Skip to main content Accessibility help
×
Home
Hostname: page-component-5c569c448b-6g96d Total loading time: 0.2 Render date: 2022-07-03T00:35:31.444Z Has data issue: true Feature Flags: { "shouldUseShareProductTool": true, "shouldUseHypothesis": true, "isUnsiloEnabled": true, "useRatesEcommerce": false, "useNewApi": true } hasContentIssue true

Transmission risk of severe acute respiratory coronavirus virus 2 (SARS-CoV-2) to healthcare personnel following unanticipated exposure to aerosol-generating procedures: Experience from epidemiologic investigations at an academic medical center

Published online by Cambridge University Press:  02 November 2021

Sharon E. Fawcett
Affiliation:
Department of Hospital Epidemiology, Cedars-Sinai Medical Center, Los Angeles, California
Meghan S. Madhusudhan
Affiliation:
Department of Hospital Epidemiology, Cedars-Sinai Medical Center, Los Angeles, California
Emily N. Gaddam
Affiliation:
Department of Hospital Epidemiology, Cedars-Sinai Medical Center, Los Angeles, California
Matthew J. Almario
Affiliation:
Department of Hospital Epidemiology, Cedars-Sinai Medical Center, Los Angeles, California
Shawna R. Masih
Affiliation:
Department of Hospital Epidemiology, Cedars-Sinai Medical Center, Los Angeles, California
Dee Dee Klute-Evans
Affiliation:
Department of Hospital Epidemiology, Cedars-Sinai Medical Center, Los Angeles, California
Julie C. Johnson
Affiliation:
Department of Hospital Epidemiology, Cedars-Sinai Medical Center, Los Angeles, California
Clarise D. Stroud
Affiliation:
Department of Hospital Epidemiology, Cedars-Sinai Medical Center, Los Angeles, California
Judy A. Dolan-Caren
Affiliation:
Department of Hospital Epidemiology, Cedars-Sinai Medical Center, Los Angeles, California
Michael A. Ben-Aderet
Affiliation:
Department of Hospital Epidemiology, Cedars-Sinai Medical Center, Los Angeles, California
Jeffery Luria
Affiliation:
Department of Hospital Epidemiology, Cedars-Sinai Medical Center, Los Angeles, California
Margie A. Morgan
Affiliation:
Department of Pathology & Laboratory Medicine, Cedars-Sinai Medical Center, Los Angeles, California
Eric Vail
Affiliation:
Department of Pathology & Laboratory Medicine, Cedars-Sinai Medical Center, Los Angeles, California
Jonathan D. Grein*
Affiliation:
Department of Hospital Epidemiology, Cedars-Sinai Medical Center, Los Angeles, California
*
Author for correspondence: Jonathan D. Grein, E-mail: Jonathan.Grein@cshs.org

Abstract

Healthcare personnel (HCP) with unprotected exposures to aerosol-generating procedures (AGPs) on patients with coronavirus disease 2019 (COVID-19) are at risk of infection with severe acute respiratory coronavirus virus 2 (SARS-CoV-2). A retrospective review at an academic medical center demonstrated an infection rate of <1% among HCP involved in AGPs without a respirator and/or eye protection.

Type
Concise Communication
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Scientific brief: SARS-CoV-2 transmission. Centers for Disease Control and Prevention website. https://www.cdc.gov/coronavirus/2019-ncov/science/science-briefs/sars-cov-2-transmission.html. Updated May 7, 2021. Accessed June 24, 2021.Google Scholar
Interim infection prevention and control recommendations for healthcare personnel during the coronavirus disease 2019 (COVID-19) pandemic. Centers for Disease Control and Prevention website. https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control-recommendations.html. Updated February 10, 2021. Accessed April 28, 2021.Google Scholar
Clinical questions about COVID-19: questions and answers. Which procedures are considered aerosol-generating procedures in healthcare settings? Center for Disease Control and Prevention website. https://www.cdc.gov/coronavirus/2019-ncov/hcp/faq.html. Updated March 4, 2021. Accessed April 28, 2021.Google Scholar
Discontinuation of transmission-based precautions and disposition of patients with SARS-CoV-2 infection in healthcare settings. Centers for Disease Control and Prevention website. https://www.cdc.gov/coronavirus/2019-ncov/hcp/disposition-hospitalized-patients.html. Updated June 2, 2021. Accessed June 28, 2021.Google Scholar
Cheng, H, Jian, S, Liu, D, Ng, T, Lin, H. Contact tracing assessment of COVID-19 transmission dynamics in Taiwan and risk at different exposure periods before and after symptom onset. JAMA Intern Med 2020;180:11561163.CrossRefGoogle ScholarPubMed
Tran, K, Cimon, K, Severn, M, Pessoa-Silva, CL, Conly, J. Aerosol-generating procedures and risk of transmission of acute respiratory infections to healthcare workers: a systematic review. PloS One 2012;7:e35797.CrossRefGoogle ScholarPubMed
Barnett, BP, Wahlin, K, Krawczyk, M, et al. Potential of ocular transmission of SARS-CoV-2: a review. Vision (Basel) 2020;4(3):40.CrossRefGoogle ScholarPubMed
Heinzerling, A, Stuckey, MJ, Scheuer, T, et al. Transmission of COVID-19 to healthcare personnel during exposures to a hospitalized patient—Solano County, California, February 2020. Morb Mortal Wkly Rep 2020;69:472476.CrossRefGoogle Scholar
Ng, K, Poon, BH, Kiat Puar, TH, et al. COVID-19 and the risk to health care workers: a case report. Ann Intern Med 2020;172:766767.CrossRefGoogle ScholarPubMed
Temkin, E, Schwaber, MJ, Vaturi, A, Nadir, E, Zilber, R, Barel, O, Pavlov, L, Carmeli, Y. Effect of a national policy of universal masking and uniform criteria for severe acute respiratory coronavirus virus 2 (SARS-CoV-2) exposure on hospital staff infection and quarantine. Infect Control Hosp Epidemiol 2021. doi: 10.1017/ice.2021.207.CrossRefGoogle ScholarPubMed

Save article to Kindle

To save this article to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Transmission risk of severe acute respiratory coronavirus virus 2 (SARS-CoV-2) to healthcare personnel following unanticipated exposure to aerosol-generating procedures: Experience from epidemiologic investigations at an academic medical center
Available formats
×

Save article to Dropbox

To save this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you used this feature, you will be asked to authorise Cambridge Core to connect with your Dropbox account. Find out more about saving content to Dropbox.

Transmission risk of severe acute respiratory coronavirus virus 2 (SARS-CoV-2) to healthcare personnel following unanticipated exposure to aerosol-generating procedures: Experience from epidemiologic investigations at an academic medical center
Available formats
×

Save article to Google Drive

To save this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you used this feature, you will be asked to authorise Cambridge Core to connect with your Google Drive account. Find out more about saving content to Google Drive.

Transmission risk of severe acute respiratory coronavirus virus 2 (SARS-CoV-2) to healthcare personnel following unanticipated exposure to aerosol-generating procedures: Experience from epidemiologic investigations at an academic medical center
Available formats
×
×

Reply to: Submit a response

Please enter your response.

Your details

Please enter a valid email address.

Conflicting interests

Do you have any conflicting interests? *