Retrospective evaluation of the symptom-based work restriction strategy of healthcare providers in the first epidemic of COVID-19 at a tertiary care hospital in Tokyo, Japan - 25/05/22
, Rino Kuboki, MT a, Erika Tashino, MT a, Fumiko Nakahara, MT a, Yumi Matsumoto, MT a, Satomi Kusakabe, MT a, Chizumi Fukazawa, MT a, Takahiro Matsuo, MD b, Nobuyoshi Mori, MD b, Akiko Ayabe, RN d, Torahiko Jinta, MD, PhD d, e, Fumika Taki, MD, PhD d, f, Fumie Sakamoto, BSN, MPH, CIC g, Osamu Takahashi, MD, PhD, MPH h, i, Tsuguya Fukui, MD, PhD, MPH h, i
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Highlights |
• | Only 10.8% of healthcare providers (HCPs) who experienced work restriction were truly infected. |
• | All infected HCPs restricted from working by symptom-based strategy. |
• | There were no unexpectedly infected HCPs among those without work restriction. |
• | Only 41.8% of HCPs with COVID-19-like symptoms restricted working. |
• | Work restriction of HCPs with symptoms is the first step of infection prevention. |
Abstract |
Background |
Effectiveness of restricting healthcare providers (HCPs) from working based on the coronavirus disease 2019 (COVID-19)-like symptoms should be evaluated.
Methods |
A total of 495 HCPs in a tertiary care hospital in Tokyo, Japan, participated in this study between June and July in 2020. Analysis of serum anti-severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) antibody to identify infected HCPs, questionnaire surveys, and medical record reviews were conducted to evaluate the appropriateness of symptom-based work restriction for 10 days.
Results |
Five participants (1.0%) were identified as infected. Forty-six participants (9.3%) experienced work restriction and all 5 infected participants (10.8%) restricted working, even though the real-time reverse transcription-polymerase chain reaction was positive only in 4 participants (80.0%). There were no unexpectedly infected participants among those who did not experience work restriction. However, only 46 of 110 HCPs with COVID-19-like symptoms (41.8%) restricted themselves from working.
Discussion |
Symptom-based work restriction strategy successfully prevented infected HCPs to work, but showed low specificity to identify truly infected HCPs, and their low adherence to the strategy was revealed.
Conclusions |
HCPs with COVID-19-like symptoms should restrict working as the first step of infection prevention, but the strategy to identify truly infected HCPs is necessary.
Le texte complet de cet article est disponible en PDF.Key words : Severe acute respiratory syndrome coronavirus 2, Anti-severe acute respiratory syndrome coronavirus 2 antibody, Adherence to infection control strategy, Allergic rhinitis
Plan
| Funding/support: This work was supported by a donation for research projects about COVID-19 from an anonymous patient of St. Luke's International Hospital. The authors acknowledge the generous help for our research. The benefactor had no involvement in conducting this study. |
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| Conflicts of Interest: None of the authors have any commercial or financial involvements in connection with this study that represent or appear to represent any conflicts of interest. All authors report no conflict of interest relevant to this article. |
Vol 50 - N° 6
P. 645-650 - juin 2022 Retour au numéro
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