Characteristics and transmission dynamics of COVID-19 in healthcare workers in a tertiary teaching hospital
Coronavirus disease-19 (COVID-19) transmission significantly affected Healthcare workers (HCWs) worldwide. As a result, they have paid a heavy toll to the COVID-19 outbreak. However, the literature on its transmission routes and risk factors in HCWs is limited.
The aim. The authors seek to characterize and know the transmission dynamics of COVID-19 infection in the HCWs of our hospital.
Methods: A cross-sectional descriptive study was conducted by the authors. Staff records and virology testing results were used to identify SARS-CoV-2 positive HCWs and study the demographic characteristics and transmission dynamics over one and a half years. Data were analyzed using SPSS software version 23.
Results: A total of 169 healthcare workers were positive for SARS-CoV-2. 6 doctors were positive from non-clinical branches, and 17 were positive from clinical branches. One health worker also died of cardio-pulmonary compromise. 88.2 % of healthcare workers got infected while managing patient’s positive for COVID-19. The most frequent clinical manifestation was myalgias in 90.53 % of health workers, followed by arthralgia in 86.98 %. The least common symptoms were loss of taste/smell followed by radiographic changes, and only 19 (11.24 %) presented with shortness of breath. 79.88 % have taken self-medication to relieve COVID symptoms. Maximum number of health workers got infected from July to September.
Conclusions: Universal masking, reinforcement of hand hygiene, PPE kits with medical masks, appropriate infection control measures and testing of both clinical and non-clinical staff were essential measures for reducing transmission amongst HCWs
Huang, C., Wang, Y., Li, X., Ren, L., Zhao, J., Hu, Y., Zhang, L. et. al. (2020). Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. The Lancet, 395 (10223), 497–506. doi: https://doi.org/10.1016/s0140-6736(20)30183-5
Lucey, M., Macori, G., Mullane, N., Sutton-Fitzpatrick, U., Gonzalez, G., Coughlan, S. et. al. (2020). Whole-genome Sequencing to Track Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Transmission in Nosocomial Outbreaks. Clinical Infectious Diseases, 72 (11), e727–e735. doi: https://doi.org/10.1093/cid/ciaa1433
Jiang, L., Ng, I. H. L., Hou, Y., Li, D., Tan, L. W. L., Ho, H. J. A., Chen, M. I.-C. (2018). Infectious disease transmission: survey of contacts between hospital-based healthcare workers and working adults from the general population. Journal of Hospital Infection, 98 (4), 404–411. doi: https://doi.org/10.1016/j.jhin.2017.10.020
Burki, T. (2020). Global shortage of personal protective equipment. The Lancet Infectious Diseases, 20 (7), 785–786. doi: https://doi.org/10.1016/s1473-3099(20)30501-6
Liu, Q., Luo, D., Haase, J. E., Guo, Q., Wang, X. Q., Liu, S. et. al. (2020). The experiences of health-care providers during the COVID-19 crisis in China: a qualitative study. The Lancet Global Health, 8 (6), e790–e798. doi: https://doi.org/10.1016/s2214-109x(20)30204-7
MOHFW COVID-19: Guidelines on rational use of Personal Protective Equipment. Available at: https://www.mohfw.gov.in/pdf/GuidelinesonrationaluseofPersonal ProtectiveEquipment.pdf
Sahu, A. K., Amrithanand, V. T., Mathew, R., Aggarwal, P., Nayer, J., Bhoi, S. (2020). COVID-19 in health care workers – A systematic review and meta-analysis. The American Journal of Emergency Medicine, 38 (9), 1727–1731. doi: https://doi.org/10.1016/j.ajem.2020.05.113
Shrestha, S. (2020). Teaching and Training Medical Students at the Midst of COVID-19 Pandemic: Unanswered Questions and the Way Forward. Journal of Nepal Health Research Council, 18 (2), 320–323. doi: https://doi.org/10.33314/jnhrc.v18i2.2722
