The prevalence of COVID-19 in healthcare personnel in an adult and pediatric academic medical center

Am J Infect Control. 2021 May;49(5):542-546. doi: 10.1016/j.ajic.2021.01.004.

Abstract

Background: It is vital to know which healthcare personnel (HCP) have a higher chance of testing positive for severe acute respiratory syndrome coronavirus 2 (COVID-19).

Methods: A retrospective analysis was conducted at Stanford Children's Health (SCH) and Stanford Health Care (SHC) in Stanford, California. Analysis included all HCP, employed by SCH or SHC, who had a COVID-19 reverse transcriptase polymerase chain reaction (RT-PCR) test resulted by the SHC Laboratory, between March 1, 2020 and June 15, 2020. The primary outcome was the RT-PCR percent positivity and prevalence of COVID-19 for HCP and these were compared across roles.

Results: SCH and SHC had 24,081 active employees, of which 142 had at least 1 positive COVID-19 test. The overall HCP prevalence of COVID-19 was 0.59% and percent positivity was 1.84%. Patient facing HCPs had a significantly higher prevalence (0.66% vs 0.43%; P = .0331) and percent positivity (1.95% vs 1.43%; P = .0396) than nonpatient facing employees, respectively. Percent positivity was higher in food service workers (9.15%), and environmental services (5.96%) compared to clinicians (1.93%; P < .0001) and nurses (1.46%; P < .0001), respectively.

Discussion and conclusion: HCP in patient-facing roles and in support roles had a greater chance of being positive of COVID-19.

Keywords: Occupational health; Pandemic; SARS-CoV-2.

MeSH terms

  • Academic Medical Centers
  • Adult
  • COVID-19 / diagnosis
  • COVID-19 / epidemiology*
  • COVID-19 Testing / statistics & numerical data
  • Child
  • Delivery of Health Care
  • Female
  • Health Personnel / statistics & numerical data*
  • Humans
  • Male
  • Occupational Health*
  • Pandemics
  • Prevalence
  • Retrospective Studies
  • Reverse Transcriptase Polymerase Chain Reaction
  • SARS-CoV-2 / genetics
  • SARS-CoV-2 / isolation & purification*
  • United States / epidemiology