Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/27178
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dc.contributor.authorGordon, Claire L-
dc.contributor.authorTrubiano, Jason-
dc.contributor.authorHolmes, Natasha E-
dc.contributor.authorChua, Kyra Y L-
dc.contributor.authorFeldman, Jeff-
dc.contributor.authorYoung, Greg-
dc.contributor.authorSherry, Norelle L-
dc.contributor.authorGrayson, M Lindsay-
dc.contributor.authorKwong, Jason C-
dc.date2021-07-17-
dc.date.accessioned2021-08-09T05:49:20Z-
dc.date.available2021-08-09T05:49:20Z-
dc.date.issued2021-11-
dc.identifier.citationInfection, Disease & Health 2021; 26(4): 276-283en
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/27178-
dc.description.abstractHigh rates of healthcare worker (HCW) infections due to COVID-19 have been attributed to several factors, including inadequate personal protective equipment (PPE), exposure to a high density of patients with COVID-19, and poor building ventilation. We investigated an increase in the number of staff COVID-19 infections at our hospital to determine the factors contributing to infection and to implement the interventions required to prevent subsequent infections. We conducted a single-centre retrospective cohort study of staff working at a tertiary referral hospital who tested positive for SARS-CoV-2 between 25 January 2020 and 25 November 2020. The primary outcome was the source of COVID-19 infection. Of 45 staff who returned a positive test result for SARS-CoV-2, 19 were determined to be acquired at our hospital. Fifteen (15/19; 79% [95% CI: 54-94%]) of these were identified through contact tracing and testing following exposures to other infected staff and were presumed to be staff-to-staff transmission, including an outbreak in 10 healthcare workers (HCWs) linked to a single ward that cared for COVID-19 patients. The staff tearoom was identified as the likely location for transmission, with subsequent reduction in HCW infections and resolution of the outbreak following implementation of enhanced control measures in tearoom facilities. No HCW contacts (0/204; 0% [95% CI: 0-2%]) developed COVID-19 infection following exposure to unrecognised patients with COVID-19. Unrecognised infections among staff may be a significant driver of HCW infections in healthcare settings. Control measures should be implemented to prevent acquisition from other staff as well as patient-staff transmission.en
dc.language.isoeng-
dc.subjectHealthcare worker infectionsen
dc.subjectOutbreaken
dc.subjectSARS-CoV-2en
dc.subjectStaff break roomen
dc.subjectStaff tearoomen
dc.subjectCOVID-19-
dc.titleStaff to staff transmission as a driver of healthcare worker infections with COVID-19.en
dc.typeJournal Articleen
dc.identifier.journaltitleInfection, Disease & Healthen
dc.identifier.affiliationMicrobiological Diagnostic Unit Public Health Laboratory, Department of Microbiology and Immunology, The University of Melbourne at the Peter Doherty Institute for Infection and Immunity, Melbourne, Victoria, 3000, Australiaen
dc.identifier.affiliationBusiness Intelligenceen
dc.identifier.affiliationInfectious Diseasesen
dc.identifier.affiliationDepartment of Microbiology and Immunology, The University of Melbourne at the Peter Doherty Institute for Infection and Immunity, Melbourne, Victoria, 3000, Australiaen
dc.identifier.affiliationMedicine (University of Melbourne)en
dc.identifier.affiliationDepartment of Medicine and Radiology, The University of Melbourne, Parkville, Victoria, 3050, Australiaen
dc.identifier.affiliationArden Street Labs, Melbourne, Victoria, 3000, Australiaen
dc.identifier.doi10.1016/j.idh.2021.06.003en
dc.type.contentTexten
dc.identifier.pubmedid34344634-
local.name.researcherChua, Kyra Y L-
item.grantfulltextnone-
item.openairetypeJournal Article-
item.languageiso639-1en-
item.fulltextNo Fulltext-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
crisitem.author.deptInfectious Diseases-
crisitem.author.deptInfectious Diseases-
crisitem.author.deptMedicine (University of Melbourne)-
crisitem.author.deptCentre for Antibiotic Allergy and Research-
crisitem.author.deptInfectious Diseases-
crisitem.author.deptData Analytics Research and Evaluation (DARE) Centre-
crisitem.author.deptMicrobiology-
crisitem.author.deptInfectious Diseases-
crisitem.author.deptInfectious Diseases-
crisitem.author.deptInfectious Diseases-
crisitem.author.deptInfectious Diseases-
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