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10.7326/M20-7145

http://scihub22266oqcxt.onion/10.7326/M20-7145
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33513035!7877798!33513035
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suck abstract from ncbi


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pmid33513035      Ann+Intern+Med 2021 ; 174 (5): 649-654
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  • Quantification of Occupational and Community Risk Factors for SARS-CoV-2 Seropositivity Among Health Care Workers in a Large U S Health Care System #MMPMID33513035
  • Baker JM; Nelson KN; Overton E; Lopman BA; Lash TL; Photakis M; Jacob JT; Roback JD; Fridkin SK; Steinberg JP
  • Ann Intern Med 2021[May]; 174 (5): 649-654 PMID33513035show ga
  • BACKGROUND: Identifying occupational risk factors for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection among health care workers (HCWs) can improve HCW and patient safety. OBJECTIVE: To quantify demographic, occupational, and community risk factors for SARS-CoV-2 seropositivity among HCWs in a large health care system. DESIGN: A logistic regression model was fitted to data from a cross-sectional survey conducted in April to June 2020, linking risk factors for occupational and community exposure to coronavirus disease 2019 (COVID-19) with SARS-CoV-2 seropositivity. SETTING: A large academic health care system in the Atlanta, Georgia, metropolitan area. PARTICIPANTS: Employees and medical staff members elected to participate in SARS-CoV-2 serology testing offered to all HCWs as part of a quality initiative and completed a survey on exposure to COVID-19 and use of personal protective equipment. MEASUREMENTS: Demographic risk factors for COVID-19, residential ZIP code incidence of COVID-19, occupational exposure to HCWs or patients who tested positive on polymerase chain reaction test, and use of personal protective equipment as potential risk factors for infection. The outcome was SARS-CoV-2 seropositivity. RESULTS: Adjusted SARS-CoV-2 seropositivity was estimated to be 3.8% (95% CI, 3.4% to 4.3%) (positive, n = 582) among the 10 275 HCWs (35% of the Emory Healthcare workforce) who participated in the survey. Community contact with a person known or suspected to have COVID-19 (adjusted odds ratio [aOR], 1.9 [CI, 1.4 to 2.6]; 77 positive persons [10.3%]) and community COVID-19 incidence (aOR, 1.5 [CI, 1.0 to 2.2]) increased the odds of infection. Black individuals were at high risk (aOR, 2.1 [CI, 1.7 to 2.6]; 238 positive persons [8.3%]). LIMITATIONS: Participation rates were modest and key workplace exposures, including job and infection prevention practices, changed rapidly in the early phases of the pandemic. CONCLUSION: Demographic and community risk factors, including contact with a COVID-19-positive person and Black race, are more strongly associated with SARS-CoV-2 seropositivity among HCWs than is exposure in the workplace. PRIMARY FUNDING SOURCE: Emory COVID-19 Response Collaborative.
  • |*Health Personnel[MESH]
  • |*Infectious Disease Transmission, Patient-to-Professional[MESH]
  • |Adult[MESH]
  • |COVID-19/*epidemiology/ethnology[MESH]
  • |Cross-Sectional Studies[MESH]
  • |Female[MESH]
  • |Georgia/epidemiology[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Occupational Diseases/*epidemiology/ethnology[MESH]
  • |Occupational Exposure/*adverse effects[MESH]
  • |Pandemics[MESH]
  • |Personal Protective Equipment[MESH]
  • |Pneumonia, Viral/*epidemiology/ethnology/virology[MESH]
  • |Risk Factors[MESH]
  • |SARS-CoV-2[MESH]
  • |Surveys and Questionnaires[MESH]


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