Containment of COVID-19 cases among healthcare workers: The role of surveillance, early detection, and outbreak management
Staff surveillance is crucial during the containment phase of a pandemic to help reduce potential healthcare-associated transmission and sustain good staff morale. During an outbreak of SARS-COV-2 with community transmission, our institution used an integrated strategy for early detection and contai...
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| Veröffentlicht in: | Infection control and hospital epidemiology 2020-07, Vol.41 (7), p.765-771 |
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| creator | Wee, Liang En Sim, Xiang Ying Jean Conceicao, Edwin Philip Aung, May Kyawt Goh, Jia Qing Yeo, Dennis Wu Ting Gan, Wee Hoe Chua, Ying Ying Wijaya, Limin Tan, Thuan Tong Tan, Ban Hock Ling, Moi Lin Venkatachalam, Indumathi |
| description | Staff surveillance is crucial during the containment phase of a pandemic to help reduce potential healthcare-associated transmission and sustain good staff morale. During an outbreak of SARS-COV-2 with community transmission, our institution used an integrated strategy for early detection and containment of COVID-19 cases among healthcare workers (HCWs).
Our strategy comprised 3 key components: (1) enforcing reporting of HCWs with acute respiratory illness (ARI) to our institution's staff clinic for monitoring; (2) conducting ongoing syndromic surveillance to obtain early warning of potential clusters of COVID-19; and (3) outbreak investigation and management.
Over a 16-week surveillance period, we detected 14 cases of COVID-19 among HCWs with ARI symptoms. Two of the cases were linked epidemiologically and thus constituted a COVID-19 cluster with intrahospital HCW-HCW transmission; we also detected 1 family cluster and 2 clusters among HCWs who shared accommodation. No transmission to HCWs or patients was detected after containment measures were instituted. Early detection minimized the number of HCWs requiring quarantine, hence preserving continuity of service during an ongoing pandemic.
An integrated surveillance strategy, outbreak management, and encouraging individual responsibility were successful in early detection of clusters of COVID-19 among HCWs. With ongoing local transmission, vigilance must be maintained for intrahospital spread in nonclinical areas where social mingling of HCWs occurs. Because most individuals with COVID-19 have mild symptoms, addressing presenteeism is crucial to minimize potential staff and patient exposure. |
| doi_str_mv | 10.1017/ice.2020.219 |
| format | Article |
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Our strategy comprised 3 key components: (1) enforcing reporting of HCWs with acute respiratory illness (ARI) to our institution's staff clinic for monitoring; (2) conducting ongoing syndromic surveillance to obtain early warning of potential clusters of COVID-19; and (3) outbreak investigation and management.
Over a 16-week surveillance period, we detected 14 cases of COVID-19 among HCWs with ARI symptoms. Two of the cases were linked epidemiologically and thus constituted a COVID-19 cluster with intrahospital HCW-HCW transmission; we also detected 1 family cluster and 2 clusters among HCWs who shared accommodation. No transmission to HCWs or patients was detected after containment measures were instituted. Early detection minimized the number of HCWs requiring quarantine, hence preserving continuity of service during an ongoing pandemic.
