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dc.contributorVall d'Hebron Barcelona Hospital Campus
dc.contributor.authorNicolás, David
dc.contributor.authorCamós-Carreras, Anna
dc.contributor.authorSpencer, Felipe
dc.contributor.authorArenas, Andrea
dc.contributor.authorButori, Eugenia
dc.contributor.authorMaymó, Pol
dc.contributor.authorPericàs Pulido, Juan Manuel
dc.date.accessioned2021-07-21T11:29:46Z
dc.date.available2021-07-21T11:29:46Z
dc.date.issued2020-12-08
dc.identifier.citationNicolás D, Camós-Carreras A, Spencer F, Arenas A, Butori E, Maymó P, et al. A Prospective Cohort of SARS-CoV-2-Infected Health Care Workers: Clinical Characteristics, Outcomes, and Follow-up Strategy. Open Forum Infect Dis. 2020 Dec 8;8(1):ofaa592.
dc.identifier.issn2328-8957
dc.identifier.urihttp://hdl.handle.net/11351/6196
dc.descriptionCoronavirus SARS-CoV-2; COVID-19; 2019-nCoV; Hospital at Home; Health care workers
dc.description.abstractBackground 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.
dc.language.isoeng
dc.publisherOxford University Press
dc.relation.ispartofseriesOpen forum infectious diseases;8(1)
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.sourceScientia
dc.subjectPersonal sanitari
dc.subjectCOVID-19 (Malaltia) - Diagnòstic - Catalunya
dc.subject.meshCoronavirus Infections
dc.subject.meshHealth Personnel
dc.subject.meshEarly Diagnosis
dc.titleA Prospective Cohort of SARS-CoV-2-Infected Health Care Workers: Clinical Characteristics, Outcomes, and Follow-up Strategy
dc.typeinfo:eu-repo/semantics/article
dc.identifier.doi10.1093/ofid/ofaa592
dc.subject.decsinfecciones por Coronavirus
dc.subject.decspersonal sanitario
dc.subject.decsdiagnóstico precoz
dc.relation.publishversionhttps://academic.oup.com/ofid/article/8/1/ofaa592/6026098
dc.type.versioninfo:eu-repo/semantics/publishedVersion
dc.audienceProfessionals
dc.contributor.organismesInstitut Català de la Salut
dc.contributor.authoraffiliation[Nicolás D] Internal Medicine Service, Hospital Clinic Barcelona, Barcelona, Spain. Hospital at Home Unit, Medical and Nurse Direction, Hospital Clinic Barcelona, Barcelona, Spain. University of Barcelona, Barcelona, Spain. [Camós-Carreras A, Spencer F] Ophthalmology Service, Hospital Clínic Barcelona, Barcelona, Spain. [Arenas A, Butori E, Maymó P] Hospital at Home Unit, Medical and Nurse Direction, Hospital Clinic Barcelona, Barcelona, Spain. [Pericàs JM] Internal Medicine Service, Hospital Clinic Barcelona, Barcelona, Spain. Hospital at Home Unit, Medical and Nurse Direction, Hospital Clinic Barcelona, Barcelona, Spain. Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain
dc.identifier.pmid33537362
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess


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