Open AccessProfessional practice for COVID-19 risk reduction among health care workers: A cross-sectional study with matched case-control comparison
Author(s) -
Sarah M. Wilson,
Audrey Mouet,
Camille Jeanne-Leroyer,
F. Borgey,
Emmanuelle Odinet-Raulin,
Xavier Humbert,
Simon Le Hello,
Pascal Thibon
Publication year - 2022
Publication title -
plos one
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.99
H-Index - 332
ISSN - 1932-6203
DOI - 10.1371/journal.pone.0264232
Subject(s) - medicine , cross sectional study , infection control , covid-19 , health care , personal protective equipment , respirator , environmental health , family medicine , population , disease , surgery , infectious disease (medical specialty) , pathology , materials science , economics , composite material , economic growth
Background Health care workers (HCWs) are particularly exposed to COVID-19 and therefore it is important to study preventive measures in this population. Aim To investigate socio-demographic factors and professional practice associated with the risk of COVID-19 among HCWs in health establishments in Normandy, France. Methods A cross-sectional and 3 case-control studies using bootstrap methods were conducted in order to explore the possible risk factors that lead to SARS-CoV2 transmission within HCWs. Case-control studies focused on risk factors associated with (a) care of COVID-19 patients, (b) care of non COVID-19 patients and (c) contacts between colleagues. Participants 2,058 respondents, respectively 1,363 (66.2%) and 695 (33.8%) in medical and medico-social establishments, including HCW with and without contact with patients. Results 301 participants (14.6%) reported having been infected by SARS-CoV2. When caring for COVID-19 patients, HCWs who declared wearing respirators, either for all patient care (ORa 0.39; 95% CI: 0.29–0.51) or only when exposed to aerosol-generating procedures (ORa 0.56; 95% CI: 0.43–0.70), had a lower risk of infection compared with HCWs who declared wearing mainly surgical masks. During care of non COVID-19 patients, wearing mainly a respirator was associated with a higher risk of infection (ORa 1.84; 95% CI: 1.06–3.37). An increased risk was also found for HCWs who changed uniform in workplace changing rooms (ORa 1.93; 95% CI: 1.63–2.29). Conclusion Correct use of PPE adapted to the situation and risk level is essential in protecting HCWs against infection.