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Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Intern+Med 2021 ; 60 (16): 2569-2575 Nephropedia Template TP
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SARS-CoV-2 Infection among Medical Institution Faculty and Healthcare Workers in Tokyo, Japan #MMPMID34148952
Nishimura T; Uwamino Y; Uno S; Kashimura S; Shiraki T; Kurafuji T; Morita M; Noguchi M; Azegami T; Yamada-Goto N; Murai-Takeda A; Yokoyama H; Kuwabara K; Kato S; Matsumoto M; Hirata A; Iida M; Harada S; Ishizaka T; Misawa K; Murata M; Saya H; Amagai M; Kitagawa Y; Takeuchi T; Mori M; Takebayashi T; Hasegawa N
Intern Med 2021[Aug]; 60 (16): 2569-2575 PMID34148952show ga
Objective To consider effective measures against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in medical institutions, this study estimated the SARS-CoV-2 infection rate among healthcare workers (HCWs) in Tokyo, Japan, and determined the specific findings for mild coronavirus disease 2019 (COVID-19) cases. Methods This study analyzed the results of serologic tests to detect immunoglobulin G antibodies against SARS-CoV-2 and evaluated the demographic and clinical characteristics of the faculty and HCWs at a Tokyo medical institution in August 2020. The demographic and clinical characteristics of participants with antibody-positive results were compared to those of participants with antibody-negative results. Materials This study recruited 2,341 faculty and HCWs at a Tokyo medical institution, 21 of whom had a COVID-19 history. Results Of the 2,320 participants without a COVID-19 history, 20 (0.862%) had positive serologic test results. A fever and dysgeusia or dysosmia occurred with greater frequency among the participants with positive test results than in those with negative results [odds ratio (OR), 5.475; 95% confidence interval (CI), 1.960-15.293 and OR, 24.158; 95% CI, 2.693-216.720, respectively]. No significant difference was observed in the positivity rate between HCWs providing medical care for COVID-19 patients using adequate protection and other HCWs (OR, 2.514; 95% CI, 0.959-6.588). Conclusion To reduce the risk of COVID-19 spread in medical institutions, faculty and HCWs should follow standard and necessary transmission-based precautions, and those with a fever and dysgeusia or dysosmia should excuse themselves from work as soon as possible.