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The prevalence of COVID-19 in healthcare personnel in an adult and pediatric academic medical center.
Shepard, John; Kling, Samantha M R; Lee, Grace; Wong, Frances; Frederick, John; Skhiri, Mehdi; Holubar, Marisa; Shaw, Jonathan G; Stafford, Diane; Schilling, Lisa; Kim, Joseph; Ick Chang, Sang; Frush, Karen; Hadhazy, Eric.
  • Shepard J; Department of Quality, Patient Safety and Clinical Effectiveness, Stanford Health Care, Stanford, CA. Electronic address: jshepard@stanfordhealthcare.org.
  • Kling SMR; Stanford University, School of Medicine, Department of Medicine, Primary Care and Population Health, Occupational Health Respiratory Evaluation Center, Stanford, CA.
  • Lee G; Stanford Children's Health & Stanford University School of Medicine, Department of Pediatrics, Palo Alto, CA.
  • Wong F; Kaiser Permanente Fontana Medical Center, Department of Inpatient Pharmacy, Fontana, CA.
  • Frederick J; Western Michigan University, Homer Stryker M.D. School of Medicine, Kalamazoo, MI.
  • Skhiri M; Stanford University, School of Medicine, Department of Medicine, Primary Care and Population Health, Occupational Health Respiratory Evaluation Center, Stanford, CA.
  • Holubar M; Stanford University, School of Medicine, Department of Medicine, Division of Infectious Diseases, Stanford, CA.
  • Shaw JG; Stanford University, School of Medicine, Department of Medicine, Primary Care and Population Health, Occupational Health Respiratory Evaluation Center, Stanford, CA.
  • Stafford D; Stanford Children's Health & Stanford University School of Medicine, Department of Pediatrics, Palo Alto, CA.
  • Schilling L; Department of Quality, Patient Safety and Clinical Effectiveness, Stanford Health Care, Stanford, CA.
  • Kim J; Stanford Children's Health & Stanford University School of Medicine, Department of Pediatrics, Palo Alto, CA.
  • Ick Chang S; Stanford University, School of Medicine, Department of Medicine, Primary Care and Population Health, Occupational Health Respiratory Evaluation Center, Stanford, CA.
  • Frush K; Department of Quality, Patient Safety and Clinical Effectiveness, Stanford Health Care, Stanford, CA; Stanford University, School of Medicine, Department of Emergency Medicine, Stanford, CA.
  • Hadhazy E; Department of Quality, Patient Safety and Clinical Effectiveness, Stanford Health Care, Stanford, CA.
Am J Infect Control ; 49(5): 542-546, 2021 05.
Article in English | MEDLINE | ID: covidwho-1198579
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.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Occupational Health / Health Personnel / SARS-CoV-2 / COVID-19 Type of study: Diagnostic study / Observational study / Prognostic study Limits: Adult / Child / Female / Humans / Male Country/Region as subject: North America Language: English Journal: Am J Infect Control Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Occupational Health / Health Personnel / SARS-CoV-2 / COVID-19 Type of study: Diagnostic study / Observational study / Prognostic study Limits: Adult / Child / Female / Humans / Male Country/Region as subject: North America Language: English Journal: Am J Infect Control Year: 2021 Document Type: Article