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Risk to Radiology Staff for Occupational COVID-19 Infection in a High-Risk and a Low-Risk Region in Germany: Lessons from the "First Wave". / Risiko radiologischer Mitarbeiter für eine COVID-19-Infektion in einer Hoch- und Niedrigrisikoregion in Deutschland: Lehren aus der "ersten Welle".
Finkenzeller, Thomas; Lenhart, Stephan; Reinwald, Mark; Lüth, Stefan; Dendl, Lena Marie; Paetzel, Christian; Szczypien, Natasza; Klawonn, Frank; Von Meyer, Alexander; Schreyer, Andreas G.
  • Finkenzeller T; Department of Radiology and Neuroradiology, Hospital Weiden, Germany.
  • Lenhart S; Department of Radiology and Neuroradiology, Hospital Weiden, Germany.
  • Reinwald M; Department of Hematology and Oncology, Brandenburg Medical School Theodor Fontane, Brandenburg a. d. Havel, Germany.
  • Lüth S; Clinic for Gastroenterology, Diabetology & Hepatology, Brandenburg Medical School Theodor Fontane, Brandenburg a. d. Havel, Germany.
  • Dendl LM; Department of Radiology, Brandenburg Medical School Theodor Fontane, Treuenbrietzen, Germany, Department of Radiology, Johanniter Specialty Clinic Treuenbrietzen, Treuenbrietzen, Germany.
  • Paetzel C; Institute for Diagnostic and Interventional Radiology, Brandenburg Medical School Theodor Fontane, Brandenburg a. d. Havel, Germany.
  • Szczypien N; Department of Radiology and Neuroradiology, Hospital Weiden, Germany.
  • Klawonn F; Institute for Information Engineering, Ostfalia University of Applied Sciences, Wolfenbüttel, Germany.
  • Von Meyer A; Biostatistics, Helmholtz Centre for Infection Research, Braunschweig, Germany.
  • Schreyer AG; Institute for Laboratory Medicine, Medical Microbiology and Technical Hygienics, Munich Municipal Hospital Group, München, Germany.
Rofo ; 193(5): 537-543, 2021 05.
Article in English, German | MEDLINE | ID: covidwho-1127197
Semantic information from SemMedBD (by NLM)
1. Radiology studies ADMINISTERED_TO Patients
Subject
Radiology studies
Predicate
ADMINISTERED_TO
Object
Patients
2. Hospitals LOCATION_OF Diagnostic radiologic examination
Subject
Hospitals
Predicate
LOCATION_OF
Object
Diagnostic radiologic examination
3. intensive care unit LOCATION_OF Diagnostic radiologic examination
Subject
intensive care unit
Predicate
LOCATION_OF
Object
Diagnostic radiologic examination
4. Ward (environment) LOCATION_OF Diagnostic radiologic examination
Subject
Ward (environment)
Predicate
LOCATION_OF
Object
Diagnostic radiologic examination
5. Infected PROCESS_OF Persons
Subject
Infected
Predicate
PROCESS_OF
Object
Persons
6. Radiology studies ADMINISTERED_TO Patients
Subject
Radiology studies
Predicate
ADMINISTERED_TO
Object
Patients
7. Hospitals LOCATION_OF Diagnostic radiologic examination
Subject
Hospitals
Predicate
LOCATION_OF
Object
Diagnostic radiologic examination
8. intensive care unit LOCATION_OF Diagnostic radiologic examination
Subject
intensive care unit
Predicate
LOCATION_OF
Object
Diagnostic radiologic examination
9. Ward (environment) LOCATION_OF Diagnostic radiologic examination
Subject
Ward (environment)
Predicate
LOCATION_OF
Object
Diagnostic radiologic examination
10. Infected PROCESS_OF Persons
Subject
Infected
Predicate
PROCESS_OF
Object
Persons
ABSTRACT

PURPOSE:

The recent COVID-19 pandemic has resulted in an increasing overload of the medical system. Healthcare workers (HCW) in radiology departments are exposed to a high infection risk similar to HCWs in the ICU or dedicated COVID wards. The goal of our paper is to evaluate the prevalence of IgG antibody against SARS-CoV-2 among radiology HCWs in two different hospitals and regions in Germany with a low and high COVID-19 prevalence and to compare it to the prevalence in other clinical personnel. Additionally, we assessed the number of radiological procedures performed in patients with a positive PCR test (C+) followed by a short review of the risk for nosocomial infections of radiology HCWs. MATERIALS AND

METHODS:

During the first COVID-19 wave between March and July 2020, we evaluated a region with one of the highest COVID-19 rates (776-1570/100 000) in Germany (Hospital A). Additionally, we assessed Hospital B in a region with a low prevalence (65/100 000). We tested the serum prevalence of SARS-CoV-2 IgG antibodies among the whole staff with a subgroup analysis for radiology in both hospitals. We calculated the total number of different radiological procedures performed in C+ patients.

RESULTS:

In Hospital A 594 PCR-proven C+ patients were treated resulting in 2723 radiological procedures. 24 % (n = 6) of the radiology technicians and 13.35 (n = 2) of radiologists had a positive IgG test. The rates were similar to positive rates in HCWs in COVID-19 wards and ICUs within the hospital. The most frequently performed procedures in C+ patients were chest X-rays (3.17/patient) and CT examinations (1.15/patient). In Hospital B 50 C+ patients were treated, resulting in 64 radiological procedures. None of the HCWs tested IgG positive. The most frequently performed examinations were also chest X-rays (1.04/patient) and CT (0.2/patient).

CONCLUSION:

HCWs in radiology have a high occupational infection risk similar to that of HCWs in ICUs and dedicated COVID wards. KEY POINTS · The risk of acquiring COVID-19 increases with the amount of contact with infected individuals.. · The occupational risk of a SARS-CoV-2 infection for radiology staff is similar to that of nurses and physicians in COVID wards.. · Hygiene concepts and medical resources have to be adapted for further COVID outbreaks.. · Reporting of an occupational disease can be considered in the case of seropositive staff.. CITATION FORMAT · Finkenzeller T, Lenhart S, Reinwald M et al. Risk to Radiology Staff for Occupational COVID-19 Infection in a High-Risk and a Low-Risk Region in Germany Lessons from the "First Wave". Fortschr Röntgenstr 2021; 193 537 - 543.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Cross Infection / Radiologists / COVID-19 / Occupational Diseases Type of study: Diagnostic study / Etiology study / Evaluation study / Prevalence study / Qualitative research / Randomized controlled trials / Risk factors Limits: Humans Country/Region as subject: Europa Language: German / English Journal: Rofo Year: 2021 Document Type: Article Affiliation country: A-1393-6668

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Cross Infection / Radiologists / COVID-19 / Occupational Diseases Type of study: Diagnostic study / Etiology study / Evaluation study / Prevalence study / Qualitative research / Randomized controlled trials / Risk factors Limits: Humans Country/Region as subject: Europa Language: German / English Journal: Rofo Year: 2021 Document Type: Article Affiliation country: A-1393-6668