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Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/184221
A Prospective Cohort of SARS-CoV-2-Infected Health Care Workers: Clinical Characteristics, Outcomes, and Follow-up Strategy
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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.
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NICOLÁS, David, CAMOS, Anna, SPENCER, Felipe, ARENAS, Andrea, BUTORI, Eugenia, MAYMÓ, Pol, ANMELLA, Gerard, TORRALLARDONA-MURPHY, Orla, ALVES, Eduarda, GARCÍA, Laura, PERETA, Irene, CASTELLS, Eva, SEIJAS, Nuria, IBÁÑEZ, Begoña, GRANÉ, Carme, BODRO, Marta, CARDOZO ESPINOLA, Celia, BARROSO, Sonia, OLIVE, Victoria, TORTAJADA, Marta, HERNÁNDEZ, Carme (hernández carcereny), CUCCHIARI, David, COLOMA, Emmanuel, PERICÀS, Juan m.. A Prospective Cohort of SARS-CoV-2-Infected Health Care Workers: Clinical Characteristics, Outcomes, and Follow-up Strategy. _Open Forum Infectious Diseases_. 2021. Vol. 8, núm. 1, pàgs. ofaa592. [consulta: 24 de gener de 2026]. ISSN: 2328-8957. [Disponible a: https://hdl.handle.net/2445/184221]