Risk factors for SARS-CoV-2 infection among health care workers
In: ISSN: 0196-6553 ; American Journal of Infection Control ; https://hal.archives-ouvertes.fr/hal-03468405 ; American Journal of Infection Control, Elsevier, 2021, ⟨10.1016/j.ajic.2021.11.001⟩, 2021
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Zugriff:
International audience ; BACKGROUND: Health care workers (HCWs) are on the front line for COVID-19. Better knowledge of risk factors for SARS-CoV-2 infection is crucial for their protection. We aimed to identify these risk factors with a focus on care activities. METHODS: We conducted a seroprevalence survey among HCWs in a French referral hospital. Data on COVID-19 exposures, care activities, and protective equipment were collected on a standardized questionnaire. Multivariate logistic regressions were used to assess risk factors for SARS-CoV-2 IgG adjusted on potential confounding. FINDINGS: Among the 3,234 HCWs enrolled, the prevalence of SARS-CoV-2 IgG was 3.8%. Risk factors included contact with relatives or HCWs with COVID-19 (OR 2.20 [1.40-3.45] and 2.16 [1.46-3.18], respectively), but not contact with COVID-19 patients. In multivariate analyses, suboptimal use of protective equipment during nasopharyngeal sampling (OR 3.46 [1.15-10.40]), mobilisation of patients in bed (OR 3.30 [1.51-7.25]), clinical examination (OR 2.51 [1.16-5.43]), and eye examination (OR 2.90 [1.01-8.35]) were associated with SARS-CoV-2 infection. Patients washing and dressing and aerosol-generating procedures were additional risk factors, with or without appropriate use of protective equipment (OR 1.37 [1.04-1.81] and 1.74 [1.05-2.88]). CONCLUSION: Risk factors for SARS-CoV-2 infection among HCWs are i) contact with relatives or HCWs with COVID-19, ii) close or prolonged contact with patients, iii) aerosol-generating procedures. Enhanced protective measures during the two latter care-activities may be warranted.
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Risk factors for SARS-CoV-2 infection among health care workers
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Autor/in / Beteiligte Person: | Paris, Christophe ; Tadié, Emilie ; Heslan, Christopher ; Gary-Bobo, Pierre ; Oumary, Sitty ; Saade, Anastasia ; Sitruk, Anaïs ; Wild, Pascal ; Thibault, V. ; Tattevin, Pierre ; Garlantézec, Ronan ; École des Hautes Études en Santé Publique EHESP (EHESP) ; Institut de recherche en santé, environnement et travail (Irset) ; Université d'Angers (UA)-Université de Rennes 1 (UR1) ; Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-École des Hautes Études en Santé Publique EHESP (EHESP)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ) ; CHU Pontchaillou Rennes ; Institut national de recherche et de sécurité (Vandoeuvre lès Nancy) (INRS ( Vandoeuvre lès Nancy)) ; ARN régulateurs bactériens et médecine (BRM) ; Université de Rennes 1 (UR1) ; Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ) ; Biosit : biologie, santé, innovation technologique (SFR UMS CNRS 3480 - INSERM 018) ; Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ) |
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Zeitschrift: | ISSN: 0196-6553 ; American Journal of Infection Control ; https://hal.archives-ouvertes.fr/hal-03468405 ; American Journal of Infection Control, Elsevier, 2021, ⟨10.1016/j.ajic.2021.11.001⟩, 2021 |
Veröffentlichung: | HAL CCSD ; Elsevier, 2021 |
Medientyp: | academicJournal |
DOI: | 10.1016/j.ajic.2021.11.001 |
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