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DOI: 10.1055/a-1393-6668
Risk to Radiology Staff for Occupational COVID-19 Infection in a High-Risk and a Low-Risk Region in Germany: Lessons from the “First Wave”
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Abstract
Purpose The recent COVID-19 pandemic has resulted in an increasing overload of the medical system. Healthcare workers (HCW) in radiology departments are exposed to a high infection risk similar to HCWs in the ICU or dedicated COVID wards. The goal of our paper is to evaluate the prevalence of IgG antibody against SARS-CoV-2 among radiology HCWs in two different hospitals and regions in Germany with a low and high COVID-19 prevalence and to compare it to the prevalence in other clinical personnel. Additionally, we assessed the number of radiological procedures performed in patients with a positive PCR test (C+) followed by a short review of the risk for nosocomial infections of radiology HCWs.
Materials and Methods During the first COVID-19 wave between March and July 2020, we evaluated a region with one of the highest COVID-19 rates (776–1570/100 000) in Germany (Hospital A). Additionally, we assessed Hospital B in a region with a low prevalence (65/100 000). We tested the serum prevalence of SARS-CoV-2 IgG antibodies among the whole staff with a subgroup analysis for radiology in both hospitals. We calculated the total number of different radiological procedures performed in C+ patients.
Results In Hospital A 594 PCR-proven C+ patients were treated resulting in 2723 radiological procedures. 24 % (n = 6) of the radiology technicians and 13.35 (n = 2) of radiologists had a positive IgG test. The rates were similar to positive rates in HCWs in COVID-19 wards and ICUs within the hospital. The most frequently performed procedures in C+ patients were chest X-rays (3.17/patient) and CT examinations (1.15/patient). In Hospital B 50 C+ patients were treated, resulting in 64 radiological procedures. None of the HCWs tested IgG positive. The most frequently performed examinations were also chest X-rays (1.04/patient) and CT (0.2/patient).
Conclusion HCWs in radiology have a high occupational infection risk similar to that of HCWs in ICUs and dedicated COVID wards.
Key Points:
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The risk of acquiring COVID-19 increases with the amount of contact with infected individuals.
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The occupational risk of a SARS-CoV-2 infection for radiology staff is similar to that of nurses and physicians in COVID wards.
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Hygiene concepts and medical resources have to be adapted for further COVID outbreaks.
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Reporting of an occupational disease can be considered in the case of seropositive staff.
Citation Format
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Finkenzeller T, Lenhart S, Reinwald M et al. Risk to Radiology Staff for Occupational COVID-19 Infection in a High-Risk and a Low-Risk Region in Germany: Lessons from the “First Wave”. Fortschr Röntgenstr 2021; 193: 537 – 543
Publikationsverlauf
Eingereicht: 30. November 2020
Angenommen: 09. Februar 2021
Artikel online veröffentlicht:
10. März 2021
© 2021. Thieme. All rights reserved.
Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany
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References
- 1 Onder G, Rezza G, Brusaferro S. Case-Fatality Rate and Characteristics of Patients Dying in Relation to COVID-19 in Italy. JAMA 2020; 323: 1775-1776 DOI: 10.1001/jama.2020.4683.
- 2 Chia AQX, Cheng LT, Wijaya L. et al Chest Radiographs and CTs in the Era of COVID-19: Indications, Operational Safety Considerations and Alternative Imaging Practices. Acad Radiol 2020; 27: 1193-1203 DOI: 10.1016/j.acra.2020.06.022.
- 3 Felice C, Di Tanna GL, Zanus G. et al Impact of COVID-19 Outbreak on Healthcare Workers in Italy: Results from a National E-Survey. J Community Health 2020; 45: 675-683 DOI: 10.1007/s10900-020-00845-5.
- 4 Garcia-Basteiro AL, Moncunill G, Tortajada M. et al Seroprevalence of antibodies against SARS-CoV-2 among health care workers in a large Spanish reference hospital. Nat Commun 2020; 11: 3500 DOI: 10.1038/s41467-020-17318-x.
- 5 Wong ASK, Ooi CC, Leow MQH. et al Adapting Lessons From SARS for the COVID-19 Pandemic-Perspectives From Radiology Nursing in Singapore. J Radiol Nurs 2020; 39: 164-167 DOI: 10.1016/j.jradnu.2020.06.008.
