scholarly journals Outbreak investigation of symptomatic SARS-COV-2 VOC 202012/01-lineage B.1.1.7 infection in healthcare workers, Italy

2021 ◽  
Author(s):  
Daniela Loconsole ◽  
Anna Sallustio ◽  
Marisa Accogli ◽  
Angela Leaci ◽  
Antonio Sanguedolce ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Outbreak Investigation

scholarly journals 42. Outbreak of SARS-CoV-2 in Hospitalized Hemodialysis Patients: an Epidemiologic and Genomic Investigation

2021 ◽  
Vol 8 (Supplement_1) ◽  
pp. S31-S31
Author(s):  
Charles E Marvil ◽  
Anne Piantadosi ◽  
Aaron Preston ◽  
Andrew Webster ◽  
Jeannette Guarner ◽  
...  
Keyword(s):  
Phylogenetic Tree ◽  
Healthcare Workers ◽  
The State ◽  
Outbreak Investigation ◽  
Contact Tracing ◽  
Nasopharyngeal Swab ◽  
Prevention Measures ◽  
Nursing Unit ◽  
Hemodialysis Session ◽  
Inpatient Nursing

Abstract Background Healthcare-associated transmission of SARS-CoV-2 is relatively rare and may be difficult to quantify. We performed an epidemiological investigation and SARS-CoV-2 genome sequencing to define the source and scope of a SARS-CoV-2 outbreak in a cluster of hospitalized patients Methods We conducted an outbreak investigation after identifying hospital-onset COVID-19 in patients receiving hemodialysis in January 2021. Electronic medical record review, staff interviews, review of employee schedule logs, and contact tracing were used to determine the outbreak timeline and identify exposed healthcare workers (HCW). SARS-CoV-2 genomes were sequenced from residual nasopharyngeal swab samples from 6 individuals in the outbreak investigation and compared to sequences from 14 patients in the same facility, 54 patients in nearby facilities, and 375 publicly available sequences from individuals in the state of Georgia. Results Eight patients with hospital-onset COVID-19 were identified (Cases 1-8); all were receiving hemodialysis and 5 were bedded in a single inpatient nursing unit. Among 53 potentially exposed HCW, 29 underwent testing and 5 were positive (Cases 9-13). The suspected index patient (Case 1) was found to have been coughing and inconsistently wearing a mask during a hemodialysis session on the same day that 6 of the 7 other patients and one HCW (Case 10) were in close proximity in the hemodialysis unit (Figure 1A). Further investigation revealed lack of use of curtain barriers in the hemodialysis bays, inconsistent use of personal protective equipment by HCW, and overcrowding of staff breakrooms. Among the 6 samples available for phylogenetic analysis, SARS-CoV-2 sequences from 5 (4 patients and 1 HCW, Case 9) were identical and at least 4 SNPs removed from the next closest sequence in this study, supporting a transmission cluster (Figure 1B). The sequence from the sixth sample (HCW Case 10) was phylogenetically distinct, indicating an independent source of infection. Figure 1 Exposure and onset of symptoms for the 6 cases in the outbreak with samples available for SARS-CoV-2 sequencing. Four patients with hospital-onset COVID-19 (Cases 1-4) were receiving hemodialysis and bedded in a single inpatient nursing unit, with two exposed healthcare workers (Cases 9-10). (A). Phylogenetic tree of SARS-CoV-2 genomes from individuals in this outbreak investigation (red), as well as 14 patients in the same facility and 54 patients in nearby facilities between 12/12/2020 and 1/13/2021 (blue). These were aligned with 375 publicly available sequences from individuals in the state of Georgia from the same time period using MAFFT. A maximum-likelihood phylogenetic tree was generated under a generalized time-reversible model with 1,000 bootstrap replicates using IQtree v2.0.3 and visualized and annotated using Interactive Tree of Life (iTOL) v4 (B). Conclusion Lack of appropriate respiratory hygiene led to SARS-CoV-2 transmission during a single hemodialysis session, based on clinical and genomic epidemiology. Use of appropriate PPE for both patients and HCW and other infection prevention measures are critical to prevent SARS-CoV-2 transmission. Disclosures All Authors: No reported disclosures

scholarly journals Training Ghanaian frontline healthcare workers in public health surveillance and disease outbreak investigation and response

2016 ◽  
Vol 25 ◽  
Author(s):  
Donne Kofi Ameme ◽  
Kofi Mensah Nyarko ◽  
Edwin Andrews Afari ◽  
Simon Antara ◽  
Samuel Oko Sackey ◽  
...  
Keyword(s):  
Public Health ◽  
Healthcare Workers ◽  
Public Health Surveillance ◽  
Disease Outbreak ◽  
Health Surveillance ◽  
Outbreak Investigation ◽  
Frontline Healthcare Workers

Unfair treatment, stress and psychological outcomes among correctional healthcare workers.

1999 ◽  
Author(s):  
J. Antonio Escamilla-Cejudo ◽  
Christine D. Karkashian ◽  
Robyn R. M. Gershon ◽  
Larry Murphy
Keyword(s):  
Healthcare Workers ◽  
Psychological Outcomes ◽  
Unfair Treatment ◽  
Correctional Healthcare

Healthcare-workers’ Aggressive Behavior Scale-Users--Mental Health Version

2019 ◽  
Author(s):  
José Antonio Ruiz-Hernández ◽  
María Sánchez-Muñoz ◽  
José Antonio Jiménez- Barbero ◽  
David Pina López ◽  
Inmaculada Galían-Muñoz ◽  
...  
Keyword(s):  
Mental Health ◽  
Aggressive Behavior ◽  
Healthcare Workers ◽  
Behavior Scale

Evaluating the Behavior of Healthcare Workers

2012 ◽  
Vol 3 (1) ◽  
pp. 65-67
Author(s):  
Mehmet Karatas ◽  
◽  
Yusuf Yakupogullari ◽  
Mehmet Fatih Korkmaz ◽  
Leyla Kilic ◽  
...  
Keyword(s):  
Healthcare Workers

An outbreak investigation of suspected Chikungunya fever in Nalgonda District, Telangana state

2014 ◽  
Vol 3 (4) ◽  
pp. 219 ◽  
Author(s):  
Suguna Dumpala ◽  
Nagaraj Kondagunta ◽  
VarunMohan Malhotra ◽  
GuruPrasad Venna ◽  
KishoreYadav Jothula
Keyword(s):  
Outbreak Investigation ◽  
Chikungunya Fever ◽  
Telangana State ◽  
Nalgonda District
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