Please use this identifier to cite or link to this item:
http://hdl.handle.net/2445/184221
Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Nicolás, David | - |
dc.contributor.author | Camos, Anna | - |
dc.contributor.author | Spencer, Felipe | - |
dc.contributor.author | Arenas, Andrea | - |
dc.contributor.author | Butori, Eugenia | - |
dc.contributor.author | Maymó, Pol | - |
dc.contributor.author | Anmella, Gerard | - |
dc.contributor.author | Torrallardona-Murphy, Orla | - |
dc.contributor.author | Alves, Eduarda | - |
dc.contributor.author | García, Laura | - |
dc.contributor.author | Pereta, Irene | - |
dc.contributor.author | Castells, Eva | - |
dc.contributor.author | Seijas, Nuria | - |
dc.contributor.author | Ibáñez, Begoña | - |
dc.contributor.author | Grané, Carme | - |
dc.contributor.author | Bodro, Marta | - |
dc.contributor.author | Cardozo Espinola, Celia | - |
dc.contributor.author | Barroso, Sonia | - |
dc.contributor.author | Olive, Victoria | - |
dc.contributor.author | Tortajada, Marta | - |
dc.contributor.author | Hernández, Carme (Hernández Carcereny) | - |
dc.contributor.author | Cucchiari, David | - |
dc.contributor.author | Coloma, Emmanuel | - |
dc.contributor.author | Pericàs, Juan M. | - |
dc.date.accessioned | 2022-03-17T17:15:18Z | - |
dc.date.available | 2022-03-17T17:15:18Z | - |
dc.date.issued | 2020-12-08 | - |
dc.identifier.issn | 2328-8957 | - |
dc.identifier.uri | http://hdl.handle.net/2445/184221 | - |
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 (SARSCoV-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. Keywords. coronavirus; COVID-19; health care workers; Hospital at Home; SARS-CoV-2. | - |
dc.format.extent | 6 p. | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | - |
dc.publisher | Oxford University Press | - |
dc.relation.isformatof | Reproducció del document publicat a: https://doi.org/10.1093/ofid/ofaa592 | - |
dc.relation.ispartof | Open Forum Infectious Diseases, 2021, vol. 8, num. 1, p. ofaa592 | - |
dc.relation.uri | https://doi.org/10.1093/ofid/ofaa592 | - |
dc.rights | cc-by-nc-nd (c) Nicolás, David et al., 2021 | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/4.0/ | - |
dc.source | Articles publicats en revistes (Medicina) | - |
dc.subject.classification | COVID-19 | - |
dc.subject.classification | Personal sanitari | - |
dc.subject.other | COVID-19 | - |
dc.subject.other | Medical personnel | - |
dc.title | A Prospective Cohort of SARS-CoV-2-Infected Health Care Workers: Clinical Characteristics, Outcomes, and Follow-up Strategy | - |
dc.type | info:eu-repo/semantics/article | - |
dc.type | info:eu-repo/semantics/publishedVersion | - |
dc.identifier.idgrec | 716710 | - |
dc.date.updated | 2022-03-17T17:15:18Z | - |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | - |
Appears in Collections: | Articles publicats en revistes (Medicina) Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer) |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
716710.pdf | 250.18 kB | Adobe PDF | View/Open |
This item is licensed under a Creative Commons License