دورية
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
| العنوان: | 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 |
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| المؤلفون: | Mark, Eyal, Saidel-Odes, Lisa, Borer, Abraham, Nativ, Ronit, Sterer, Batya, Yarmitsky, Suzana, Dreiher, Jacob |
| المصدر: | Infection Control & Hospital Epidemiology; June 2023, Vol. 44 Issue: 6 p920-925, 6p |
| مستخلص: | AbstractObjective: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. |
| قاعدة البيانات: | Supplemental Index |
Full Text Finder | تدمد: | 0899823X 15596834 |
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| DOI: | 10.1017/ice.2022.198 |