Dataset Information

COVID-19 in health-care workers in three hospitals in the south of the Netherlands: a cross-sectional study.

ABSTRACT:

Background

10 days after the first reported case of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in the Netherlands (on Feb 27, 2020), 55 (4%) of 1497 health-care workers in nine hospitals located in the south of the Netherlands had tested positive for SARS-CoV-2 RNA. We aimed to gain insight in possible sources of infection in health-care workers.

Methods

We did a cross-sectional study at three of the nine hospitals located in the south of the Netherlands. We screened health-care workers at the participating hospitals for SARS-CoV-2 infection, based on clinical symptoms (fever or mild respiratory symptoms) in the 10 days before screening. We obtained epidemiological data through structured interviews with health-care workers and combined this information with data from whole-genome sequencing of SARS-CoV-2 in clinical samples taken from health-care workers and patients. We did an in-depth analysis of sources and modes of transmission of SARS-CoV-2 in health-care workers and patients.

Findings

Between March 2 and March 12, 2020, 1796 (15%) of 12?022 health-care workers were screened, of whom 96 (5%) tested positive for SARS-CoV-2. We obtained complete and near-complete genome sequences from 50 health-care workers and ten patients. Most sequences were grouped in three clusters, with two clusters showing local circulation within the region. The noted patterns were consistent with multiple introductions into the hospitals through community-acquired infections and local amplification in the community.

Interpretation

Although direct transmission in the hospitals cannot be ruled out, our data do not support widespread nosocomial transmission as the source of infection in patients or health-care workers.

Funding

EU Horizon 2020 (RECoVer, VEO, and the European Joint Programme One Health METASTAVA), and the National Institute of Allergy and Infectious Diseases, National Institutes of Health.

SUBMITTER: Sikkema RS

PROVIDER: S-EPMC7332281 | biostudies-literature | 2020 Nov

REPOSITORIES: biostudies-literature

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Publications

COVID-19 in health-care workers in three hospitals in the south of the Netherlands: a cross-sectional study.

Sikkema Reina S RS Pas Suzan D SD Nieuwenhuijse David F DF O'Toole Áine Á Verweij Jaco J van der Linden Anne A Chestakova Irina I Schapendonk Claudia C Pronk Mark M Lexmond Pascal P Bestebroer Theo T Overmars Ronald J RJ van Nieuwkoop Stefan S van den Bijllaardt Wouter W Bentvelsen Robbert G RG van Rijen Miranda M L MML Buiting Anton G M AGM van Oudheusden Anne J G AJG Diederen Bram M BM Bergmans Anneke M C AMC van der Eijk Annemiek A Molenkamp Richard R Rambaut Andrew A Timen Aura A Kluytmans Jan A J W JAJW Oude Munnink Bas B BB Kluytmans van den Bergh Marjolein F Q MFQ Koopmans Marion P G MPG

The Lancet. Infectious diseases 20200702 11

<h4>Background</h4>10 days after the first reported case of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in the Netherlands (on Feb 27, 2020), 55 (4%) of 1497 health-care workers in nine hospitals located in the south of the Netherlands had tested positive for SARS-CoV-2 RNA. We aimed to gain insight in possible sources of infection in health-care workers.<h4>Methods</h4>We did a cross-sectional study at three of the nine hospitals located in the south of the Netherland ...[more]

PMID: 32622380

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Project description:Introduction: Health care workers are at the frontline of the response against the COVID-19 outbreak. Poor preparedness and infection prevention practices among health care workers compound the hazard and occurrence of COVID-19 hospital transmission. Thus, the study aimed to assess preparedness toward COVID-19 pandemics and associated factors among health care workers in Hospitals of Eastern Ethiopia. Methods: Facility-based cross-sectional study was conducted from 20 June to July 10 2020. A simple random sampling technique was used to select 423 health care workers. Data were collected using a structured self-administered questionnaire and analyzed using SPSS Version 23. Bivariate and multivariable logistic regression was conducted to identify factors associated with the outcome variable, and statistical significance was declared at a p-value less than 0.05. Results: This study revealed that the proportion of health care workers’ preparedness toward the COVID-19 pandemic was 40.9% (95% CI: 36.2–45.9). Working in a public hospital (AOR = 2.7, 95% CI: 1.6–4.3), being unafraid of transmitting COVID-19 to patients (Adjusted odds ratio/AOR = 4.6, 95% CI: 2.2–10.0), feeling safe at the workplace (AOR = 3.3, 95% CI: 1.7–6.4)), satisfied with the infection control policy (AOR = 6.0, 95% CI: 2.3–15.0), and not feeling anxious about the likelihood of COVID-19 spread (AOR = 2.1, 95% CI: 1.3–3.4) were significantly associated with COVID-19 preparedness. Conclusion: The majority of the health care workers were not prepared for COVID-19 pandemics. Feeling safe at the workplace scared of transmitting COVID-19 to patients, satisfied with the infection control policy, and feeling anxious concerning the likelihood of COVID-19 were factors associated with health care workers’ preparedness to COVID-19. The current awareness creation training, including motivational and psychological preparation for all health care workers, is mandatory, regardless of their profession or working place.

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Dataset Information

COVID-19 in health-care workers in three hospitals in the south of the Netherlands: a cross-sectional study.

Background

Methods

Findings

Interpretation

Funding

Publications

COVID-19 in health-care workers in three hospitals in the south of the Netherlands: a cross-sectional study.

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