The first wave of COVID-19 in hospital staff members of a tertiary care hospital in the greater Paris area: A surveillance and risk factors study
Introduction: Understanding how hospital staff members (HSMs), including healthcare workers, acquired severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) during the first wave can guide the control measures in the current second wave in Europe. Methods: From March 5 to May 10, 2020, the Ray...
| Main Authors: | , , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2021-04-01
|
| Series: | International Journal of Infectious Diseases |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1201971221001417 |
| id |
doaj-58574ea7bdf0444dbe9c70e0a08acce5 |
|---|---|
| record_format |
Article |
| collection |
DOAJ |
| language |
English |
| format |
Article |
| sources |
DOAJ |
| author |
Benjamin Davido Sylvain Gautier Isabelle Riom Stephanie Landowski Christine Lawrence Anne Thiebaut Simon Bessis Veronique Perronne Helene Mascitti Latifa Noussair Martine Domart Rancon Beatrice Touraine Elisabeth Rouveix Jean-Louis Herrmann Djilalli Annane Pierre de Truchis Elisabeth Delarocque-Astagneau |
| spellingShingle |
Benjamin Davido Sylvain Gautier Isabelle Riom Stephanie Landowski Christine Lawrence Anne Thiebaut Simon Bessis Veronique Perronne Helene Mascitti Latifa Noussair Martine Domart Rancon Beatrice Touraine Elisabeth Rouveix Jean-Louis Herrmann Djilalli Annane Pierre de Truchis Elisabeth Delarocque-Astagneau The first wave of COVID-19 in hospital staff members of a tertiary care hospital in the greater Paris area: A surveillance and risk factors study International Journal of Infectious Diseases COVID-19 Healthcare workers Personal protective equipment Control measures SARS-CoV-2 |
| author_facet |
Benjamin Davido Sylvain Gautier Isabelle Riom Stephanie Landowski Christine Lawrence Anne Thiebaut Simon Bessis Veronique Perronne Helene Mascitti Latifa Noussair Martine Domart Rancon Beatrice Touraine Elisabeth Rouveix Jean-Louis Herrmann Djilalli Annane Pierre de Truchis Elisabeth Delarocque-Astagneau |
| author_sort |
Benjamin Davido |
| title |
The first wave of COVID-19 in hospital staff members of a tertiary care hospital in the greater Paris area: A surveillance and risk factors study |
| title_short |
The first wave of COVID-19 in hospital staff members of a tertiary care hospital in the greater Paris area: A surveillance and risk factors study |
| title_full |
The first wave of COVID-19 in hospital staff members of a tertiary care hospital in the greater Paris area: A surveillance and risk factors study |
| title_fullStr |
The first wave of COVID-19 in hospital staff members of a tertiary care hospital in the greater Paris area: A surveillance and risk factors study |
| title_full_unstemmed |
The first wave of COVID-19 in hospital staff members of a tertiary care hospital in the greater Paris area: A surveillance and risk factors study |
| title_sort |
first wave of covid-19 in hospital staff members of a tertiary care hospital in the greater paris area: a surveillance and risk factors study |
| publisher |
Elsevier |
| series |
International Journal of Infectious Diseases |
| issn |
1201-9712 |
| publishDate |
2021-04-01 |
| description |