Çelebi, G., Pişkin, N., Çelik Bekleviç, A., Altunay, Y., Salcı Keleş, A., Tüz, M. A. et. al. (2020). Specific risk factors for SARS-CoV-2 transmission among health care workers in a university hospital. American Journal of Infection Control, 48 (10), 1225–1230. doi: https://doi.org/10.1016/j.ajic.2020.07.039
Contejean, A., Leporrier, J., Canoui, E., Alby-Laurent, F., Lafont, E., Beaudeau, L. (2020). Comparing dynamics and determinants of SARS-CoV-2 transmissions among health care workers of adult and pediatric settings in central Paris. Epidemiology. doi: https://doi.org/10.1101/2020.05.19.20106427
He, X., Lau, E. H. Y., Wu, P., Deng, X., Wang, J., Hao, X. et. al. (2020). Temporal dynamics in viral shedding and transmissibility of COVID-19. Nature Medicine, 26 (5), 672–675. doi: https://doi.org/10.1038/s41591-020-0869-5
Mitchell, K. J., Vayalumkal, J. V. (2017). Sickness presenteeism: The prevalence of coming to work while ill among paediatric resident physicians in Canada. Paediatrics & Child Health, 22 (2), 84–88. doi: https://doi.org/10.1093/pch/pxx026
Aghaizu, A., Elam, G., Ncube, F., Thomson, G., Szilágyi, E., Eckmanns, T. et. al. (2011). Preventing the next ‘SARS’ – European healthcare workers’ attitudes towards monitoring their health for the surveillance of newly emerging infections: qualitative study. BMC Public Health, 11 (1). doi: https://doi.org/10.1186/1471-2458-11-541
Ives, J., Greenfield, Sh., Parry, J. M., Draper, H., Gratus, C., Petts, J. I. et. al. (2009). Healthcare workers’ attitudes to working during pandemic influenza: a qualitative study. BMC Public Health, 9 (1). doi: https://doi.org/10.1186/1471-2458-9-56
Fink, D., Cropley, I., Jacobs, M., Mepham, S. (2017). Febrile illness in healthcare workers caring for Ebola virus disease patients in a high-resource setting. Eurosurveillance, 22 (4). doi: https://doi.org/10.2807/1560-7917.es.2017.22.4.30449
Webster, R. K., Liu, R., Karimullina, K., Hall, I., Amlôt, R., Rubin, G. J. (2019). A systematic review of infectious illness Presenteeism: prevalence, reasons and risk factors. BMC Public Health, 19 (1). doi: https://doi.org/10.1186/s12889-019-7138-x
McMichael, T. M., Clark, S., Pogosjans, S. et. al. (2020). COVID-19 in a long-term care facility–King County, Washington, February 27–March 9, 2020. Morb Mortal Wkly Rep, 69, 339–342. doi: http://dx.doi.org/10.15585/mmwr.mm6912e1
Seale, H., Leask, J., Po, K., MacIntyre, C. R. (2009). “Will they just pack up and leave?” attitudes and intended behaviour of hospital health care workers during an influenza pandemic. BMC Health Serv Res, 9 (1). doi: https://doi.org/10.1186/1472-6963-9-30
Tan, C. C. (2006). SARS in Singapore – key lessons from an epidemic. Annals of the Academy of Medicine of Singapore, 35, 345–349.
Rosen, M. A., DiazGranados, D., Dietz, A. S., Benishek, L. E., Thompson, D., Pronovost, P. J., Weaver, S. J. (2018). Teamwork in healthcare: Key discoveries enabling safer, high-quality care. American Psychologist, 73 (4), 433–450. doi: https://doi.org/10.1037/amp0000298
Wilder-Smith, A., Freedman, D. O. (2020). Isolation, quarantine, social distancing and community containment: pivotal role for old-style public health measures in the novel coronavirus (2019-nCoV) outbreak. Journal of Travel Medicine, 27 (2). doi: https://doi.org/10.1093/jtm/taaa020
Bell, D. M. (2004). Public Health Interventions and SARS Spread, 2003. Emerging Infectious Diseases, 10 (11), 1900–1906. doi: https://doi.org/10.3201/eid1011.040729
Lewnard, J. A., Lo, N. C. (2020). Scientific and ethical basis for social-distancing interventions against COVID-19. The Lancet Infectious Diseases, 20 (6), 631–633. doi: https://doi.org/10.1016/s1473-3099(20)30190-0
Wang, W., Xu, Y., Gao, R., Lu, R., Han, K., Wu, G., Tan, W. (2020). Detection of SARS-CoV-2 in Different Types of Clinical Specimens. JAMA. doi: https://doi.org/10.1001/jama.2020.3786
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