Prevalence of Coronavirus Disease 2019 Infection and Outcomes Among Symptomatic Healthcare Workers in Seattle, Washington
Abstract Background Healthcare workers (HCWs) who serve on the front lines of the coronavirus disease 2019 (COVID-19) pandemic have been at increased risk for infection due to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in some settings. Healthcare-acquired infection has been report...
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| Veröffentlicht in: | Clinical infectious diseases 2020-12, Vol.71 (10), p.2702-2707 |
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| creator | Mani, Nandita S Budak, Jehan Z Lan, Kristine F Bryson-Cahn, Chloe Zelikoff, Allison Barker, Gwendolyn E C Grant, Carolyn W Hart, Kristi Barbee, Carrie J Sandoval, Marissa D Dostal, Christine L Corcorran, Maria Ungerleider, Hal M Gates, Jeff O Olin, Svaya V Bryan, Andrew Hoffman, Noah G Marquis, Sara R Harvey, Michelle L Nasenbeny, Keri Mertens, Kathleen Chew, Lisa D Greninger, Alexander L Jerome, Keith R Pottinger, Paul S Dellit, Timothy H Liu, Catherine Pergam, Steven A Neme, Santiago Lynch, John B Kim, H Nina Cohen, Seth A |
| description | Abstract
Background
Healthcare workers (HCWs) who serve on the front lines of the coronavirus disease 2019 (COVID-19) pandemic have been at increased risk for infection due to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in some settings. Healthcare-acquired infection has been reported in similar epidemics, but there are limited data on the prevalence of COVID-19 among HCWs and their associated clinical outcomes in the United States.
Methods
We established 2 high-throughput employee testing centers in Seattle, Washington, with drive-through and walk-through options for symptomatic employees in the University of Washington Medicine system and its affiliated organizations. Using data from these testing centers, we report the prevalence of SARS-CoV-2 infection among symptomatic employees and describe the clinical characteristics and outcomes among employees with COVID-19.
Results
Between 12 March 2020 and 23 April 2020, 3477 symptomatic employees were tested for COVID-19 at 2 employee testing centers; 185 (5.3%) employees tested positive for COVID-19. The prevalence of SARS-CoV-2 was similar when comparing frontline HCWs (5.2%) with nonfrontline staff (5.5%). Among 174 positive employees reached for follow-up at least 14 days after diagnosis, 6 reported COVID-related hospitalization; all recovered.
Conclusions
During the study period, we observed that the prevalence of positive SARS-CoV-2 tests among symptomatic HCWs was comparable to that of symptomatic nonfrontline staff. Reliable and rapid access to testing for employees is essential to preserve the health, safety, and availability of the healthcare workforce during this pandemic and to facilitate the rapid return of SARS-CoV-2–negative employees to work.
In this retrospective review of 3477 symptomatic employees tested at high-throughput testing centers, 185 (5.3%) tested positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Of those, 6 reported coronavirus disease 2019–related hospitalization. The prevalence of SARS-CoV-2 among symptomatic healthcare workers was comparable to that of symptomatic nonfrontline staff. |
| doi_str_mv | 10.1093/cid/ciaa761 |
| format | Article |
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Background
Healthcare workers (HCWs) who serve on the front lines of the coronavirus disease 2019 (COVID-19) pandemic have been at increased risk for infection due to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in some settings. Healthcare-acquired infection has been reported in similar epidemics, but there are limited data on the prevalence of COVID-19 among HCWs and their associated clinical outcomes in the United States.
Methods
We established 2 high-throughput employee testing centers in Seattle, Washington, with drive-through and walk-through options for symptomatic employees in the University of Washington Medicine system and its affiliated organizations. Using data from these testing centers, we report the prevalence of SARS-CoV-2 infection among symptomatic employees and describe the clinical characteristics and outcomes among employees with COVID-19.
Results
Between 12 March 2020 and 23 April 2020, 3477 symptomatic employees were tested for COVID-19 at 2 employee testing centers; 185 (5.3%) employees tested positive for COVID-19. The prevalence of SARS-CoV-2 was similar when comparing frontline HCWs (5.2%) with nonfrontline staff (5.5%). Among 174 positive employees reached for follow-up at least 14 days after diagnosis, 6 reported COVID-related hospitalization; all recovered.
