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Am J Infect Control . The prevalence of COVID-19 in healthcare personnel in an adult and pediatric academic medical center

tetano

Editor, Senior Moderator
Am J Infect Control


. 2021 May;49(5):542-546.
doi: 10.1016/j.ajic.2021.01.004.
The prevalence of COVID-19 in healthcare personnel in an adult and pediatric academic medical center


John Shepard[SUP] 1 [/SUP], Samantha M R Kling[SUP] 2 [/SUP], Grace Lee[SUP] 3 [/SUP], Frances Wong[SUP] 4 [/SUP], John Frederick[SUP] 5 [/SUP], Mehdi Skhiri[SUP] 2 [/SUP], Marisa Holubar[SUP] 6 [/SUP], Jonathan G Shaw[SUP] 2 [/SUP], Diane Stafford[SUP] 3 [/SUP], Lisa Schilling[SUP] 7 [/SUP], Joseph Kim[SUP] 3 [/SUP], Sang Ick Chang[SUP] 2 [/SUP], Karen Frush[SUP] 8 [/SUP], Eric Hadhazy[SUP] 7 [/SUP]



Affiliations

Abstract

Background: It is vital to know which healthcare personnel (HCP) have a higher chance of testing positive for severe acute respiratory syndrome coronavirus 2 (COVID-19).
Methods: A retrospective analysis was conducted at Stanford Children's Health (SCH) and Stanford Health Care (SHC) in Stanford, California. Analysis included all HCP, employed by SCH or SHC, who had a COVID-19 reverse transcriptase polymerase chain reaction (RT-PCR) test resulted by the SHC Laboratory, between March 1, 2020 and June 15, 2020. The primary outcome was the RT-PCR percent positivity and prevalence of COVID-19 for HCP and these were compared across roles.
Results: SCH and SHC had 24,081 active employees, of which 142 had at least 1 positive COVID-19 test. The overall HCP prevalence of COVID-19 was 0.59% and percent positivity was 1.84%. Patient facing HCPs had a significantly higher prevalence (0.66% vs 0.43%; P = .0331) and percent positivity (1.95% vs 1.43%; P = .0396) than nonpatient facing employees, respectively. Percent positivity was higher in food service workers (9.15%), and environmental services (5.96%) compared to clinicians (1.93%; P < .0001) and nurses (1.46%; P < .0001), respectively.
Discussion and conclusion: HCP in patient-facing roles and in support roles had a greater chance of being positive of COVID-19.

Keywords: Occupational health; Pandemic; SARS-CoV-2.
 
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