0691
Popis: Objectives We aimed to compare the prevalence of asymptomatic coronavirus disease 19 (COVID-19) among clinical staff in designated COVID-19 units versus that among staff in similar units with no known or suspected COVID-19 patients. Methods We conducted a cross-sectional survey of healthcare workers (HCWs) in eight Israeli general hospitals. The survey involved a questionnaire and a PCR test for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). We surveyed HCWs in COVID-19 units and comparison units (internal medicine and cardiology) between 30th April and 7th May 2020. Results There were 522 participants: 291 from COVID-19 units and 231 from comparison units. Only one participant (0.2%, 95%CI: 0.005–1.1%)—an asymptomatic nurse on a COVID-19 unit—tested positive for SARS-CoV-2. In participating COVID-19 units there were two symptomatic HCWs with confirmed COVID-19 in the 2 weeks before the survey; both were infected by contact with a co-worker outside of the COVID-19 unit. Conclusions The low prevalence of asymptomatic COVID-19 among HCWs, coupled with an absence of symptomatic COVID-19 acquired during patient care, suggest that Israel's national guidelines for personal protective equipment, which are consistent with those of the World Health Organization, adequately protect HCWs.
Databáze: OpenAIRE