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The appropriateness of the decision to quarantine healthcare workers exposed to a severe acute respiratory coronavirus virus 2 (SARS-CoV-2)–positive coworker based on national guidelines

Published online by Cambridge University Press:  19 August 2022

Eyal Mark ,
Lisa Saidel-Odes ,
Abraham Borer ,
Ronit Nativ ,
Batya Sterer ,
Suzana Yarmitsky  and
Jacob Dreiher Open the ORCID record for Jacob Dreiher [Opens in a new window]
Eyal Mark
Affiliation:
Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
Lisa Saidel-Odes
Affiliation:
Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel Infection Prevention and Control Unit, Soroka University Medical Center, Beer-Sheva, Israel
Abraham Borer
Affiliation:
Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel Infection Prevention and Control Unit, Soroka University Medical Center, Beer-Sheva, Israel
Ronit Nativ
Affiliation:
Infection Prevention and Control Unit, Soroka University Medical Center, Beer-Sheva, Israel
Batya Sterer
Affiliation:
Infection Prevention and Control Unit, Soroka University Medical Center, Beer-Sheva, Israel
Suzana Yarmitsky
Affiliation:
Human Resources Department, Soroka University Medical Center, Beer-Sheva, Israel
Jacob Dreiher*
Affiliation:
Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel Hospital Administration, Soroka University Medical Center, Beer-Sheva, Israel
*
Author for correspondence: Prof. Jacob Dreiher, E-mail: jacod@bgu.ac.il
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Abstract

Objective:

To examine the appropriateness of the decision to quarantine healthcare workers (HCWs) exposed to coronavirus disease 2019 (COVID-19).

Design:

Retrospective cohort study.

Setting:

A tertiary-care medical center in Israel.

Participants:

HCWs exposed to a coworker infected with severe acute respiratory coronavirus virus 2 (SARS-CoV-2).

Methods:

Quarantined and nonquarantined HCWs were followed for up to 1 month following exposure and their COVID-19 status was determined. The validity of the decision to quarantine was assessed.

Results:

In total, 2,595 HCWs exposed to 419 confirmed index cases were studied. Of the contact cases, 752 HCWs were quarantined and 1,843 HCWs were not. Of those quarantined, 36 became SARS-CoV-2 positive (4.7%). Among those who were not quarantined, only 13 (0.7%) became SARS-CoV-2 positive, which translated to a sensitivity of 73.5% and a specificity of 71.9% for the decision to quarantine (positive and negative predictive values: 4.7% and 99.3%, respectively). Controlling for confounders, the decision to quarantine the HCW by the Israeli Ministry of Health guidelines was associated with a significant risk of becoming SARS-CoV-2 positive (RR, 3.83; 95% CI, 1.98–7.36; P = .001). If a nonselective policy was used, 11,700 working days would have been lost (902 working days lost per positive case).

Conclusions:

An efficient and tight system of HCW contact investigations served its purpose in our hospital during the COVID-19 pandemic. This study was based on HCW reports and reported adherence to safety regulations, and these findings are relevant to the massive pandemic waves due to the SARS-CoV-2 α (alpha) variant. These Methods demonstrate an effective way of handling risk without causing damage due to arbitrary risk-control measures.

Type
Original Article
Information
Infection Control & Hospital Epidemiology , Volume 44 , Issue 6 , June 2023 , pp. 920 - 925
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

