• Rev Med Interne · Aug 2020

    [Nasopharyngeal carriage of SARS-CoV-2 among health personnel with symptoms suggestive of COVID-19 in a University Hospital in the Paris suburbs].

    • S Greffe, F Espinasse, C Duran, S Labrune, M Sirol, B Mantalvan, M C Gramer, C Babulle, G Do Rosario, Q Vauvillier, A Huet, A Van der Heidjen, J Tysebaert, L F Kramarz, J-P Rabes, G Pellissier, T Chinet, F Moreau, and E Rouveix.
    • Service de médecine interne, CHU Ambroise Paré, GH Paris Saclay, Assistance Publique Hôpitaux de Paris (APHP), France.
    • Rev Med Interne. 2020 Aug 1; 41 (8): 510516510-516.

    IntroductionA consultation dedicated to symptomatic health professionals was opened at the beginning of the COVID-19 epidemic in order to meet the specific needs of this population. The objective of this work was to estimate the frequency of SARS-Cov-2 nasopharyngeal carriage in symptomatic healthcare workers suspected of having COVID-19 and to determine the factors associated with this carriage.MethodsOf the 522 consultants, 308 worked in the Hospital and 214 outside. They had mild forms of COVID-19 and non-specific clinical signs with the exception of agueusia/anosmia, which was significantly more common in those with positive RT-PCR. The rate of RT-PCR positivity was 38% overall, without significant difference according to profession. It was higher among external consultants (47% versus 31%). In the hospital, this rate was significantly lower for symptomatic staff in the care sectors, compared to staff in the technical platforms and laboratories (24%, versus 45%, p = 0.006 and 54%, respectively, p < 0.001), but did not differ between staff in COVID units and other care sectors (30% versus 28%). Among the external consultants, the positivity rates of nursing home and private practices staff (53% and 55% respectively) were more than double that of acute care hospital staff (24%, p < 0.001).ConclusionsThese data confirm the strong impact of COVID-19 on health professionals. The higher positivity rates among symptomatic professionals working outside the hospital compared to those working in hospital may be explained in part by a shortage of protective equipment and by difficulties in accessing virological diagnosis, which were greater outside the hospital when the epidemic began.Copyright © 2020. Published by Elsevier Masson SAS.

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