J Korean Med Sci.  2021 Oct;36(38):e274. 10.3346/jkms.2021.36.e274.

Work Restrictions for Healthcare Personnel with Potential In-hospital Exposure to SARS-CoV-2: Experience at a Tertiary Hospital

Affiliations
  • 1Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea
  • 2Infection Control Center, Seoul National University Hospital, Seoul, Korea
  • 3Public Healthcare Center, Seoul National University Hospital, Seoul, Korea

Abstract

Applying work restrictions for asymptomatic healthcare personnel (HCP) with potential exposure to coronavirus disease 2019 (COVID-19) is recommended to prevent transmission from potentially contagious HCP to patients and other HCP. However, it can lead to understaffing, which threatens the safety of both patients and HCP. We evaluated 203 COVID-19 exposure events at a single tertiary hospital from January 2020 to June 2021. A total of 2,365 HCP were potentially exposed, and work restrictions were imposed on 320 HCP, leading to the loss of 3,311 working days. However, only one of the work-restricted HCP was confirmed with COVID-19. During the study period, the work restriction measures might be taken excessively compared to their benefit, so establishing more effective standards for work restriction is required.

Keyword

COVID-19; SARS-CoV-2; Work Restriction; In-Hospital Exposure

Figure

  • Fig. 1 Number of daily confirmed cases in Korea and weekly in-hospital SARS-CoV-2 exposure events by index case at a hospital, January 2020 to June 2021.SARS-CoV-2 = severe acute respiratory syndrome coronavirus-2.


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Jiwon Jung, Young-Ju Lim, Eun Ok Kim, Sung-Han Kim
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Reference

1. Wiersinga WJ, Rhodes A, Cheng AC, Peacock SJ, Prescott HC. Pathophysiology, transmission, diagnosis, and treatment of coronavirus disease 2019 (COVID-19): a review. JAMA. 2020; 324(8):782–793. PMID: 32648899.
2. Zhou F, Yu T, Du R, Fan G, Liu Y, Liu Z, et al. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet. 2020; 395(10229):1054–1062. PMID: 32171076.
Article
3. Abbas M, Robalo Nunes T, Martischang R, Zingg W, Iten A, Pittet D, et al. Nosocomial transmission and outbreaks of coronavirus disease 2019: the need to protect both patients and healthcare workers. Antimicrob Resist Infect Control. 2021; 10(1):7. PMID: 33407833.
Article
4. Seoul National University Hospital. Status and statistics. Updated April 15, 2021. Accessed July 24, 2021. http://www.snuh.org/content/M005004002.do.
5. Ministry of Health and Welfare. Public data portal: COVID-19 infection status. Updated June 21, 2021. Accessed June 21, 2021. https://www.data.go.kr/tcs/dss/selectApiDataDetailView.do?publicDataPk=15043376.
6. Johansson MA, Quandelacy TM, Kada S, Prasad PV, Steele M, Brooks JT, et al. SARS-CoV-2 transmission from people without COVID-19 symptoms. JAMA Netw Open. 2021; 4(1):e2035057. PMID: 33410879.
Article
7. Childress JF, Faden RR, Gaare RD, Gostin LO, Kahn J, Bonnie RJ, et al. Public health ethics: mapping the terrain. J Law Med Ethics. 2002; 30(2):170–178. PMID: 12066595.
Article
8. Hunter BR, Dbeibo L, Weaver CS, Beeler C, Saysana M, Zimmerman MK, et al. Seroprevalence of severe acute respiratory coronavirus virus 2 (SARS-CoV-2) antibodies among healthcare workers with differing levels of coronavirus disease 2019 (COVID-19) patient exposure. Infect Control Hosp Epidemiol. 2020; 41(12):1441–1442. PMID: 32741406.
Article
9. Chung H, Kim EO, Kim SH, Jung J. Risk of COVID-19 transmission from infected outpatients to healthcare workers in an outpatient clinic. J Korean Med Sci. 2020; 35(50):e431. PMID: 33372425.
Article
10. Basso T, Nordbø SA, Sundqvist E, Martinsen TC, Witsø E, Wik TS. Transmission of infection from non-isolated patients with COVID-19 to healthcare workers. J Hosp Infect. 2020; 106(4):639–642. PMID: 32828865.
Article
11. Hammad TA, Parikh M, Tashtish N, Lowry CM, Gorbey D, Forouzandeh F, et al. Impact of COVID-19 pandemic on ST-elevation myocardial infarction in a non-COVID-19 epicenter. Catheter Cardiovasc Interv. 2021; 97(2):208–214. PMID: 32478961.
12. Patt D, Gordan L, Diaz M, Okon T, Grady L, Harmison M, et al. Impact of COVID-19 on cancer care: how the pandemic is delaying cancer diagnosis and treatment for American seniors. JCO Clin Cancer Inform. 2020; 4(4):1059–1071. PMID: 33253013.
Article
13. Jeon YW, Park ES, Jung SJ, Kim Y, Choi JY, Kim HC. Protection of healthcare workers against COVID-19 at a large teaching hospital in Seoul, Korea. Yonsei Med J. 2020; 61(7):631–634. PMID: 32608207.
Article
14. Lee H, Heo JW, Kim SW, Lee J, Choi JH. A lesson from temporary closing of a single university-affiliated hospital owing to in-hospital transmission of coronavirus disease 2019. J Korean Med Sci. 2020; 35(13):e145. PMID: 32242350.
Article
15. Centers for Disease Control and Prevention. Interim guidance for managing healthcare personnel with SARS-CoV-2 infection or exposure to SARS-CoV-2. Updated September 10, 2021. Accessed September 16, 2021. https://www.cdc.gov/coronavirus/2019-ncov/hcp/guidance-risk-assesment-hcp.html.
16. Canova V, Lederer Schläpfer H, Piso RJ, Droll A, Fenner L, Hoffmann T, et al. Transmission risk of SARS-CoV-2 to healthcare workers -observational results of a primary care hospital contact tracing. Swiss Med Wkly. 2020; 150:w20257. PMID: 32333603.
Article
17. Heinzerling A, Stuckey MJ, Scheuer T, Xu K, Perkins KM, Resseger H, et al. Transmission of COVID-19 to health care personnel during exposures to a hospitalized patient - Solano County, California, February 2020. MMWR Morb Mortal Wkly Rep. 2020; 69(15):472–476. PMID: 32298249.
Article
18. Ghinai I, McPherson TD, Hunter JC, Kirking HL, Christiansen D, Joshi K, et al. First known person-to-person transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in the USA. Lancet. 2020; 395(10230):1137–1144. PMID: 32178768.
19. Cheng VC, Wong SC, Chen JH, Yip CC, Chuang VW, Tsang OT, et al. Escalating infection control response to the rapidly evolving epidemiology of the coronavirus disease 2019 (COVID-19) due to SARS-CoV-2 in Hong Kong. Infect Control Hosp Epidemiol. 2020; 41(5):493–498. PMID: 32131908.
Article
20. Ng K, Poon BH, Kiat Puar TH, Shan Quah JL, Loh WJ, Wong YJ, et al. COVID-19 and the risk to health care workers: a case report. Ann Intern Med. 2020; 172(11):766–767. PMID: 32176257.
Article
21. Baker MA, Rhee C, Fiumara K, Bennett-Rizzo C, Tucker R, Williams SA, et al. COVID-19 infections among HCWs exposed to a patient with a delayed diagnosis of COVID-19. Infect Control Hosp Epidemiol. 2020; 41(9):1075–1076. PMID: 32456720.
Article
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