An integrated surveillance strategy, outbreak management, and encouraging individual responsibility were successful in early detection of clusters of COVID-19 among HCWs. With ongoing local transmission, vigilance must be maintained for intrahospital spread in nonclinical areas where social mingling of HCWs occurs. Because most individuals with COVID-19 have mild symptoms, addressing presenteeism is crucial to minimize potential staff and patient exposure.</description><identifier>ISSN: 0899-823X</identifier><identifier>EISSN: 1559-6834</identifier><identifier>DOI: 10.1017/ice.2020.219</identifier><identifier>PMID: 32391746</identifier><language>eng</language><publisher>United States: Cambridge University Press</publisher><subject>Adult ; Asymptomatic ; Cluster Analysis ; Containment ; Coronavirus Infections - diagnosis ; Coronavirus Infections - epidemiology ; Coronavirus Infections - prevention & control ; Coronavirus Infections - transmission ; Coronaviruses ; COVID-19 ; Disease transmission ; Early Diagnosis ; Electronic surveillance ; Emergency medical care ; Epidemics ; Epidemiology ; Female ; Fever ; Health care ; Health surveillance ; Heat ; Hospitals ; Hospitals, General ; Humans ; Illnesses ; Infection Control - methods ; Male ; Masks ; Medical personnel ; Medical supplies ; Middle Aged ; Original ; Outbreaks ; Pandemics ; Pandemics - prevention & control ; Personal protective equipment ; Personnel, Hospital ; Pneumonia, Viral - diagnosis ; Pneumonia, Viral - epidemiology ; Pneumonia, Viral - prevention & control ; Pneumonia, Viral - transmission ; Population Surveillance ; Respiratory diseases ; Severe acute respiratory syndrome coronavirus 2 ; Singapore - epidemiology ; Supervisors ; Symptom Assessment ; Young Adult</subject><ispartof>Infection control and hospital epidemiology, 2020-07, Vol.41 (7), p.765-771</ispartof><rights>2020 by The Society for Healthcare Epidemiology of America. All rights reserved. This work is licensed under the Creative Commons Attribution License http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Society for Healthcare Epidemiology of America 2020 2020 The Society for Healthcare Epidemiology of America</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5019-21c3e4232a5e3f8f7f4cdfa61de3d26381ec9bc8768bdc4fc9b2470f2a435cd23</citedby><cites>FETCH-LOGICAL-c5019-21c3e4232a5e3f8f7f4cdfa61de3d26381ec9bc8768bdc4fc9b2470f2a435cd23</cites><orcidid>0000-0001-6428-9999</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2730823719/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2730823719?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>230,314,776,780,881,21367,27901,27902,33721,43781,74045</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32391746$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wee, Liang En</creatorcontrib><creatorcontrib>Sim, Xiang Ying Jean</creatorcontrib><creatorcontrib>Conceicao, Edwin Philip</creatorcontrib><creatorcontrib>Aung, May Kyawt</creatorcontrib><creatorcontrib>Goh, Jia Qing</creatorcontrib><creatorcontrib>Yeo, Dennis Wu Ting</creatorcontrib><creatorcontrib>Gan, Wee Hoe</creatorcontrib><creatorcontrib>Chua, Ying Ying</creatorcontrib><creatorcontrib>Wijaya, Limin</creatorcontrib><creatorcontrib>Tan, Thuan Tong</creatorcontrib><creatorcontrib>Tan, Ban Hock</creatorcontrib><creatorcontrib>Ling, Moi Lin</creatorcontrib><creatorcontrib>Venkatachalam, Indumathi</creatorcontrib><title>Containment of COVID-19 cases among healthcare workers: The role of surveillance, early detection, and outbreak management</title><title>Infection control and hospital epidemiology</title><addtitle>Infect Control Hosp Epidemiol</addtitle><description>Staff surveillance is crucial during the containment phase of a pandemic to help reduce potential healthcare-associated transmission and sustain good staff morale. During an outbreak of SARS-COV-2 with community transmission, our institution used an integrated strategy for early detection and containment of COVID-19 cases among healthcare workers (HCWs).
Our strategy comprised 3 key components: (1) enforcing reporting of HCWs with acute respiratory illness (ARI) to our institution's staff clinic for monitoring; (2) conducting ongoing syndromic surveillance to obtain early warning of potential clusters of COVID-19; and (3) outbreak investigation and management.
Over a 16-week surveillance period, we detected 14 cases of COVID-19 among HCWs with ARI symptoms. Two of the cases were linked epidemiologically and thus constituted a COVID-19 cluster with intrahospital HCW-HCW transmission; we also detected 1 family cluster and 2 clusters among HCWs who shared accommodation. No transmission to HCWs or patients was detected after containment measures were instituted. Early detection minimized the number of HCWs requiring quarantine, hence preserving continuity of service during an ongoing pandemic.