Conclusions
During the study period, we observed that the prevalence of positive SARS-CoV-2 tests among symptomatic HCWs was comparable to that of symptomatic nonfrontline staff. Reliable and rapid access to testing for employees is essential to preserve the health, safety, and availability of the healthcare workforce during this pandemic and to facilitate the rapid return of SARS-CoV-2–negative employees to work.
In this retrospective review of 3477 symptomatic employees tested at high-throughput testing centers, 185 (5.3%) tested positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Of those, 6 reported coronavirus disease 2019–related hospitalization. The prevalence of SARS-CoV-2 among symptomatic healthcare workers was comparable to that of symptomatic nonfrontline staff.</description><identifier>ISSN: 1058-4838</identifier><identifier>EISSN: 1537-6591</identifier><identifier>DOI: 10.1093/cid/ciaa761</identifier><identifier>PMID: 32548613</identifier><language>eng</language><publisher>US: Oxford University Press</publisher><subject>COVID-19 ; COVID-19 Testing ; Health Personnel ; Humans ; Major and Commentaries ; Prevalence ; SARS-CoV-2 ; Washington - epidemiology</subject><ispartof>Clinical infectious diseases, 2020-12, Vol.71 (10), p.2702-2707</ispartof><rights>The Author(s) 2020. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved. For permissions, e-mail: journals.permissions@oup.com. 2020</rights><rights>The Author(s) 2020. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved. For permissions, e-mail: journals.permissions@oup.com.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c412t-e4e17e9626396721ca90bf5297ea32181047ba1b2d6d7ddf4b2ec68a17d859b63</citedby><cites>FETCH-LOGICAL-c412t-e4e17e9626396721ca90bf5297ea32181047ba1b2d6d7ddf4b2ec68a17d859b63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,1584,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32548613$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mani, Nandita S</creatorcontrib><creatorcontrib>Budak, Jehan Z</creatorcontrib><creatorcontrib>Lan, Kristine F</creatorcontrib><creatorcontrib>Bryson-Cahn, Chloe</creatorcontrib><creatorcontrib>Zelikoff, Allison</creatorcontrib><creatorcontrib>Barker, Gwendolyn E C</creatorcontrib><creatorcontrib>Grant, Carolyn W</creatorcontrib><creatorcontrib>Hart, Kristi</creatorcontrib><creatorcontrib>Barbee, Carrie J</creatorcontrib><creatorcontrib>Sandoval, Marissa D</creatorcontrib><creatorcontrib>Dostal, Christine L</creatorcontrib><creatorcontrib>Corcorran, Maria</creatorcontrib><creatorcontrib>Ungerleider, Hal M</creatorcontrib><creatorcontrib>Gates, Jeff O</creatorcontrib><creatorcontrib>Olin, Svaya V</creatorcontrib><creatorcontrib>Bryan, Andrew</creatorcontrib><creatorcontrib>Hoffman, Noah G</creatorcontrib><creatorcontrib>Marquis, Sara R</creatorcontrib><creatorcontrib>Harvey, Michelle L</creatorcontrib><creatorcontrib>Nasenbeny, Keri</creatorcontrib><creatorcontrib>Mertens, Kathleen</creatorcontrib><creatorcontrib>Chew, Lisa D</creatorcontrib><creatorcontrib>Greninger, Alexander L</creatorcontrib><creatorcontrib>Jerome, Keith R</creatorcontrib><creatorcontrib>Pottinger, Paul S</creatorcontrib><creatorcontrib>Dellit, Timothy H</creatorcontrib><creatorcontrib>Liu, Catherine</creatorcontrib><creatorcontrib>Pergam, Steven A</creatorcontrib><creatorcontrib>Neme, Santiago</creatorcontrib><creatorcontrib>Lynch, John B</creatorcontrib><creatorcontrib>Kim, H Nina</creatorcontrib><creatorcontrib>Cohen, Seth A</creatorcontrib><title>Prevalence of Coronavirus Disease 2019 Infection and Outcomes Among Symptomatic Healthcare Workers in Seattle, Washington</title><title>Clinical infectious diseases</title><addtitle>Clin Infect Dis</addtitle><description>Abstract
Background
Healthcare workers (HCWs) who serve on the front lines of the coronavirus disease 2019 (COVID-19) pandemic have been at increased risk for infection due to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in some settings. Healthcare-acquired infection has been reported in similar epidemics, but there are limited data on the prevalence of COVID-19 among HCWs and their associated clinical outcomes in the United States.
