dc.creator | Nicolás, David | es |
dc.creator | Camós-Carreras, Anna | es |
dc.creator | Spencer, Felipe | es |
dc.creator | Arenas, Andrea | es |
dc.creator | Fernández Rodríguez, Ana | es |
dc.creator | Llop, Lourdes | es |
dc.date.accessioned | 2022-10-20T16:57:10Z | |
dc.date.available | 2022-10-20T16:57:10Z | |
dc.date.issued | 2020-12-08 | |
dc.identifier.citation | Nicolás, D., Camós-Carreras, A., Spencer, F., Arenas, A., Fernández Rodríguez, A. y Llop, L. (2020). A Prospective Cohort of SARS-CoV-2-Infected Health Care Workers: Clinical Characteristics, Outcomes, and Follow-up Strategy. Open Forum Infectious Diseases, 8 (1), ofaa592. https://doi.org/10.1093/ofid/ofaa592. | |
dc.identifier.issn | 2328-8957 | es |
dc.identifier.uri | https://hdl.handle.net/11441/138205 | |
dc.description.abstract | Background
During the coronavirus disease 2019 (COVID-19) outbreaks, health care workers (HCWs) are at a high risk of infection. Strategies to reduce in-hospital transmission between HCWs and to safely manage infected HCWs are lacking. Our aim was to describe an active strategy for the management of COVID-19 in severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)–infected HCWs and investigate its outcomes.
Methods
A prospective cohort study of SARS-CoV-2-infected health care workers in a tertiary teaching hospital in Barcelona, Spain, was performed. An active strategy of weekly polymerase chain reaction screening of HCWs for SARS-CoV-2 was established by the Occupational Health department. Every positive HCW was admitted to the Hospital at Home Unit with daily assessment online and in-person discretionary visits. Clinical and epidemiological data were recorded.
Results
Of the 590 HCWs included in the cohort, 134 (22%) were asymptomatic at diagnosis, and 15% (89 patients) remained asymptomatic during follow-up. A third of positive cases were detected during routine screening. The most frequent symptoms were cough (68%), hyposmia/anosmia (49%), and fever (41%). Ten percent of the patients required specific treatment at home, while only 4% of the patients developed pneumonia. Seventeen patients required a visit to the outpatient clinic for further evaluation, and 6 of these (1%) required hospital admission. None of the HCWs included in this cohort required intensive care unit admission or died.
Conclusions
Active screening for SARS-CoV-2 among HCWs for early diagnosis and stopping in-hospital transmission chains proved efficacious in our institution, particularly due to the high percentage of asymptomatic HCWs. Follow-up of HCWs in Hospital at Home units is safe and effective, with low rates of severe infection and readmission. | es |
dc.format | application/pdf | es |
dc.format.extent | 6 p. | es |
dc.language.iso | eng | es |
dc.publisher | Oxford University Press | es |
dc.relation.ispartof | Open Forum Infectious Diseases, 8 (1), ofaa592. | |
dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 Internacional | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | * |
dc.subject | Coronavirus | es |
dc.subject | COVID-19 | es |
dc.subject | health care workers | es |
dc.subject | Hospital at Home | es |
dc.subject | SARS-CoV-2 | es |
dc.title | A Prospective Cohort of SARS-CoV-2-Infected Health Care Workers: Clinical Characteristics, Outcomes, and Follow-up Strategy | es |
dc.type | info:eu-repo/semantics/article | es |
dcterms.identifier | https://ror.org/03yxnpp24 | |
dc.type.version | info:eu-repo/semantics/publishedVersion | es |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | es |
dc.contributor.affiliation | Universidad de Sevilla. Departamento de Citología e Histología Normal y Patológica | es |
dc.relation.publisherversion | https://academic.oup.com/ofid/article/8/1/ofaa592/6026098 | es |
dc.identifier.doi | 10.1093/ofid/ofaa592 | es |
dc.journaltitle | Open Forum Infectious Diseases | es |
dc.publication.volumen | 8 | es |
dc.publication.issue | 1 | es |
dc.publication.initialPage | ofaa592 | |