An integrated surveillance strategy, outbreak management, and encouraging individual responsibility were successful in early detection of clusters of COVID-19 among HCWs. With ongoing local transmission, vigilance must be maintained for intrahospital spread in nonclinical areas where social mingling of HCWs occurs. Because most individuals with COVID-19 have mild symptoms, addressing presenteeism is crucial to minimize potential staff and patient exposure.</description><subject>Adult</subject><subject>Asymptomatic</subject><subject>Cluster Analysis</subject><subject>Containment</subject><subject>Coronavirus Infections - diagnosis</subject><subject>Coronavirus Infections - epidemiology</subject><subject>Coronavirus Infections - prevention & control</subject><subject>Coronavirus Infections - transmission</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>Disease transmission</subject><subject>Early Diagnosis</subject><subject>Electronic surveillance</subject><subject>Emergency medical care</subject><subject>Epidemics</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Fever</subject><subject>Health care</subject><subject>Health surveillance</subject><subject>Heat</subject><subject>Hospitals</subject><subject>Hospitals, General</subject><subject>Humans</subject><subject>Illnesses</subject><subject>Infection Control - 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During an outbreak of SARS-COV-2 with community transmission, our institution used an integrated strategy for early detection and containment of COVID-19 cases among healthcare workers (HCWs).
Our strategy comprised 3 key components: (1) enforcing reporting of HCWs with acute respiratory illness (ARI) to our institution's staff clinic for monitoring; (2) conducting ongoing syndromic surveillance to obtain early warning of potential clusters of COVID-19; and (3) outbreak investigation and management.
Over a 16-week surveillance period, we detected 14 cases of COVID-19 among HCWs with ARI symptoms. Two of the cases were linked epidemiologically and thus constituted a COVID-19 cluster with intrahospital HCW-HCW transmission; we also detected 1 family cluster and 2 clusters among HCWs who shared accommodation. No transmission to HCWs or patients was detected after containment measures were instituted. Early detection minimized the number of HCWs requiring quarantine, hence preserving continuity of service during an ongoing pandemic.
An integrated surveillance strategy, outbreak management, and encouraging individual responsibility were successful in early detection of clusters of COVID-19 among HCWs. With ongoing local transmission, vigilance must be maintained for intrahospital spread in nonclinical areas where social mingling of HCWs occurs. Because most individuals with COVID-19 have mild symptoms, addressing presenteeism is crucial to minimize potential staff and patient exposure.</abstract><cop>United States</cop><pub>Cambridge University Press</pub><pmid>32391746</pmid><doi>10.1017/ice.2020.219</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-6428-9999</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Infection control and hospital epidemiology, 2020-07, Vol.41 (7), p.765-771 |
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| language | eng |
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| source | MEDLINE; ProQuest Central; Cambridge University Press Journals Complete |
| subjects | Adult Asymptomatic Cluster Analysis Containment Coronavirus Infections - diagnosis Coronavirus Infections - epidemiology Coronavirus Infections - prevention & control Coronavirus Infections - transmission Coronaviruses COVID-19 Disease transmission Early Diagnosis Electronic surveillance Emergency medical care Epidemics Epidemiology Female Fever Health care Health surveillance Heat Hospitals Hospitals, General Humans Illnesses Infection Control - methods Male Masks Medical personnel Medical supplies Middle Aged Original Outbreaks Pandemics Pandemics - prevention & control Personal protective equipment Personnel, Hospital Pneumonia, Viral - diagnosis Pneumonia, Viral - epidemiology Pneumonia, Viral - prevention & control Pneumonia, Viral - transmission Population Surveillance Respiratory diseases Severe acute respiratory syndrome coronavirus 2 Singapore - epidemiology Supervisors Symptom Assessment Young Adult |
| title | Containment of COVID-19 cases among healthcare workers: The role of surveillance, early detection, and outbreak management |
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