A Prospective Cohort of SARS-CoV-2-Infected Health Care Workers: Clinical Characteristics, Outcomes, and Follow-up Strategy

Coronavirus SARS-CoV-2; COVID-19; 2019-nCoV; Hospital a casa; Treballadors sanitaris

Detalles Bibliográficos
Autores: Nicolás, David, Spencer, Felipe, Arenas, Andrea, Butori, Eugenia, Maymó, Pol, Pericàs Pulido, Juan Manuel, Camós-Carreras, Anna
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2020
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:11351/6196
Acceso en línea:https://hdl.handle.net/11351/6196
Access Level:acceso abierto
Palabra clave:Personal sanitari
COVID-19 (Malaltia) - Diagnòstic - Catalunya
DISEASES::Virus Diseases::RNA Virus Infections::Nidovirales Infections::Coronaviridae Infections::Coronavirus Infections
NAMED GROUPS::Persons::Occupational Groups::Health Personnel
ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Diagnosis::Early Diagnosis
ENFERMEDADES::virosis::infecciones por virus ARN::infecciones por Nidovirales::infecciones por Coronaviridae::infecciones por Coronavirus
DENOMINACIONES DE GRUPOS::personas::grupos profesionales::personal sanitario
TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::diagnóstico::diagnóstico precoz
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oai_identifier_str oai:recercat.cat:11351/6196
network_acronym_str ES
network_name_str España
repository_id_str
dc.title.none.fl_str_mv A Prospective Cohort of SARS-CoV-2-Infected Health Care Workers: Clinical Characteristics, Outcomes, and Follow-up Strategy
title A Prospective Cohort of SARS-CoV-2-Infected Health Care Workers: Clinical Characteristics, Outcomes, and Follow-up Strategy
spellingShingle A Prospective Cohort of SARS-CoV-2-Infected Health Care Workers: Clinical Characteristics, Outcomes, and Follow-up Strategy
Nicolás, David
Personal sanitari
COVID-19 (Malaltia) - Diagnòstic - Catalunya
DISEASES::Virus Diseases::RNA Virus Infections::Nidovirales Infections::Coronaviridae Infections::Coronavirus Infections
NAMED GROUPS::Persons::Occupational Groups::Health Personnel
ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Diagnosis::Early Diagnosis
ENFERMEDADES::virosis::infecciones por virus ARN::infecciones por Nidovirales::infecciones por Coronaviridae::infecciones por Coronavirus
DENOMINACIONES DE GRUPOS::personas::grupos profesionales::personal sanitario
TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::diagnóstico::diagnóstico precoz
title_short A Prospective Cohort of SARS-CoV-2-Infected Health Care Workers: Clinical Characteristics, Outcomes, and Follow-up Strategy
title_full A Prospective Cohort of SARS-CoV-2-Infected Health Care Workers: Clinical Characteristics, Outcomes, and Follow-up Strategy
title_fullStr A Prospective Cohort of SARS-CoV-2-Infected Health Care Workers: Clinical Characteristics, Outcomes, and Follow-up Strategy
title_full_unstemmed A Prospective Cohort of SARS-CoV-2-Infected Health Care Workers: Clinical Characteristics, Outcomes, and Follow-up Strategy
title_sort A Prospective Cohort of SARS-CoV-2-Infected Health Care Workers: Clinical Characteristics, Outcomes, and Follow-up Strategy
dc.creator.none.fl_str_mv Nicolás, David
Spencer, Felipe
Arenas, Andrea
Butori, Eugenia
Maymó, Pol
Pericàs Pulido, Juan Manuel
Camós-Carreras, Anna
author Nicolás, David
author_facet Nicolás, David
Spencer, Felipe
Arenas, Andrea
Butori, Eugenia
Maymó, Pol
Pericàs Pulido, Juan Manuel
Camós-Carreras, Anna
author_role author
author2 Spencer, Felipe
Arenas, Andrea
Butori, Eugenia
Maymó, Pol
Pericàs Pulido, Juan Manuel
Camós-Carreras, Anna
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv Institut Català de la Salut
[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
Vall d'Hebron Barcelona Hospital Campus
dc.subject.none.fl_str_mv Personal sanitari
COVID-19 (Malaltia) - Diagnòstic - Catalunya
DISEASES::Virus Diseases::RNA Virus Infections::Nidovirales Infections::Coronaviridae Infections::Coronavirus Infections
NAMED GROUPS::Persons::Occupational Groups::Health Personnel
ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Diagnosis::Early Diagnosis
ENFERMEDADES::virosis::infecciones por virus ARN::infecciones por Nidovirales::infecciones por Coronaviridae::infecciones por Coronavirus
DENOMINACIONES DE GRUPOS::personas::grupos profesionales::personal sanitario
TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::diagnóstico::diagnóstico precoz
topic Personal sanitari
COVID-19 (Malaltia) - Diagnòstic - Catalunya
DISEASES::Virus Diseases::RNA Virus Infections::Nidovirales Infections::Coronaviridae Infections::Coronavirus Infections
NAMED GROUPS::Persons::Occupational Groups::Health Personnel
ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Diagnosis::Early Diagnosis
ENFERMEDADES::virosis::infecciones por virus ARN::infecciones por Nidovirales::infecciones por Coronaviridae::infecciones por Coronavirus
DENOMINACIONES DE GRUPOS::personas::grupos profesionales::personal sanitario
TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::diagnóstico::diagnóstico precoz
description Coronavirus SARS-CoV-2; COVID-19; 2019-nCoV; Hospital a casa; Treballadors sanitaris
publishDate 2020
dc.date.none.fl_str_mv 2020
2021
2021
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/11351/6196
url https://hdl.handle.net/11351/6196
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Open forum infectious diseases;8(1)
https://academic.oup.com/ofid/article/8/1/ofaa592/6026098
dc.rights.none.fl_str_mv Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Oxford University Press
publisher.none.fl_str_mv Oxford University Press
dc.source.none.fl_str_mv Scientia
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869419750739673088
spelling A Prospective Cohort of SARS-CoV-2-Infected Health Care Workers: Clinical Characteristics, Outcomes, and Follow-up StrategyNicolás, DavidSpencer, FelipeArenas, AndreaButori, EugeniaMaymó, PolPericàs Pulido, Juan ManuelCamós-Carreras, AnnaPersonal sanitariCOVID-19 (Malaltia) - Diagnòstic - CatalunyaDISEASES::Virus Diseases::RNA Virus Infections::Nidovirales Infections::Coronaviridae Infections::Coronavirus InfectionsNAMED GROUPS::Persons::Occupational Groups::Health PersonnelANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Diagnosis::Early DiagnosisENFERMEDADES::virosis::infecciones por virus ARN::infecciones por Nidovirales::infecciones por Coronaviridae::infecciones por CoronavirusDENOMINACIONES DE GRUPOS::personas::grupos profesionales::personal sanitarioTÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::diagnóstico::diagnóstico precozCoronavirus SARS-CoV-2; COVID-19; 2019-nCoV; Hospital a casa; Treballadors sanitarisCoronavirus SARS-CoV-2; COVID-19; 2019-nCoV; Hospital a domicilio; Trabajadores sanitariosCoronavirus SARS-CoV-2; COVID-19; 2019-nCoV; Hospital at Home; Health care workersBackground 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.Oxford University PressInstitut Català de la Salut[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, SpainVall d'Hebron Barcelona Hospital Campus202120212020info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/11351/6196Scientiareponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésOpen forum infectious diseases;8(1)https://academic.oup.com/ofid/article/8/1/ofaa592/6026098Attribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:11351/61962026-05-29T05:05:01Z
score 15.812455

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