Characteristics of healthcare personnel with SARS-CoV-2 infection: 10 emerging infections program sites in the United States, April 2020-December 2021

被引：0

作者：

Chea, Nora ^{[1
]}

Eure, Taniece ^{[1
]}

Ramirez, Rebecca Alkis ^{[1
]}

Zlotorzynska, Maria ^{[1
]}

Blazek, Gregory T. ^{[1
,2
]}

Nadle, Joelle ^{[3
]}

Lee, Jane ^{[3
]}

Czaja, Christopher A. ^{[4
]}

Johnston, Helen ^{[4
]}

Barter, Devra ^{[4
]}

Kellogg, Melissa ^{[4
]}

Emanuel, Catherine ^{[4
]}

Meek, James ^{[5
]}

Brackney, Monica ^{[5
]}

Carswell, Stacy ^{[6
]}

Thomas, Stepy ^{[6
]}

Fridkin, Scott K. ^{[7
]}

Wilson, Lucy E. ^{[8
]}

Perlmutter, Rebecca ^{[8
]}

Marceaux-Galli, Kaytlynn ^{[8
]}

Fell, Ashley ^{[9
]}

Lovett, Sara ^{[9
]}

Lim, Sarah ^{[9
]}

Lynfield, Ruth ^{[9
]}

Shrum Davis, Sarah ^{[10
]}

Phipps, Erin C. ^{[10
,11
]}

Sievers, Marla ^{[11
]}

Dumyati, Ghinwa ^{[12
]}

Myers, Christopher ^{[12
]}

Hurley, Christine ^{[12
]}

Licherdell, Erin ^{[12
]}

Pierce, Rebecca ^{[13
]}

Ocampo, Valerie L. S. ^{[13
]}

Hall, Eric W. ^{[14
,15
]}

Wilson, Christopher ^{[16
]}

Adre, Cullen ^{[16
]}

Kirtz, Erika ^{[16
]}

Markus, Tiffanie M. ^{[17
]}

Billings, Kathryn ^{[17
]}

Plumb, Ian D. ^{[18
]}

Abedi, Glen R. ^{[18
]}

James-Gist, Jade ^{[18
]}

Magill, Shelley S. ^{[1
]}

Grigg, Cheri T. ^{[1
]}

机构：

[1] Natl Ctr Emerging & Zoonot Infect Dis, CDCP, Div Healthcare Qual Promot, Atlanta, GA 30333 USA

[2] Chenega Enterprise Syst & Solut LLC, Chesapeake, VA USA

[3] Calif Emerging Infect Program, Oakland, CA USA

[4] Colorado Dept Publ Hlth & Environm, Denver, CO USA

[5] Yale Sch Publ Hlth, Connecticut Emerging Infect Program, New Haven, CT USA

[6] Fdn Atlanta Vet Educ & Res, Atlanta Vet Affairs Med Ctr, Georgia Emerging Infect Program, Atlanta, GA USA

[7] Emory Univ, Sch Med, Georgia Emerging Infect Program, Atlanta, GA USA

[8] Maryland Dept Hlth, Baltimore, MD USA

[9] Minnesota Dept Hlth, St Paul, MN USA

[10] Univ New Mexico, New Mex Emerging Infect Program, Albuquerque, NM USA

[11] New Mexico Dept Hlth, Santa Fe, NM USA

[12] Univ Rochester, Med Ctr, New York Emerging Infect Program, Rochester, NY USA

[13] Publ Hlth Div, Oregon Hlth Author, Portland, OR USA

[14] Oregon Hlth & Sci Univ, Portland, OR USA

[15] Oregon Hlth & Sci Univ, Portland State Univ, Sch Publ Hlth, Portland, OR USA

[16] Tennessee Dept Hlth, Nashville, TN USA

[17] Vanderbilt Univ, Med Ctr, Nashville, TN USA

[18] Natl Ctr Immunizat & Resp Dis, CDCP, Div Viral Dis, Atlanta, GA USA

来源：

INFECTION CONTROL & HOSPITAL EPIDEMIOLOGY | 2024年 / 45卷 / 09期

关键词：

Healthcare personnel; COVID-19; SARS-CoV-2; social vulnerability; SOCIAL VULNERABILITY; SEROPREVALENCE; RISK;

D O I：

10.1017/ice.2024.71

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Background: Understanding characteristics of healthcare personnel (HCP) with SARS-CoV-2 infection supports the development and prioritization of interventions to protect this important workforce. We report detailed characteristics of HCP who tested positive for SARS-CoV-2 from April 20, 2020 through December 31, 2021.Methods: CDC collaborated with Emerging Infections Program sites in 10 states to interview HCP with SARS-CoV-2 infection (case-HCP) about their demographics, underlying medical conditions, healthcare roles, exposures, personal protective equipment (PPE) use, and COVID-19 vaccination status. We grouped case-HCP by healthcare role. To describe residential social vulnerability, we merged geocoded HCP residential addresses with CDC/ATSDR Social Vulnerability Index (SVI) values at the census tract level. We defined highest and lowest SVI quartiles as high and low social vulnerability, respectively.Results: Our analysis included 7,531 case-HCP. Most case-HCP with roles as certified nursing assistant (CNA) (444, 61.3%), medical assistant (252, 65.3%), or home healthcare worker (HHW) (225, 59.5%) reported their race and ethnicity as either non-Hispanic Black or Hispanic. More than one third of HHWs (166, 45.2%), CNAs (283, 41.7%), and medical assistants (138, 37.9%) reported a residential address in the high social vulnerability category. The proportion of case-HCP who reported using recommended PPE at all times when caring for patients with COVID-19 was lowest among HHWs compared with other roles.Conclusions: To mitigate SARS-CoV-2 infection risk in healthcare settings, infection prevention, and control interventions should be specific to HCP roles and educational backgrounds. Additional interventions are needed to address high social vulnerability among HHWs, CNAs, and medical assistants.

引用

页码：1090 / 1098

页数：9

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