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COVID-19 in Healthcare Workers: A Living Systematic Review and Meta-analysis of Prevalence, Risk Factors, Clinical Characteristics, and Outcomes.

  • Gómez-Ochoa SA Research Division, Cardiovascular Foundation of Colombia, Floridablanca, Colombia.
  • Franco OH Institute of Social and Preventive Medicine (ISPM), University of Bern, Bern, Switzerland.
  • Rojas LZ Research Division, Cardiovascular Foundation of Colombia, Floridablanca, Colombia.
  • Raguindin PF Institute of Social and Preventive Medicine (ISPM), University of Bern, Bern, Switzerland.
  • Roa-Díaz ZM Institute of Social and Preventive Medicine (ISPM), University of Bern, Bern, Switzerland.
  • Wyssmann BM Public Health & Primary Care Library, University Library of Bern, University of Bern, Bern, Switzerland.
  • Guevara SLR Nursing School, Universidad Industrial de Santander, Bucaramanga, Colombia.
  • Echeverría LE Chief, Heart Failure Clinic, Cardiovascular Foundation of Colombia, Floridablanca, Colombia.
  • Glisic M Institute of Social and Preventive Medicine (ISPM), University of Bern, Bern, Switzerland.
  • Muka T Institute of Social and Preventive Medicine (ISPM), University of Bern, Bern, Switzerland.
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  • 2020-09-02
Published in:
  • American journal of epidemiology. - 2020
2019-nCoV
COVID-19
Health Care Workers
Medical Workers
SARS-CoV-2
English Health care workers (HCW) are at the frontline response to the new coronavirus disease 2019 (COVID-19), being at a higher risk of acquiring the disease, and subsequently, exposing patients and colleagues. Searches in eight bibliographic databases were performed to systematically review the evidence on the prevalence, risk factors, clinical characteristics, and prognosis of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection among HCW. Ninety-seven studies (All published in 2020), including 230,398 HCW, met the inclusion criteria. From the screened HCW using RT-PCR and the presence of antibodies, the estimated prevalence of SARS-CoV-2 infection was 11% (95%CI; 7%-15%) and 7% (95% CI; 4%-11%), respectively. The most frequently affected personnel were the nurses (48%. 95%CI; 41%-56%), while most of the COVID-19 positive medical personnel were working in hospitalization/non-emergency wards during the screening (43%, 95%CI;28%-59%). Anosmia, fever and myalgia were identified as the only symptoms associated with HCW SARS-CoV-2 positivity. Among RT-PCR positive HCW, 40% (95%CI;17%-65%) did not show symptoms at the time of diagnosis. Finally, 5% (95%CI;3%-8%) of the COVID-19 positive HCW developed severe clinical complications, and 0.5% (95% CI; 0.02%-1.3%) died. HCW suffer a significant burden from COVID-19, with HCW working in hospitalization/non-emergency wards and nurses being the most infected personnel.
Language
  • English
Open access status
bronze
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Persistent URL
https://folia.unifr.ch/global/documents/122248
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