Methods
We established 2 high-throughput employee testing centers in Seattle, Washington, with drive-through and walk-through options for symptomatic employees in the University of Washington Medicine system and its affiliated organizations. Using data from these testing centers, we report the prevalence of SARS-CoV-2 infection among symptomatic employees and describe the clinical characteristics and outcomes among employees with COVID-19.
Results
Between 12 March 2020 and 23 April 2020, 3477 symptomatic employees were tested for COVID-19 at 2 employee testing centers; 185 (5.3%) employees tested positive for COVID-19. The prevalence of SARS-CoV-2 was similar when comparing frontline HCWs (5.2%) with nonfrontline staff (5.5%). Among 174 positive employees reached for follow-up at least 14 days after diagnosis, 6 reported COVID-related hospitalization; all recovered.
Conclusions
During the study period, we observed that the prevalence of positive SARS-CoV-2 tests among symptomatic HCWs was comparable to that of symptomatic nonfrontline staff. Reliable and rapid access to testing for employees is essential to preserve the health, safety, and availability of the healthcare workforce during this pandemic and to facilitate the rapid return of SARS-CoV-2–negative employees to work.
In this retrospective review of 3477 symptomatic employees tested at high-throughput testing centers, 185 (5.3%) tested positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Of those, 6 reported coronavirus disease 2019–related hospitalization. The prevalence of SARS-CoV-2 among symptomatic healthcare workers was comparable to that of symptomatic nonfrontline staff.</description><subject>COVID-19</subject><subject>COVID-19 Testing</subject><subject>Health Personnel</subject><subject>Humans</subject><subject>Major and Commentaries</subject><subject>Prevalence</subject><subject>SARS-CoV-2</subject><subject>Washington - epidemiology</subject><issn>1058-4838</issn><issn>1537-6591</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kdFrFDEQhxdRbK0--S55EkFXM8lusvsilLO1hUKFKn0Ms9nZu-hucibZg_vvXbmz6IsPwwzMx28GvqJ4Cfw98FZ-sK5fClEreFScQi11qeoWHi8zr5uyamRzUjxL6TvnAA2vnxYnUtRVo0CeFvsvkXY4krfEwsBWIQaPOxfnxD65RJiICQ4tu_YD2eyCZ-h7djtnGyZK7HwKfs3u9tM2hwmzs-yKcMwbi5HYfYg_KCbmPLsjzHmkd-we08b5dQ7-efFkwDHRi2M_K75dXnxdXZU3t5-vV-c3pa1A5JIqAk2tEkq2Sguw2PJuqEWrCaWABnilO4RO9KrXfT9UnSCrGgTdN3XbKXlWfDzkbuduot6SzxFHs41uwrg3AZ35d-PdxqzDzmgptaphCXhzDIjh50wpm8klS-OInsKcjKigqgCWFxf07QG1MaQUaXg4A9z8lmUWWeYoa6Ff_f3ZA_vHzgK8PgBh3v436Re75J_8</recordid><startdate>20201217</startdate><enddate>20201217</enddate><creator>Mani, Nandita S</creator><creator>Budak, Jehan Z</creator><creator>Lan, Kristine F</creator><creator>Bryson-Cahn, Chloe</creator><creator>Zelikoff, Allison</creator><creator>Barker, Gwendolyn E C</creator><creator>Grant, Carolyn W</creator><creator>Hart, Kristi</creator><creator>Barbee, Carrie J</creator><creator>Sandoval, Marissa D</creator><creator>Dostal, Christine L</creator><creator>Corcorran, Maria</creator><creator>Ungerleider, Hal M</creator><creator>Gates, Jeff O</creator><creator>Olin, Svaya V</creator><creator>Bryan, Andrew</creator><creator>Hoffman, Noah G</creator><creator>Marquis, Sara R</creator><creator>Harvey, Michelle L</creator><creator>Nasenbeny, Keri</creator><creator>Mertens, Kathleen</creator><creator>Chew, Lisa D</creator><creator>Greninger, Alexander L</creator><creator>Jerome, Keith R</creator><creator>Pottinger, Paul S</creator><creator>Dellit, Timothy