-
6
[Anonym].
https://www.destatis.de/DE/Themen/Laender-Regionen/Regionales/_inhalt.htm . In: Statistisches Bundesamt 2020
- 7 [Anonym]. Am stärksten betroffene Landkreise COVID-19/100.000 Einwohner (23.07.2020). In: RKI (Robert Koch-Institut) 2020
- 8 SAGW J. How I do it – SARS-CoV-2: Organisationsempfehlungen für radiologische Abteilungen. Radiologie up2date 2020; 20: 108-110 DOI: 10.1055/a-1076-3399.
- 9 Antoch G, Urbach H, Mentzel HJ. et al SARS-CoV-2/COVID-19: Empfehlungen fur die Radiologische Versorgung. Rofo 2020; 192: 418-421 DOI: 10.1055/a-1149-3625.
- 10 Horvath K, Semlitsch T, Jeitler K. et al [Antibody tests for COVID-19: What the results tell us]. Z Evid Fortbild Qual Gesundhwes 2020; 153: 54-59 DOI: 10.1016/j.zefq.2020.05.005.
- 11 Pecora ND, Zand MS. Measuring the Serologic Response to Severe Acute Respiratory Syndrome Coronavirus 2: Methods and Meaning. Clin Lab Med 2020; 40: 603-614 DOI: 10.1016/j.cll.2020.08.014.
- 12 Xiao J, Fang M, Chen Q. et al SARS, MERS and COVID-19 among healthcare workers: A narrative review. J Infect Public Health 2020; 13: 843-848 DOI: 10.1016/j.jiph.2020.05.019.
- 13 Bielicki JA, Duval X, Gobat N. et al Monitoring approaches for health-care workers during the COVID-19 pandemic. Lancet Infect Dis 2020; 20: e261-e267 DOI: 10.1016/S1473-3099(20)30458-8.
- 14 Folgueira MD, Munoz-Ruiperez C, Alonso-Lopez MA. et al SARS-CoV-2 infection in Health Care Workers in a large public hospital in Madrid, Spain, during March 2020. In 2020 DOI: 10.1101/2020.04.07.20055723
- 15 Sanità ISd. Sorveglianza integrata COVID-19: I principali dati nazionali. In 2020 March 11
- 16 Liu Y, Gayle AA, Wilder-Smith A. et al. The reproductive number of COVID-19 is higher compared to SARS coronavirus. J Travel Med 2020; 27 DOI: 10.1093/jtm/taaa021.
- 17 Streeck H, Schulte B, Kummerer BM. et al Infection fatality rate of SARS-CoV2 in a super-spreading event in Germany. Nat Commun 2020; 11: 5829 DOI: 10.1038/s41467-020-19509-y.
- 18 Koh WC, Naing L, Chaw L. et al What do we know about SARS-CoV-2 transmission? A systematic review and meta-analysis of the secondary attack rate and associated risk factors. PLoS One 2020; 15: e0240205 DOI: 10.1371/journal.pone.0240205.
- 19 Zhang S, Diao MY, Duan L. et al The novel coronavirus (SARS-CoV-2) infections in China: prevention, control and challenges. Intensive Care Med 2020; 46: 591-593 DOI: 10.1007/s00134-020-05977-9.
- 20 Finkenzeller T, Faltlhauser A, Dietl KH. et al [SARS-CoV-2 antibodies in ICU and clinic staff: From Germany's region with the highest infection rate]. Med Klin Intensivmed Notfmed 2020; 115: 139-145 DOI: 10.1007/s00063-020-00761-5.
- 21 Moehner M, Wolik A. Differences in COVID-19 risk between occupational groups and employment sectors in Germany. Dtsch Arztebl Int 2020; 117: 641-642 DOI: 10.3238/arztebl.2020.0641.
- 22 AWMF, (DIVI) DIVfI-uNeV. SARS-CoV-2 Infektion bei Mitarbeiterinnen und Mitarbeitern im Gesundheitswesen – Bedeutung der RT-PCR Testung. In: AWMF ed 2020: S1-Leitlinie
- 23 Black JRM, Bailey C, Przewrocka J. et al COVID-19: the case for health-care worker screening to prevent hospital transmission. Lancet 2020; 395: 1418-1420 DOI: 10.1016/S0140-6736(20)30917-X.
- 24 Hilienhof A. COVID-19: Knapp 19 000 Berufskrankheiten angezeigt. Dtsch Arztebl Int 2020; 117: A1956