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Evaluation of healthcare personnel exposures to patients with severe acute respiratory coronavirus virus 2 (SARS-CoV-2) associated with personal protective equipment.
Shah, Vishal P; Breeher, Laura E; Hainy, Caitlin M; Swift, Melanie D.
  • Shah VP; Division of Preventive, Occupational and Aerospace Medicine, Mayo Clinic, Rochester, Minnesota.
  • Breeher LE; Division of Preventive, Occupational and Aerospace Medicine, Mayo Clinic, Rochester, Minnesota.
  • Hainy CM; Occupational Health Services, Mayo Clinic, Rochester, Minnesota.
  • Swift MD; Occupational Health Services, Mayo Clinic, Rochester, Minnesota.
Infect Control Hosp Epidemiol ; 43(6): 770-774, 2022 06.
Article in English | MEDLINE | ID: covidwho-1747341
ABSTRACT

OBJECTIVE:

Personal protective equipment (PPE) is a critical aspect of preventing the transmission of severe acute respiratory coronavirus virus 2 (SARS-CoV-2) in healthcare settings. We aimed to identify factors related to lapses in PPE use that may influence transmission of SARS-CoV-2 from patients to healthcare personnel (HCP).

DESIGN:

Retrospective cohort study.

SETTING:

Tertiary-care medical center in Minnesota.

PARTICIPANTS:

In total, 345 HCP who sustained a significant occupational exposure to a patient with coronavirus disease 2019 (COVID-19) from May 13, 2020, through November 30, 2020, were evaluated.

RESULTS:

Overall, 8 HCP (2.3%) were found to have SARS-CoV-2 infection during their 14-day postexposure quarantine. A lack of eye protection during the care of a patient with COVID-19 was associated with HCP testing positive for SARS-CoV-2 by reverse-transcriptase polymerase chain reaction (RT-PCR) during the postexposure quarantine (relative risk [RR], 10.25; 95% confidence interval [CI], 1.28-82.39; P = .009). Overall, the most common reason for a significant exposure was the use of a surgical face mask instead of a respirator during an aerosol-generating procedure (55.9%). However, this was not associated with HCP testing positive for SARS-CoV-2 during the postexposure quarantine (RR, 0.99; 95% CI, 0.96-1; P = 1). Notably, transmission primarily occurred in units that did not regularly care for patients with COVID-19.

CONCLUSIONS:

The use of universal eye protection is a critical aspect of PPE to prevent patient-to-HCP transmission of SARS-CoV-2.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Virus Diseases / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study Limits: Humans Language: English Journal: Infect Control Hosp Epidemiol Journal subject: Communicable Diseases / Nursing / Epidemiology / Hospitals Year: 2022 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Virus Diseases / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study Limits: Humans Language: English Journal: Infect Control Hosp Epidemiol Journal subject: Communicable Diseases / Nursing / Epidemiology / Hospitals Year: 2022 Document Type: Article