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Differential occupational risks to healthcare workers from SARS-CoV-2 observed during a prospective observational study.
Eyre, David W; Lumley, Sheila F; O'Donnell, Denise; Campbell, Mark; Sims, Elizabeth; Lawson, Elaine; Warren, Fiona; James, Tim; Cox, Stuart; Howarth, Alison; Doherty, George; Hatch, Stephanie B; Kavanagh, James; Chau, Kevin K; Fowler, Philip W; Swann, Jeremy; Volk, Denis; Yang-Turner, Fan; Stoesser, Nicole; Matthews, Philippa C; Dudareva, Maria; Davies, Timothy; Shaw, Robert H; Peto, Leon; Downs, Louise O; Vogt, Alexander; Amini, Ali; Young, Bernadette C; Drennan, Philip George; Mentzer, Alexander J; Skelly, Donal T; Karpe, Fredrik; Neville, Matt J; Andersson, Monique; Brent, Andrew J; Jones, Nicola; Martins Ferreira, Lucas; Christott, Thomas; Marsden, Brian D; Hoosdally, Sarah; Cornall, Richard; Crook, Derrick W; Stuart, David I; Screaton, Gavin; Peto, Timothy Ea; Holthof, Bruno; O'Donnell, Anne-Marie; Ebner, Daniel; Conlon, Christopher P; Jeffery, Katie.
  • Eyre DW; Big Data Institute, Nuffield Department of Population Health, University of Oxford, Oxford, United Kingdom.
  • Lumley SF; Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.
  • O'Donnell D; NIHR Oxford Biomedical Research Centre, University of Oxford, Oxford, United Kingdom.
  • Campbell M; NIHR Health Protection Research Unit in Healthcare Associated Infections and Antimicrobial Resistance at University of Oxford in partnership with Public Health England, Oxford, United Kingdom.
  • Sims E; Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.
  • Lawson E; Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
  • Warren F; Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.
  • James T; Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.
  • Cox S; Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.
  • Howarth A; Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.
  • Doherty G; Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.
  • Hatch SB; Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.
  • Kavanagh J; Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
  • Chau KK; Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
  • Fowler PW; Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
  • Swann J; Target Discovery Institute, University of Oxford, Oxford, United Kingdom.
  • Volk D; Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
  • Yang-Turner F; Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
  • Stoesser N; NIHR Oxford Biomedical Research Centre, University of Oxford, Oxford, United Kingdom.
  • Matthews PC; Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
  • Dudareva M; Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
  • Davies T; NIHR Oxford Biomedical Research Centre, University of Oxford, Oxford, United Kingdom.
  • Shaw RH; Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
  • Peto L; NIHR Oxford Biomedical Research Centre, University of Oxford, Oxford, United Kingdom.
  • Downs LO; Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
  • Vogt A; Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.
  • Amini A; NIHR Oxford Biomedical Research Centre, University of Oxford, Oxford, United Kingdom.
  • Young BC; NIHR Health Protection Research Unit in Healthcare Associated Infections and Antimicrobial Resistance at University of Oxford in partnership with Public Health England, Oxford, United Kingdom.
  • Drennan PG; Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
  • Mentzer AJ; Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.
  • Skelly DT; Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
  • Karpe F; Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.
  • Neville MJ; Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.
  • Andersson M; Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.
  • Brent AJ; Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.
  • Jones N; Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.
  • Martins Ferreira L; Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.
  • Christott T; Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.
  • Marsden BD; Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
  • Hoosdally S; Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.
  • Cornall R; Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
  • Crook DW; Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.
  • Stuart DI; Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.
  • Screaton G; Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
  • Peto TE; Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, United Kingdom.
  • Holthof B; NIHR Oxford Biomedical Research Centre, University of Oxford, Oxford, United Kingdom.
  • O'Donnell AM; Radcliffe Department of Medicine, University of Oxford, Oxford, United Kingdom.
  • Ebner D; NIHR Oxford Biomedical Research Centre, University of Oxford, Oxford, United Kingdom.
  • Conlon CP; Radcliffe Department of Medicine, University of Oxford, Oxford, United Kingdom.
  • Jeffery K; Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.
Elife ; 92020 08 21.
Article in English | MEDLINE | ID: covidwho-727516
Semantic information from SemMedBD (by NLM)
1. Asymptomatic PROCESS_OF Staff
Subject
Asymptomatic
Predicate
PROCESS_OF
Object
Staff
2. COVID-19 PROCESS_OF Patients
Subject
COVID-19
Predicate
PROCESS_OF
Object
Patients
3. Asymptomatic PROCESS_OF Staff
Subject
Asymptomatic
Predicate
PROCESS_OF
Object
Staff
4. COVID-19 PROCESS_OF Patients
Subject
COVID-19
Predicate
PROCESS_OF
Object
Patients
ABSTRACT
We conducted voluntary Covid-19 testing programmes for symptomatic and asymptomatic staff at a UK teaching hospital using naso-/oro-pharyngeal PCR testing and immunoassays for IgG antibodies. 1128/10,034 (11.2%) staff had evidence of Covid-19 at some time. Using questionnaire data provided on potential risk-factors, staff with a confirmed household contact were at greatest risk (adjusted odds ratio [aOR] 4.82 [95%CI 3.45-6.72]). Higher rates of Covid-19 were seen in staff working in Covid-19-facing areas (22.6% vs. 8.6% elsewhere) (aOR 2.47 [1.99-3.08]). Controlling for Covid-19-facing status, risks were heterogenous across the hospital, with higher rates in acute medicine (1.52 [1.07-2.16]) and sporadic outbreaks in areas with few or no Covid-19 patients. Covid-19 intensive care unit staff were relatively protected (0.44 [0.28-0.69]), likely by a bundle of PPE-related measures. Positive results were more likely in Black (1.66 [1.25-2.21]) and Asian (1.51 [1.28-1.77]) staff, independent of role or working location, and in porters and cleaners (2.06 [1.34-3.15]).
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Health Personnel / Coronavirus Infections Type of study: Etiology study / Incidence study / Observational study / Prognostic study / Randomized controlled trials / Risk factors Limits: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged / Young adult Country/Region as subject: Europa Language: English Year: 2020 Document Type: Article Affiliation country: ELife.60675

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Health Personnel / Coronavirus Infections Type of study: Etiology study / Incidence study / Observational study / Prognostic study / Randomized controlled trials / Risk factors Limits: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged / Young adult Country/Region as subject: Europa Language: English Year: 2020 Document Type: Article Affiliation country: ELife.60675