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References

Ge, H, Wang, X, Yuan, X, et al. The epidemiology and clinical information about COVID-19. Eur J Clin Microbiol Infect Dis 2020;39:1011–1019.CrossRefGoogle ScholarPubMed
Clark, E, Akamine, C, Shandera, WX. Common viral respiratory infections. In: Current Medical Diagnosis and Treatment, Papadakis MA et al, editors. Access Medicine website. https://accessmedicine.mhmedical.com/content.aspx?bookid=3081&sectionid=258978949. Published 2022. Accessed August 18, 2022.Google Scholar
Bennett, P, Noble, S, Johnston, S, Jones, D, Hunter, R. COVID-19 confessions: a qualitative exploration of healthcare workers experiences of working with COVID-19. BMJ Open 10:e043949.10.1136/bmjopen-2020-043949CrossRefGoogle Scholar
Spoorthy, MS, Pratapa, SK, Mahant, S. Mental health problems faced by healthcare workers due to the COVID-19 pandemic—a review. Asian J Psychiatr 2020;51:102119.CrossRefGoogle Scholar
Colomb-cotinat, M, Poujol, I, Monluc, S, et al. Burden of COVID-19 on workers in hospital settings: the French situation during the first wave of the pandemic. Infect Dis Now 2021;51:560–563.CrossRefGoogle ScholarPubMed
Jones, K, Mantey, J, Washer, L, et al. When planning meets reality: COVID-19 interpandemic survey of Michigan nursing homes. Am J Infect Control 2021;49:1343–1349.CrossRefGoogle ScholarPubMed
Darwish, OA, Aggarwal, A, Karvar, M, et al. Adherence to personal protective equipment guidelines during the COVID-19 pandemic among healthcare personnel in the United States. Disaster Med Public Health Prep 2021. doi: 10.1017/dmp.2021.12.CrossRefGoogle Scholar
Chou, R, Dana, T, Jungbauer, R, Weeks, C, McDonagh, MS. Masks for prevention of respiratory virus infections, including SARS-CoV-2, in health care and community settings: a living rapid review. Ann Intern Med 2020;173:542–555.10.7326/M20-3213CrossRefGoogle ScholarPubMed
WHO COVID-19 dashboard. World Health Organization website. https://covid19.who.int/region/euro/country/il. Published 2020. Accessed August 18, 2022.Google Scholar
Rosser, JI, Tayyar, R, Giardina, R, et al. Case–control study evaluating risk factors for SARS-CoV-2 outbreak amongst healthcare personnel at a tertiary care center. Am J Infect Control 2021;49:1457–1463.10.1016/j.ajic.2021.09.004CrossRefGoogle ScholarPubMed
Liu, YC, Kuo, RL, Shih, SR. COVID-19: the first documented coronavirus pandemic in history. Biomed J 2020;43:328–333.10.1016/j.bj.2020.04.007CrossRefGoogle ScholarPubMed
Zhang, XS, Duchaine, C. SARS-CoV-2 and healthcare worker protection in low-risk settings: a review of modes of transmission and a novel airborne model involving inhalable particles. Clin Microbiol Rev 2020;34:1–29.10.1128/CMR.00184-20CrossRefGoogle Scholar
Leeds, JS, Raviprakash, V, Jacques, T, Scanlon, N, Cundall, J, Leeds, CM. Risk factors for detection of SARS-CoV-2 in healthcare workers during April 2020 in a UK hospital testing programme. EClinicalMedicine 2020;26:100513.10.1016/j.eclinm.2020.100513CrossRefGoogle Scholar
Gómez-Ochoa, SA, Franco, OH, Rojas, LZ, et al. COVID-19 in healthcare workers: a living systematic review and meta-analysis of prevalence, risk factors, clinical characteristics, and outcomes. Am J Epidemiol 2021;190:161–175.CrossRefGoogle ScholarPubMed
Wu, D, Wu, T, Liu, Q, Yang, Z. The SARS-CoV-2 outbreak: what we know. Int J Infect Dis 2020;94:44–48.10.1016/j.ijid.2020.03.004CrossRefGoogle ScholarPubMed
Sommerstein, R, Fux, CA, Vuichard-Gysin, D, et al. Risk of SARS-CoV-2 transmission by aerosols, the rational use of masks, and protection of healthcare workers from COVID-19. Antimicrob Resist Infect Control 2020;9:1–8.10.1186/s13756-020-00763-0CrossRefGoogle ScholarPubMed
Lynch, JB, Davitkov, P, Anderson, DJ, et al. Infectious Diseases Society of America guidelines on infection prevention for healthcare personnel caring for patients with suspected or known coronavirus disease. Infectious Diseases Society of America website. https://www.idsociety.org/practice-guideline/covid-19-guideline-infection-prevention/. Published 2021. Accessed August 18, 2022.CrossRefGoogle Scholar
Davies, NG, Kucharski, AJ, Eggo, RM, et al. Effects of nonpharmaceutical interventions on COVID-19 cases, deaths, and demand for hospital services in the UK: a modelling study. Lancet Public Health 2020;5:e375–e385.10.1016/S2468-2667(20)30133-XCrossRefGoogle Scholar
Epidemiologic inquiries and isolation guidelines—COVID-19 exposure in healthcare workers. Jerusalem; Israeli Ministry of Health; 2020. https://govextra.gov.il/media/17976/coronavirus_med_guidelines.pdf.Google Scholar
Ibiebele, J, Silkaitis, C, Dolgin, G, Bolon, M, JaneCullen, Zembower, T. Occupational COVID-19 exposures and secondary cases among healthcare personnel. Am J Infect Control 2021;49:1334–1336.CrossRefGoogle ScholarPubMed
Blumenthal, D, Fowler, EJ, Abrams, M, Collins, SR. COVID-19—implications for the healthcare system. N Engl J Med 2020;383:1483–1488.CrossRefGoogle Scholar
Campbell, T, Galvani, AP, Friedman, G, Fitzpatrick, MC. Exacerbation of COVID-19 mortality by the fragmented US healthcare system: a retrospective observational study. Lancet Reg Health 2022;12:100264.Google ScholarPubMed
Neves, AL, Lawrence-Jones, A, Naar, L, et al. Multidisciplinary teams must work together to codevelop inclusive digital primary care for older people. Br J Gen Pract 2020;70:582.CrossRefGoogle ScholarPubMed
Peoples, AR, Oswald, LB, Ose, J, et al. Impact of the COVID-19 pandemic on rural and urban cancer patients’ experiences, health behaviors, and perceptions. J Rural Health 2022;1–14.Google Scholar
Gordon, CL, Trubiano, JA, Holmes, NE, et al. Staff-to-staff transmission as a driver of healthcare worker infections with COVID-19. Infect Dis 2021;26:276–283.Google ScholarPubMed
Schneider, S, Piening, B, Assina, P, et al. SARS-CoV-2 cases in healthcare workers may not regularly originate from patient care: lessons from a university hospital on the underestimated risk of healthcare worker to healthcare worker transmission. Antimicrob Resist Infect Control 2020;9:192.CrossRefGoogle Scholar