Introduction: Understanding how hospital staff members (HSMs), including healthcare workers, acquired severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) during the first wave can guide the control measures in the current second wave in Europe. Methods: From March 5 to May 10, 2020, the Raymond-Poincaré Hospital held a weekday consultation for HSMs for PCR testing. HSMs were requested to complete a questionnaire on their potential exposure to SARS-CoV-2. Results: Of 200 HSMs screened, 70 tested positive for SARS-CoV-2. Ninety-nine HSMs completed the questionnaire of whom 28 tested positive for SARS-CoV-2. In the multivariable analysis, age of ≥44 years (aOR = 5.2, 95% CI [1.4–22.5]) and not systematically using a facemask when caring for a patient (aOR = 13.9, 95% CI [1.8–293.0]) were significantly associated with SARS-CoV-2 infection. Working in a COVID-19-dedicated ward (aOR = 0.7, 95% CI [0.2–3.2]) was not significantly associated with infection. Community-related exposure in and outside the hospital, hospital meetings without facemasks (aOR = 21.3, 95% CI [4.5–143.9]) and private gatherings (aOR = 10, 95% CI [1.3–91.0]) were significantly associated with infection. Conclusions: Our results support the effectiveness of barrier precautions and highlight in-hospital infections not related to patient care and infections related to exposure in the community. Protecting HSMs against COVID-19 is crucial in fighting the second wave of the epidemic. |
| topic |
COVID-19 Healthcare workers Personal protective equipment Control measures SARS-CoV-2 |
| url |
http://www.sciencedirect.com/science/article/pii/S1201971221001417 |
| work_keys_str_mv |
AT benjamindavido thefirstwaveofcovid19inhospitalstaffmembersofatertiarycarehospitalinthegreaterparisareaasurveillanceandriskfactorsstudy AT sylvaingautier thefirstwaveofcovid19inhospitalstaffmembersofatertiarycarehospitalinthegreaterparisareaasurveillanceandriskfactorsstudy AT isabelleriom thefirstwaveofcovid19inhospitalstaffmembersofatertiarycarehospitalinthegreaterparisareaasurveillanceandriskfactorsstudy AT stephanielandowski thefirstwaveofcovid19inhospitalstaffmembersofatertiarycarehospitalinthegreaterparisareaasurveillanceandriskfactorsstudy AT christinelawrence thefirstwaveofcovid19inhospitalstaffmembersofatertiarycarehospitalinthegreaterparisareaasurveillanceandriskfactorsstudy AT annethiebaut thefirstwaveofcovid19inhospitalstaffmembersofatertiarycarehospitalinthegreaterparisareaasurveillanceandriskfactorsstudy AT simonbessis thefirstwaveofcovid19inhospitalstaffmembersofatertiarycarehospitalinthegreaterparisareaasurveillanceandriskfactorsstudy AT veroniqueperronne thefirstwaveofcovid19inhospitalstaffmembersofatertiarycarehospitalinthegreaterparisareaasurveillanceandriskfactorsstudy AT helenemascitti thefirstwaveofcovid19inhospitalstaffmembersofatertiarycarehospitalinthegreaterparisareaasurveillanceandriskfactorsstudy AT latifanoussair thefirstwaveofcovid19inhospitalstaffmembersofatertiarycarehospitalinthegreaterparisareaasurveillanceandriskfactorsstudy AT martinedomartrancon thefirstwaveofcovid19inhospitalstaffmembersofatertiarycarehospitalinthegreaterparisareaasurveillanceandriskfactorsstudy AT beatricetouraine thefirstwaveofcovid19inhospitalstaffmembersofatertiarycarehospitalinthegreaterparisareaasurveillanceandriskfactorsstudy AT elisabethrouveix thefirstwaveofcovid19inhospitalstaffmembersofatertiarycarehospitalinthegreaterparisareaasurveillanceandriskfactorsstudy AT jeanlouisherrmann thefirstwaveofcovid19inhospitalstaffmembersofatertiarycarehospitalinthegreaterparisareaasurveillanceandriskfactorsstudy AT djilalliannane thefirstwaveofcovid19inhospitalstaffmembersofatertiarycarehospitalinthegreaterparisareaasurveillanceandriskfactorsstudy AT pierredetruchis thefirstwaveofcovid19inhospitalstaffmembersofatertiarycarehospitalinthegreaterparisareaasurveillanceandriskfactorsstudy AT elisabethdelarocqueastagneau