COVID-19 Infections in Health Care Personnel by Source of Exposure and Correlation With Community Incidence.

Wight, Elizabeth; Swift, Melanie; O'Horo, John C; Hainy, Caitlin; Molella, Robin; Morrow, Allison; Breeher, Laura · J Occup Environ Med · 2022

retrospective_cohort · Level III

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Abstract

The aim of this study was to describe the rate of household, community, occupational, and travel-related COVID-19 infections among health care personnel (HCP). In a retrospective cohort study of 3694 HCP with COVID-19 infections from July 5 to December 19, 2020, we analyzed infection source data and rates, compared with local and state infection rates, and performed a correlation analysis. Household (27.1%) and community (15.6%) exposures were the most common sources of infection. Occupational exposures accounted for 3.55% of HCP infections. Unattributable infections (no known exposure source) accounted for 53.1% and correlated with community rather than occupational exposure ( R = 0.99 vs 0.78, P < 0.01). COVID-19 infections in this large HCP cohort correlated closely with infection rates in the community. The low incidence of occupational infections supports the effectiveness of institutional infection prevention and control measures.

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