The first wave of COVID-19 in hospital staff members of a tertiary care hospital in the greater Paris area: A surveillance and risk factors study

被引:14
作者
Davido, Benjamin [1 ]
Gautier, Sylvain [2 ,9 ]
Riom, Isabelle [2 ]
Landowski, Stephanie [1 ]
Lawrence, Christine [3 ]
Thiebaut, Anne [4 ]
Bessis, Simon [1 ]
Perronne, Veronique [1 ]
Mascitti, Helene [1 ]
Noussair, Latifa [3 ]
Rancon, Martine Domart [5 ]
Touraine, Beatrice [1 ]
Rouveix, Elisabeth [6 ,7 ]
Herrmann, Jean-Louis [3 ]
Annane, Djilalli [8 ]
de Truchis, Pierre [1 ]
Delarocque-Astagneau, Elisabeth [2 ,10 ]
机构
[1] Univ Paris Saclay, Hop Raymond Poincare, AP HP, Malad Infect, F-92380 Garches, France
[2] GHU Paris Saclay Univ, Raymond Poincare Hosp, AP HP, Epidemiol & Publ Hlth Dept, F-92380 Garches, France
[3] Univ Paris Saclay, Hop Raymond Poincare, AP HP, Lab Microbiol & Hyg, F-92380 Garches, France
[4] Univ Paris Saclay, High Dimens Biostat Team, CESP, Inserm U1018, F-94807 Villejuif, France
[5] Univ Paris Saclay, Hop Raymond Poincare, AP HP, Med Travail, F-92380 Garches, France
[6] Univ Paris Saclay, Hop Ambroise Pare, AP HP, Med Interne, F-92100 Boulogne Billancourt, France
[7] GERES, Grp Etud Risques dExposit Soignants, F-7518 Paris, France
[8] Univ Paris Saclay, FHU SEPSIS Saclay & Paris Seine Nord Endeavour Pe, RHU Records Rapid rEcognit CORticosteroiD Resista, Dept Intens Care,Hop Raymond Poincare,AP HP,Lab I, F-92380 Garches, France
[9] Univ Paris Saclay, UVSQ, Inserm U1018, CESP,Primary Care & Prevent Team, F-94807 Villejuif, France
[10] Univ Paris Saclay, UVSQ, Inserm U1018, CESP,Antiinfect Evas & Pharmacoepidemiol Team, F-94807 Villejuif, France
关键词
COVID-19; Healthcare workers; Personal protective equipment; Control measures; SARS-CoV-2;
D O I
10.1016/j.ijid.2021.02.055
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Introduction: Understanding how hospital staff members (HSMs), including healthcare workers, acquired severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) during the first wave can guide the control measures in the current second wave in Europe. Methods: From March 5 to May 10, 2020, the Raymond-Poincare Hospital held a weekday consultation for HSMs for PCR testing. HSMs were requested to complete a questionnaire on their potential exposure to SARS-CoV-2. Results: Of 200 HSMs screened, 70 tested positive for SARS-CoV-2. Ninety-nine HSMs completed the questionnaire of whom 28 tested positive for SARS-CoV-2. In the multivariable analysis, age of >= 44 years (aOR = 5.2, 95% CI [1.4-22.5]) and not systematically using a facemask when caring for a patient (aOR = 13.9, 95% CI [1.8- 293.0]) were significantly associated with SARS-CoV-2 infection. Working in a COVID19-dedicated ward (aOR = 0.7, 95% CI [0.2-3.2]) was not significantly associated with infection. Community-related exposure in and outside the hospital, hospital meetings without facemasks (aOR = 21.3, 95% CI [4.5-143.9]) and private gatherings (aOR = 10, 95% CI [1.3-91.0]) were significantly associated with infection. Conclusions: Our results support the effectiveness of barrier precautions and highlight in-hospital infections not related to patient care and infections related to exposure in the community. Protecting HSMs against COVID-19 is crucial in fighting the second wave of the epidemic. (C) 2021 The Author(s). Published by Elsevier Ltd on behalf of International Society for Infectious Diseases.
引用
收藏
页码:172 / 179
页数:8
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