Importance of mitigation measures for hospital transmission of SARS-CoV-2 at the onset of the epidemic: the experience of Brescia, Northern Italy
| Autor: | Alberto Matteelli, Beatrice Formenti, Gloria Cola, Valentina Marchese, Natalia Gregori, Francesco Castelli, Irene Possenti, Elisa Albini, Giuseppe De Palma, Marco Scala |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Microbiology (medical)
Coronavirus disease 2019 (COVID-19) Health Personnel Health-care workers Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Nosocomial infection Mitigation measures Humans Medicine Hospital infection Epidemics Retrospective Studies Original Paper SARS-CoV-2 business.industry Transmission (medicine) Risk of infection COVID-19 Retrospective cohort study General Medicine Hospitals Italy Northern italy Infectious Diseases Preparedness Population study business Demography |
| Zdroj: | Infection |
| ISSN: | 1439-0973 0300-8126 |
| Popis: | Purpose Since the first Italian case of SARS-CoV-2 was detected in Lombardy (Northern Italy) Italy quickly became one of the worst-affected European countries, with a severe impact on health-care workers (HCWs). In the first epidemic, HCWs accounted for 12% of all national COVID-19 cases. We evaluated the burden of COVID-19 among HCWs and other non-health-care workers (nHCWs) in a large Italian hospital. Methods From March 1st to May 31st 2020, we performed a retrospective study at ASST Civil Hospital, in the Province of Brescia, Lombardy. The study population included all hospital personnel (n = 9265), categorized by professional status. Results A SARS-CoV-2 test was performed in 3572 workers (38.5%), with a positive result in 552 (5.9% of all hospital personnel). The temporal trend of SARS-CoV-2 cases in hospital staff broadly reflected that in the community, with a great majority of infections occurred during March 2020 (87.7%). From April onward, a steep decrease of positive cases was observed among hospital personnel, while in the community the decrease was much slower. Medical doctors (8.9%) and nurses (8.5%) were the most affected professional categories with a significantly higher risk of SARS-CoV-2 infection (OR 1.436 and OR 1.410, respectively p p Conclusion HCWs were severely affected by the COVID-19 epidemic, probably associated with an overwhelming burden of work and lack of preparedness in prevention of nosocomial transmission of the infection. The rapid decrease of COVID-19 spread in the hospital, registered before the one in the community, suggests that the adopted preventive measures were effective. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink