Transmission of COVID-19 to Health Care Personnel During Exposures to a Hospitalized Patient - Solano County, California, February 2020.
Identifieur interne : 000098 ( 2020/Analysis ); précédent : 000097; suivant : 000099Transmission of COVID-19 to Health Care Personnel During Exposures to a Hospitalized Patient - Solano County, California, February 2020.
Auteurs : Amy Heinzerling ; Matthew J. Stuckey ; Tara Scheuer ; Kerui Xu ; Kiran M. Perkins ; Heather Resseger ; Shelley Magill ; Jennifer R. Verani ; Seema Jain ; Meileen Acosta ; Erin EpsonSource :
- MMWR. Morbidity and mortality weekly report [ 1545-861X ] ; 2020.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Californie (épidémiologie), Exposition professionnelle, Femelle, Hospitalisation, Humains, Infections à coronavirus (diagnostic), Infections à coronavirus (transmission), Infections à coronavirus (épidémiologie), Mâle, Pandémies, Personnel hospitalier (), Pneumopathie virale (diagnostic), Pneumopathie virale (transmission), Pneumopathie virale (épidémiologie), Transmission de maladie infectieuse du patient au professionnel de santé, Équipement de protection individuelle (), Évaluation des risques.
- MESH :
- diagnostic : Infections à coronavirus, Pneumopathie virale.
- épidémiologie : Californie, Infections à coronavirus, Pneumopathie virale.
- Adulte, Adulte d'âge moyen, Exposition professionnelle, Femelle, Hospitalisation, Humains, Mâle, Pandémies, Personnel hospitalier, Transmission de maladie infectieuse du patient au professionnel de santé, Équipement de protection individuelle, Évaluation des risques.
English descriptors
- KwdEn :
- Adult, Betacoronavirus (isolation & purification), California (epidemiology), Coronavirus Infections (diagnosis), Coronavirus Infections (epidemiology), Coronavirus Infections (transmission), Female, Hospitalization, Humans, Infectious Disease Transmission, Patient-to-Professional, Male, Middle Aged, Occupational Exposure, Pandemics, Personal Protective Equipment (statistics & numerical data), Personnel, Hospital (statistics & numerical data), Pneumonia, Viral (diagnosis), Pneumonia, Viral (epidemiology), Pneumonia, Viral (transmission), Risk Assessment.
- MESH :
- geographic , epidemiology : California.
- diagnosis : Coronavirus Infections, Pneumonia, Viral.
- epidemiology : Coronavirus Infections, Pneumonia, Viral.
- isolation & purification : Betacoronavirus.
- statistics & numerical data : Personal Protective Equipment, Personnel, Hospital.
- transmission : Coronavirus Infections, Pneumonia, Viral.
- Adult, Female, Hospitalization, Humans, Infectious Disease Transmission, Patient-to-Professional, Male, Middle Aged, Occupational Exposure, Pandemics, Risk Assessment.
Abstract
On February 26, 2020, the first U.S. case of community-acquired coronavirus disease 2019 (COVID-19) was confirmed in a patient hospitalized in Solano County, California (1). The patient was initially evaluated at hospital A on February 15; at that time, COVID-19 was not suspected, as the patient denied travel or contact with symptomatic persons. During a 4-day hospitalization, the patient was managed with standard precautions and underwent multiple aerosol-generating procedures (AGPs), including nebulizer treatments, bilevel positive airway pressure (BiPAP) ventilation, endotracheal intubation, and bronchoscopy. Several days after the patient's transfer to hospital B, a real-time reverse transcription-polymerase chain reaction (real-time RT-PCR) test for SARS-CoV-2 returned positive. Among 121 hospital A health care personnel (HCP) who were exposed to the patient, 43 (35.5%) developed symptoms during the 14 days after exposure and were tested for SARS-CoV-2; three had positive test results and were among the first known cases of probable occupational transmission of SARS-CoV-2 to HCP in the United States. Little is known about specific risk factors for SARS-CoV-2 transmission in health care settings. To better characterize and compare exposures among HCP who did and did not develop COVID-19, standardized interviews were conducted with 37 hospital A HCP who were tested for SARS-CoV-2, including the three who had positive test results. Performing physical examinations and exposure to the patient during nebulizer treatments were more common among HCP with laboratory-confirmed COVID-19 than among those without COVID-19; HCP with COVID-19 also had exposures of longer duration to the patient. Because transmission-based precautions were not in use, no HCP wore personal protective equipment (PPE) recommended for COVID-19 patient care during contact with the index patient. Health care facilities should emphasize early recognition and isolation of patients with possible COVID-19 and use of recommended PPE to minimize unprotected, high-risk HCP exposures and protect the health care workforce.
