Risk Groups for SARS-CoV-2 Infection among Healthcare Workers: Community Versus Hospital Transmission
Background: We aimed to detect the risk factors for SARS-CoV-2 infection among healthcare workers (HCWs) in 2020 before the vaccination era. Methods: We surveyed SARS-CoV-2 infection among the HCWs in a hospital through screening for antibody levels and the detection of viral RNA by RT-PCR between M...
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| Format: | Article |
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MDPI AG
2021-08-01
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| Series: | Infectious Disease Reports |
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| Online Access: | https://www.mdpi.com/2036-7449/13/3/67 |
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| author | Fatihan Pınarlık Zeliha Genç Mahir Kapmaz Süda Tekin Önder Ergönül |
| author_facet | Fatihan Pınarlık Zeliha Genç Mahir Kapmaz Süda Tekin Önder Ergönül |
| author_sort | Fatihan Pınarlık |
| collection | DOAJ |
| description | Background: We aimed to detect the risk factors for SARS-CoV-2 infection among healthcare workers (HCWs) in 2020 before the vaccination era. Methods: We surveyed SARS-CoV-2 infection among the HCWs in a hospital through screening for antibody levels and the detection of viral RNA by RT-PCR between May 2020 and December 2020. Occupational and non-occupational potential predictors of disease were surveyed for the HCWs included in this study. Results: Among 1925 personnel in the hospital, 1732 were included to the study with a response rate of 90%. The overall infection rate of HCWs was 16.3% at the end of 2020, before vaccinations started. In the multivariate analysis, being janitorial staff (OR: 2.24, CI: 1.21–4.14, <i>p</i> = 0.011), being a medical secretary (OR: 4.17, CI: 2.12–8.18, <i>p</i> < 0.001), having at least one household member with a COVID-19 diagnosis (OR: 8.98, CI: 6.64–12.15, <i>p</i> < 0.001), and number of household members > 3 (OR: 1.67, CI: 1.26–2.22, <i>p</i> < 0.001) were found to be significantly associated with SARS-CoV-2 infection. Conclusions: Medical secretaries and janitorial staff were under increased risk of SARS-CoV-2 infection. The community-hospital gradient can explain the mode of transmission for infection among HCWs. In the setting of this study, community measures were less strict, whereas hospital infection control was adequate and provided necessary personal protective equipment. Increasing risk in larger households and households with diagnosed COVID-19 patient indicates the community-acquired transmission of the infection. |
| first_indexed | 2024-03-10T07:37:07Z |
| format | Article |
| id | doaj.art-cdd11ac3e03f4ca7bf8c621958644667 |
| institution | Directory Open Access Journal |
| issn | 2036-7449 |
| language | English |
| last_indexed | 2024-03-10T07:37:07Z |
| publishDate | 2021-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Infectious Disease Reports |
| spelling | doaj.art-cdd11ac3e03f4ca7bf8c6219586446672023-11-22T13:23:07ZengMDPI AGInfectious Disease Reports2036-74492021-08-0113372472910.3390/idr13030067Risk Groups for SARS-CoV-2 Infection among Healthcare Workers: Community Versus Hospital TransmissionFatihan Pınarlık0Zeliha Genç1Mahir Kapmaz2Süda Tekin3Önder Ergönül4Department of Infectious Diseases and Clinical Microbiology, School of Medicine, Koc University, 34010 Istanbul, TurkeyInfectious Diseases and Clinical Microbiology, Koc University Hospital, 34010 Istanbul, TurkeyInfectious Diseases and Clinical Microbiology, Koc University Hospital, 34010 Istanbul, TurkeyDepartment of Infectious Diseases and Clinical Microbiology, School of Medicine, Koc University, 34010 Istanbul, TurkeyDepartment of Infectious Diseases and Clinical Microbiology, School of Medicine, Koc University, 34010 Istanbul, TurkeyBackground: We aimed to detect the risk factors for SARS-CoV-2 infection among healthcare workers (HCWs) in 2020 before the vaccination era. Methods: We surveyed SARS-CoV-2 infection among the HCWs in a hospital through screening for antibody levels and the detection of viral RNA by RT-PCR between May 2020 and December 2020. Occupational and non-occupational potential predictors of disease were surveyed for the HCWs included in this study. Results: Among 1925 personnel in the hospital, 1732 were included to the study with a response rate of 90%. The overall infection rate of HCWs was 16.3% at the end of 2020, before vaccinations started. In the multivariate analysis, being janitorial staff (OR: 2.24, CI: 1.21–4.14, <i>p</i> = 0.011), being a medical secretary (OR: 4.17, CI: 2.12–8.18, <i>p</i> < 0.001), having at least one household member with a COVID-19 diagnosis (OR: 8.98, CI: 6.64–12.15, <i>p</i> < 0.001), and number of household members > 3 (OR: 1.67, CI: 1.26–2.22, <i>p</i> < 0.001) were found to be significantly associated with SARS-CoV-2 infection. Conclusions: Medical secretaries and janitorial staff were under increased risk of SARS-CoV-2 infection. The community-hospital gradient can explain the mode of transmission for infection among HCWs. In the setting of this study, community measures were less strict, whereas hospital infection control was adequate and provided necessary personal protective equipment. Increasing risk in larger households and households with diagnosed COVID-19 patient indicates the community-acquired transmission of the infection.https://www.mdpi.com/2036-7449/13/3/67healthcare workersCOVID-19risk factorsseroprevalencepredictor |
| spellingShingle | Fatihan Pınarlık Zeliha Genç Mahir Kapmaz Süda Tekin Önder Ergönül Risk Groups for SARS-CoV-2 Infection among Healthcare Workers: Community Versus Hospital Transmission Infectious Disease Reports healthcare workers COVID-19 risk factors seroprevalence predictor |
| title | Risk Groups for SARS-CoV-2 Infection among Healthcare Workers: Community Versus Hospital Transmission |
| title_full | Risk Groups for SARS-CoV-2 Infection among Healthcare Workers: Community Versus Hospital Transmission |
| title_fullStr | Risk Groups for SARS-CoV-2 Infection among Healthcare Workers: Community Versus Hospital Transmission |
| title_full_unstemmed | Risk Groups for SARS-CoV-2 Infection among Healthcare Workers: Community Versus Hospital Transmission |
| title_short | Risk Groups for SARS-CoV-2 Infection among Healthcare Workers: Community Versus Hospital Transmission |
| title_sort | risk groups for sars cov 2 infection among healthcare workers community versus hospital transmission |
| topic | healthcare workers COVID-19 risk factors seroprevalence predictor |
| url | https://www.mdpi.com/2036-7449/13/3/67 |
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