H</creator><creator>Liu, Catherine</creator><creator>Pergam, Steven A</creator><creator>Neme, Santiago</creator><creator>Lynch, John B</creator><creator>Kim, H Nina</creator><creator>Cohen, Seth A</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20201217</creationdate><title>Prevalence of Coronavirus Disease 2019 Infection and Outcomes Among Symptomatic Healthcare Workers in Seattle, Washington</title><author>Mani, Nandita S ; Budak, Jehan Z ; Lan, Kristine F ; Bryson-Cahn, Chloe ; Zelikoff, Allison ; Barker, Gwendolyn E C ; Grant, Carolyn W ; Hart, Kristi ; Barbee, Carrie J ; Sandoval, Marissa D ; Dostal, Christine L ; Corcorran, Maria ; Ungerleider, Hal M ; Gates, Jeff O ; Olin, Svaya V ; Bryan, Andrew ; Hoffman, Noah G ; Marquis, Sara R ; Harvey, Michelle L ; Nasenbeny, Keri ; Mertens, Kathleen ; Chew, Lisa D ; Greninger, Alexander L ; Jerome, Keith R ; Pottinger, Paul S ; Dellit, Timothy H ; Liu, Catherine ; Pergam, Steven A ; Neme, Santiago ; Lynch, John B ; Kim, H Nina ; Cohen, Seth A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c412t-e4e17e9626396721ca90bf5297ea32181047ba1b2d6d7ddf4b2ec68a17d859b63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>COVID-19</topic><topic>COVID-19 Testing</topic><topic>Health Personnel</topic><topic>Humans</topic><topic>Major and Commentaries</topic><topic>Prevalence</topic><topic>SARS-CoV-2</topic><topic>Washington - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mani, Nandita S</creatorcontrib><creatorcontrib>Budak, Jehan Z</creatorcontrib><creatorcontrib>Lan, Kristine F</creatorcontrib><creatorcontrib>Bryson-Cahn, Chloe</creatorcontrib><creatorcontrib>Zelikoff, Allison</creatorcontrib><creatorcontrib>Barker, Gwendolyn E C</creatorcontrib><creatorcontrib>Grant, Carolyn W</creatorcontrib><creatorcontrib>Hart, Kristi</creatorcontrib><creatorcontrib>Barbee, Carrie J</creatorcontrib><creatorcontrib>Sandoval, Marissa D</creatorcontrib><creatorcontrib>Dostal, Christine L</creatorcontrib><creatorcontrib>Corcorran, Maria</creatorcontrib><creatorcontrib>Ungerleider, Hal M</creatorcontrib><creatorcontrib>Gates, Jeff O</creatorcontrib><creatorcontrib>Olin, Svaya V</creatorcontrib><creatorcontrib>Bryan, Andrew</creatorcontrib><creatorcontrib>Hoffman, Noah G</creatorcontrib><creatorcontrib>Marquis, Sara R</creatorcontrib><creatorcontrib>Harvey, Michelle L</creatorcontrib><creatorcontrib>Nasenbeny, Keri</creatorcontrib><creatorcontrib>Mertens, Kathleen</creatorcontrib><creatorcontrib>Chew, Lisa D</creatorcontrib><creatorcontrib>Greninger, Alexander L</creatorcontrib><creatorcontrib>Jerome, Keith R</creatorcontrib><creatorcontrib>Pottinger, Paul S</creatorcontrib><creatorcontrib>Dellit, Timothy H</creatorcontrib><creatorcontrib>Liu, Catherine</creatorcontrib><creatorcontrib>Pergam, Steven A</creatorcontrib><creatorcontrib>Neme, Santiago</creatorcontrib><creatorcontrib>Lynch, John B</creatorcontrib><creatorcontrib>Kim, H Nina</creatorcontrib><creatorcontrib>Cohen, Seth A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Clinical infectious diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mani, Nandita S</au><au>Budak, Jehan Z</au><au>Lan, Kristine F</au><au>Bryson-Cahn, Chloe</au><au>Zelikoff, Allison</au><au>Barker, Gwendolyn E C</au><au>Grant, Carolyn W</au><au>Hart, Kristi</au><au>Barbee, Carrie J</au><au>Sandoval, Marissa D</au><au>Dostal, Christine L</au><au>Corcorran, Maria</au><au>Ungerleider, Hal M</au><au>Gates, Jeff O</au><au>Olin, Svaya V</au><au>Bryan, Andrew</au><au>Hoffman, Noah