thefirstwaveofcovid19inhospitalstaffmembersofatertiarycarehospitalinthegreaterparisareaasurveillanceandriskfactorsstudy AT benjamindavido firstwaveofcovid19inhospitalstaffmembersofatertiarycarehospitalinthegreaterparisareaasurveillanceandriskfactorsstudy AT sylvaingautier firstwaveofcovid19inhospitalstaffmembersofatertiarycarehospitalinthegreaterparisareaasurveillanceandriskfactorsstudy AT isabelleriom firstwaveofcovid19inhospitalstaffmembersofatertiarycarehospitalinthegreaterparisareaasurveillanceandriskfactorsstudy AT stephanielandowski firstwaveofcovid19inhospitalstaffmembersofatertiarycarehospitalinthegreaterparisareaasurveillanceandriskfactorsstudy AT christinelawrence firstwaveofcovid19inhospitalstaffmembersofatertiarycarehospitalinthegreaterparisareaasurveillanceandriskfactorsstudy AT annethiebaut firstwaveofcovid19inhospitalstaffmembersofatertiarycarehospitalinthegreaterparisareaasurveillanceandriskfactorsstudy AT simonbessis firstwaveofcovid19inhospitalstaffmembersofatertiarycarehospitalinthegreaterparisareaasurveillanceandriskfactorsstudy AT veroniqueperronne firstwaveofcovid19inhospitalstaffmembersofatertiarycarehospitalinthegreaterparisareaasurveillanceandriskfactorsstudy AT helenemascitti firstwaveofcovid19inhospitalstaffmembersofatertiarycarehospitalinthegreaterparisareaasurveillanceandriskfactorsstudy AT latifanoussair firstwaveofcovid19inhospitalstaffmembersofatertiarycarehospitalinthegreaterparisareaasurveillanceandriskfactorsstudy AT martinedomartrancon firstwaveofcovid19inhospitalstaffmembersofatertiarycarehospitalinthegreaterparisareaasurveillanceandriskfactorsstudy AT beatricetouraine firstwaveofcovid19inhospitalstaffmembersofatertiarycarehospitalinthegreaterparisareaasurveillanceandriskfactorsstudy AT elisabethrouveix firstwaveofcovid19inhospitalstaffmembersofatertiarycarehospitalinthegreaterparisareaasurveillanceandriskfactorsstudy AT jeanlouisherrmann firstwaveofcovid19inhospitalstaffmembersofatertiarycarehospitalinthegreaterparisareaasurveillanceandriskfactorsstudy AT djilalliannane firstwaveofcovid19inhospitalstaffmembersofatertiarycarehospitalinthegreaterparisareaasurveillanceandriskfactorsstudy AT pierredetruchis firstwaveofcovid19inhospitalstaffmembersofatertiarycarehospitalinthegreaterparisareaasurveillanceandriskfactorsstudy AT elisabethdelarocqueastagneau firstwaveofcovid19inhospitalstaffmembersofatertiarycarehospitalinthegreaterparisareaasurveillanceandriskfactorsstudy |
| _version_ |
1721508042969710592 |
| spelling |
doaj-58574ea7bdf0444dbe9c70e0a08acce52021-04-26T05:54:24ZengElsevierInternational Journal of Infectious Diseases1201-97122021-04-01105172179The first wave of COVID-19 in hospital staff members of a tertiary care hospital in the greater Paris area: A surveillance and risk factors studyBenjamin Davido0Sylvain Gautier1Isabelle Riom2Stephanie Landowski3Christine Lawrence4Anne Thiebaut5Simon Bessis6Veronique Perronne7Helene Mascitti8Latifa Noussair9Martine Domart Rancon10Beatrice Touraine11Elisabeth Rouveix12Jean-Louis Herrmann13Djilalli Annane14Pierre de Truchis15Elisabeth Delarocque-Astagneau16Maladies infectieuses, Université Paris-Saclay, AP-HP Hôpital Raymond Poincaré, Garches 92380, France; Corresponding author.AP-HP, GHU Paris-Saclay University, Raymond Poincaré Hospital, Epidemiology and Public Health Department, Garches 92380, France; Université Paris-Saclay, UVSQ, Inserm U1018, CESP, Primary Care and Prevention Team, Villejuif 94807, FranceAP-HP, GHU Paris-Saclay University, Raymond Poincaré Hospital, Epidemiology and Public Health Department, Garches 92380, FranceMaladies infectieuses, Université Paris-Saclay, AP-HP Hôpital Raymond