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Davido B, Gautier S, Riom I, Landowski S, Lawrence C, Thiebaut A, Bessis S, Perronne V, Mascitti H, Noussair L, Rancon MD, Touraine B, Rouveix E, Herrmann JL, Annane D, de Truchis P, Delarocque-Astagneau E. 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. Int J Infect Dis 2021; 105:172-179. [PMID: 33607301 PMCID: PMC7884916 DOI: 10.1016/j.ijid.2021.02.055] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2021] [Revised: 02/08/2021] [Accepted: 02/11/2021] [Indexed: 12/19/2022] Open
Abstract
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.
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Affiliation(s)
- Benjamin Davido
- Maladies infectieuses, Université Paris-Saclay, AP-HP Hôpital Raymond Poincaré, Garches 92380, France.
| | - Sylvain Gautier
- 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, France
| | - Isabelle Riom
- AP-HP, GHU Paris-Saclay University, Raymond Poincaré Hospital, Epidemiology and Public Health Department, Garches 92380, France
| | - Stephanie Landowski
- Maladies infectieuses, Université Paris-Saclay, AP-HP Hôpital Raymond Poincaré, Garches 92380, France
| | - Christine Lawrence
- Laboratoire de Microbiologie et hygiène, Université Paris-Saclay, AP-HP Hôpital Raymond Poincaré, AP-HP, Garches 92380, France
| | - Anne Thiebaut
- Université Paris-Saclay, Inserm U1018, CESP, High Dimensional Biostatistics Team, Villejuif 94807, France
| | - Simon Bessis
- Maladies infectieuses, Université Paris-Saclay, AP-HP Hôpital Raymond Poincaré, Garches 92380, France
| | - Veronique Perronne
- Maladies infectieuses, Université Paris-Saclay, AP-HP Hôpital Raymond Poincaré, Garches 92380, France
| | - Helene Mascitti
- Maladies infectieuses, Université Paris-Saclay, AP-HP Hôpital Raymond Poincaré, Garches 92380, France
| | - Latifa Noussair
- Laboratoire de Microbiologie et hygiène, Université Paris-Saclay, AP-HP Hôpital Raymond Poincaré, AP-HP, Garches 92380, France
| | - Martine Domart Rancon
- Médecine du Travail, Université Paris-Saclay, AP-HP Hôpital Raymond Poincaré, AP-HP, Garches 92380, France
| | - Beatrice Touraine
- Maladies infectieuses, Université Paris-Saclay, AP-HP Hôpital Raymond Poincaré, Garches 92380, France
| | - Elisabeth Rouveix
- Médecine 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, France
| | - Jean-Louis Herrmann
- Laboratoire de Microbiologie et hygiène, Université Paris-Saclay, AP-HP Hôpital Raymond Poincaré, AP-HP, Garches 92380, France
| | - Djilalli Annane
- FHU 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, France
| | - Pierre de Truchis
- Maladies infectieuses, Université Paris-Saclay, AP-HP Hôpital Raymond Poincaré, Garches 92380, France
| | - Elisabeth Delarocque-Astagneau
- AP-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, France
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