DOI: 10.15585/mmwr.mm6915e5
PubMed: 32298249
Affiliations:
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pubmed:32298249Le document en format XML
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<term>Betacoronavirus (isolation & purification)</term>
<term>California (epidemiology)</term>
<term>Coronavirus Infections (diagnosis)</term>
<term>Coronavirus Infections (epidemiology)</term>
<term>Coronavirus Infections (transmission)</term>
<term>Female</term>
<term>Hospitalization</term>
<term>Humans</term>
<term>Infectious Disease Transmission, Patient-to-Professional</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Occupational Exposure</term>
<term>Pandemics</term>
<term>Personal Protective Equipment (statistics & numerical data)</term>
<term>Personnel, Hospital (statistics & numerical data)</term>
<term>Pneumonia, Viral (diagnosis)</term>
<term>Pneumonia, Viral (epidemiology)</term>
<term>Pneumonia, Viral (transmission)</term>
<term>Risk Assessment</term>
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<term>Adulte d'âge moyen</term>
<term>Californie (épidémiologie)</term>
<term>Exposition professionnelle</term>
<term>Femelle</term>
<term>Hospitalisation</term>
<term>Humains</term>
<term>Infections à coronavirus (diagnostic)</term>
<term>Infections à coronavirus (transmission)</term>
<term>Infections à coronavirus (épidémiologie)</term>
<term>Mâle</term>
<term>Pandémies</term>
<term>Personnel hospitalier ()</term>
<term>Pneumopathie virale (diagnostic)</term>
<term>Pneumopathie virale (transmission)</term>
<term>Pneumopathie virale (épidémiologie)</term>
<term>Transmission de maladie infectieuse du patient au professionnel de santé</term>
<term>Équipement de protection individuelle ()</term>
<term>Évaluation des risques</term>
</keywords>
<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>California</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Infections à coronavirus</term>
<term>Pneumopathie virale</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
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<keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en"><term>Betacoronavirus</term>
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<term>Personnel, Hospital</term>
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<term>Pneumonia, Viral</term>
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<term>Infections à coronavirus</term>
<term>Pneumopathie virale</term>
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<term>Female</term>
<term>Hospitalization</term>
<term>Humans</term>
<term>Infectious Disease Transmission, Patient-to-Professional</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Occupational Exposure</term>
<term>Pandemics</term>
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<term>Adulte d'âge moyen</term>
<term>Exposition professionnelle</term>
<term>Femelle</term>
<term>Hospitalisation</term>
<term>Humains</term>
<term>Mâle</term>
<term>Pandémies</term>
<term>Personnel hospitalier</term>
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<front><div type="abstract" xml:lang="en">On February 26, 2020, the first U.S. case of community-acquired coronavirus disease 2019 (COVID-19) was confirmed in a patient hospitalized in Solano County, California (1). The patient was initially evaluated at hospital A on February 15; at that time, COVID-19 was not suspected, as the patient denied travel or contact with symptomatic persons. During a 4-day hospitalization, the patient was managed with standard precautions and underwent multiple aerosol-generating procedures (AGPs), including nebulizer treatments, bilevel positive airway pressure (BiPAP) ventilation, endotracheal intubation, and bronchoscopy. Several days after the patient's transfer to hospital B, a real-time reverse transcription-polymerase chain reaction (real-time RT-PCR) test for SARS-CoV-2 returned positive. Among 121 hospital A health care personnel (HCP) who were exposed to the patient, 43 (35.5%) developed symptoms during the 14 days after exposure and were tested for SARS-CoV-2; three had positive test results and were among the first known cases of probable occupational transmission of SARS-CoV-2 to HCP in the United States. Little is known about specific risk factors for SARS-CoV-2 transmission in health care settings. To better characterize and compare exposures among HCP who did and did not develop COVID-19, standardized interviews were conducted with 37 hospital A HCP who were tested for SARS-CoV-2, including the three who had positive test results. Performing physical examinations and exposure to the patient during nebulizer treatments were more common among HCP with laboratory-confirmed COVID-19 than among those without COVID-19; HCP with COVID-19 also had exposures of longer duration to the patient. Because transmission-based precautions were not in use, no HCP wore personal protective equipment (PPE) recommended for COVID-19 patient care during contact with the index patient. Health care facilities should emphasize early recognition and isolation of patients with possible COVID-19 and use of recommended PPE to minimize unprotected, high-risk HCP exposures and protect the health care workforce.</div>
</front>
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<affiliations><list></list>
<tree><noCountry><name sortKey="Acosta, Meileen" sort="Acosta, Meileen" uniqKey="Acosta M" first="Meileen" last="Acosta">Meileen Acosta</name>
<name sortKey="Epson, Erin" sort="Epson, Erin" uniqKey="Epson E" first="Erin" last="Epson">Erin Epson</name>
<name sortKey="Heinzerling, Amy" sort="Heinzerling, Amy" uniqKey="Heinzerling A" first="Amy" last="Heinzerling">Amy Heinzerling</name>
<name sortKey="Jain, Seema" sort="Jain, Seema" uniqKey="Jain S" first="Seema" last="Jain">Seema Jain</name>
<name sortKey="Magill, Shelley" sort="Magill, Shelley" uniqKey="Magill S" first="Shelley" last="Magill">Shelley Magill</name>
<name sortKey="Perkins, Kiran M" sort="Perkins, Kiran M" uniqKey="Perkins K" first="Kiran M" last="Perkins">Kiran M. Perkins</name>
<name sortKey="Resseger, Heather" sort="Resseger, Heather" uniqKey="Resseger H" first="Heather" last="Resseger">Heather Resseger</name>
<name sortKey="Scheuer, Tara" sort="Scheuer, Tara" uniqKey="Scheuer T" first="Tara" last="Scheuer">Tara Scheuer</name>
<name sortKey="Stuckey, Matthew J" sort="Stuckey, Matthew J" uniqKey="Stuckey M" first="Matthew J" last="Stuckey">Matthew J. Stuckey</name>
<name sortKey="Verani, Jennifer R" sort="Verani, Jennifer R" uniqKey="Verani J" first="Jennifer R" last="Verani">Jennifer R. Verani</name>
<name sortKey="Xu, Kerui" sort="Xu, Kerui" uniqKey="Xu K" first="Kerui" last="Xu">Kerui Xu</name>
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