Poincaré, Garches 92380, FranceLaboratoire de Microbiologie et hygiène, Université Paris-Saclay, AP-HP Hôpital Raymond Poincaré, AP-HP, Garches 92380, FranceUniversité Paris-Saclay, Inserm U1018, CESP, High Dimensional Biostatistics Team, Villejuif 94807, FranceMaladies infectieuses, Université Paris-Saclay, AP-HP Hôpital Raymond Poincaré, Garches 92380, FranceMaladies infectieuses, Université Paris-Saclay, AP-HP Hôpital Raymond Poincaré, Garches 92380, FranceMaladies infectieuses, Université Paris-Saclay, AP-HP Hôpital Raymond Poincaré, Garches 92380, FranceLaboratoire de Microbiologie et hygiène, Université Paris-Saclay, AP-HP Hôpital Raymond Poincaré, AP-HP, Garches 92380, FranceMédecine du Travail, Université Paris-Saclay, AP-HP Hôpital Raymond Poincaré, AP-HP, Garches 92380, FranceMaladies infectieuses, Université Paris-Saclay, AP-HP Hôpital Raymond Poincaré, Garches 92380, FranceMédecine Interne, Université Paris-Saclay, AP-HP Hôpital Ambroise Paré, AP-HP, Boulogne-Billancourt 92100, France; GERES, Groupe d’Etude sur les risques d’Exposition des Soignants, Paris 7518, FranceLaboratoire de Microbiologie et hygiène, Université Paris-Saclay, AP-HP Hôpital Raymond Poincaré, AP-HP, Garches 92380, FranceFHU SEPSIS (Saclay and Paris Seine Nord Endeavour to PerSonalize Interventions for Sepsis), RHU RECORDS (Rapid rEcognition of CORticosteroiD resistant or sensitive Sepsis), Department of Intensive Care, Hôpital Raymond Poincaré (AP-HP), Laboratory of Infection & Inflammation – U1173, School of Medicine Simone Veil, University Versailles Saint Quentin – University Paris Saclay, INSERM, Garches 92380, FranceMaladies infectieuses, Université Paris-Saclay, AP-HP Hôpital Raymond Poincaré, Garches 92380, FranceAP-HP, GHU Paris-Saclay University, Raymond Poincaré Hospital, Epidemiology and Public Health Department, Garches 92380, France; Université Paris-Saclay, UVSQ, Inserm U1018, CESP, Anti-infective Evasion and Pharmacoepidemiology Team, Villejuif 94807, FranceIntroduction: Understanding how hospital staff members (HSMs), including healthcare workers, acquired severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) during the first wave can guide the control measures in the current second wave in Europe. Methods: From March 5 to May 10, 2020, the Raymond-Poincaré Hospital held a weekday consultation for HSMs for PCR testing. HSMs were requested to complete a questionnaire on their potential exposure to SARS-CoV-2. Results: Of 200 HSMs screened, 70 tested positive for SARS-CoV-2. Ninety-nine HSMs completed the questionnaire of whom 28 tested positive for SARS-CoV-2. In the multivariable analysis, age of ≥44 years (aOR = 5.2, 95% CI [1.4–22.5]) and not systematically using a facemask when caring for a patient (aOR = 13.9, 95% CI [1.8–293.0]) were significantly associated with SARS-CoV-2 infection. Working in a COVID-19-dedicated ward (aOR = 0.7, 95% CI [0.2–3.2]) was not significantly associated with infection. Community-related exposure in and outside the hospital, hospital meetings without facemasks (aOR = 21.3, 95% CI [4.5–143.9]) and private gatherings (aOR = 10, 95% CI [1.3–91.0]) were significantly associated with infection. Conclusions: Our results support the effectiveness of barrier precautions and highlight in-hospital infections not related to patient care and infections related to exposure in the community. Protecting HSMs against COVID-19 is crucial in fighting the second wave of the epidemic.http://www.sciencedirect.com/science/article/pii/S1201971221001417COVID-19Healthcare workersPersonal protective equipmentControl measuresSARS-CoV-2 |