G</au><au>Marquis, Sara R</au><au>Harvey, Michelle L</au><au>Nasenbeny, Keri</au><au>Mertens, Kathleen</au><au>Chew, Lisa D</au><au>Greninger, Alexander L</au><au>Jerome, Keith R</au><au>Pottinger, Paul S</au><au>Dellit, Timothy H</au><au>Liu, Catherine</au><au>Pergam, Steven A</au><au>Neme, Santiago</au><au>Lynch, John B</au><au>Kim, H Nina</au><au>Cohen, Seth A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence of Coronavirus Disease 2019 Infection and Outcomes Among Symptomatic Healthcare Workers in Seattle, Washington</atitle><jtitle>Clinical infectious diseases</jtitle><addtitle>Clin Infect Dis</addtitle><date>2020-12-17</date><risdate>2020</risdate><volume>71</volume><issue>10</issue><spage>2702</spage><epage>2707</epage><pages>2702-2707</pages><issn>1058-4838</issn><eissn>1537-6591</eissn><abstract>Abstract
Background
Healthcare workers (HCWs) who serve on the front lines of the coronavirus disease 2019 (COVID-19) pandemic have been at increased risk for infection due to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in some settings. Healthcare-acquired infection has been reported in similar epidemics, but there are limited data on the prevalence of COVID-19 among HCWs and their associated clinical outcomes in the United States.
Methods
We established 2 high-throughput employee testing centers in Seattle, Washington, with drive-through and walk-through options for symptomatic employees in the University of Washington Medicine system and its affiliated organizations. Using data from these testing centers, we report the prevalence of SARS-CoV-2 infection among symptomatic employees and describe the clinical characteristics and outcomes among employees with COVID-19.
Results
Between 12 March 2020 and 23 April 2020, 3477 symptomatic employees were tested for COVID-19 at 2 employee testing centers; 185 (5.3%) employees tested positive for COVID-19. The prevalence of SARS-CoV-2 was similar when comparing frontline HCWs (5.2%) with nonfrontline staff (5.5%). Among 174 positive employees reached for follow-up at least 14 days after diagnosis, 6 reported COVID-related hospitalization; all recovered.
Conclusions
During the study period, we observed that the prevalence of positive SARS-CoV-2 tests among symptomatic HCWs was comparable to that of symptomatic nonfrontline staff. Reliable and rapid access to testing for employees is essential to preserve the health, safety, and availability of the healthcare workforce during this pandemic and to facilitate the rapid return of SARS-CoV-2–negative employees to work.
In this retrospective review of 3477 symptomatic employees tested at high-throughput testing centers, 185 (5.3%) tested positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Of those, 6 reported coronavirus disease 2019–related hospitalization. The prevalence of SARS-CoV-2 among symptomatic healthcare workers was comparable to that of symptomatic nonfrontline staff.</abstract><cop>US</cop><pub>Oxford University Press</pub><pmid>32548613</pmid><doi>10.1093/cid/ciaa761</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Oxford University Press Journals All Titles (1996-Current); Alma/SFX Local Collection |
| subjects | COVID-19 COVID-19 Testing Health Personnel Humans Major and Commentaries Prevalence SARS-CoV-2 Washington - epidemiology |
| title | Prevalence of Coronavirus Disease 2019 Infection and Outcomes Among Symptomatic Healthcare Workers in Seattle, Washington |
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