Journal Article

Prevalence of SARS-CoV-2 infection in previously undiagnosed health care workers in New Jersey, at the onset of the U.S. COVID-19 pandemic

Roy, Jason, Horton, Daniel B., Greenberg, Patricia, Tischfield, Jay, Carson, Jeffrey L., Reilly, Nancy, Barrett, Emily S., Blaser, Martin J., Brooks, Andrew, Andrews, Tracy, Jagpal, Sugeet, Panettieri, Reynold A., Gennaro, Maria Laura

2020

Overview

Background Healthcare workers (HCW) are presumed to be at increased risk of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection due to occupational exposure to infected patients. However, there has been little epidemiological research to assess these risks. Methods We conducted a prospective cohort study of HCW ( n  = 546) and non-healthcare workers (NHCW; n  = 283) with no known prior SARS-CoV-2 infection who were recruited from a large U.S. university and two affiliated university hospitals. In this cross-sectional analysis of data collected at baseline, we examined SARS-CoV-2 infection status (as determined by presence of SARS-CoV-2 RNA in oropharyngeal swabs) by healthcare worker status and role. Results At baseline, 41 (5.0%) of the participants tested positive for SARS-CoV-2 infection, of whom 14 (34.2%) reported symptoms. The prevalence of SARS-CoV-2 infection was higher among HCW (7.3%) than in NHCW (0.4%), representing a 7.0% greater absolute risk (95% confidence interval for risk difference 4.7, 9.3%). The majority of infected HCW (62.5%) were nurses. Positive tests increased across the two weeks of cohort recruitment in line with rising confirmed cases in the hospitals and surrounding counties. Conclusions Overall, our results demonstrate that HCW had a higher prevalence of SARS-CoV-2 infection than NHCW. Continued follow-up of this cohort will enable us to monitor infection rates and examine risk factors for transmission.

• Publisher: BioMed Central,BioMed Central Ltd,Springer Nature B.V,BMC
• Subject: Adult / Asymptomatic / Betacoronavirus / Cohort Studies / Confidence intervals / Coronavirus Infections - epidemiology / Coronaviruses / COVID-19 / Cross-Sectional Studies / Demographic aspects / Demographics / Diagnosis / Disease transmission / Distribution / Epidemics / Epidemiology / Female / Health care / Health Personnel / Healthcare workers / Hospitals / Humans / Infections / Infectious Diseases / Internal Medicine / Male / Medical examination / Medical Microbiology / Medical personnel / Medicine / Medicine & Public Health / Middle Aged / New Jersey / New Jersey - epidemiology / Occupational Diseases - epidemiology / Occupational Diseases - virology / Occupational exposure / Occupational Exposure - adverse effects / Occupational health / Pandemics / Parasitology / Patients / Personal protective equipment / Physicians / Pneumonia, Viral - epidemiology / Population / Prevalence / Prospective Studies / Research Article / Respiratory diseases / Ribonucleic acid / Risk analysis / Risk Factors / RNA / SARS-CoV-2 / Severe acute respiratory syndrome coronavirus 2 / Social distancing / Time Factors / Tropical Medicine / Viral diseases / Young Adult