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Nasopharyngeal Testing among Healthcare Workers (HCWs) of a Large University Hospital in Milan, Italy during Two Epidemic Waves of COVID-19

Author

Listed:
  • Agnese Comelli

    (Infectious Diseases Unit, Foundation IRCCS Ca’ Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy
    These authors equally contributed to this work.)

  • Dario Consonni

    (Epidemiology Unit, Foundation IRCCS Ca’ Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy
    These authors equally contributed to this work.)

  • Andrea Lombardi

    (Infectious Diseases Unit, Foundation IRCCS Ca’ Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy
    Department of Pathophysiology and Transplantation, University of Milan, 20122 Milan, Italy)

  • Giulia Viero

    (Infectious Diseases Unit, Foundation IRCCS Ca’ Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy)

  • Massimo Oggioni

    (Clinical Laboratory, Foundation IRCCS Ca’ Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy)

  • Patrizia Bono

    (Clinical Laboratory, Foundation IRCCS Ca’ Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy)

  • Sara Colonia Uceda Renteria

    (Clinical Laboratory, Foundation IRCCS Ca’ Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy)

  • Ferruccio Ceriotti

    (Clinical Laboratory, Foundation IRCCS Ca’ Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy)

  • Davide Mangioni

    (Infectious Diseases Unit, Foundation IRCCS Ca’ Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy)

  • Antonio Muscatello

    (Infectious Diseases Unit, Foundation IRCCS Ca’ Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy)

  • Alessandra Piatti

    (Medical Direction, Foundation IRCCS Ca’ Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy)

  • Angela Cecilia Pesatori

    (Epidemiology Unit, Foundation IRCCS Ca’ Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy
    Department of Clinical Sciences and Community Health, University of Milan, 20122 Milan, Italy)

  • Silvana Castaldi

    (Department of Biomedical Sciences for Health, University of Milan, 20122 Milan, Italy
    Quality Unit, Foundation IRCCS Ca’ Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy)

  • Luciano Riboldi

    (Occupational Health Unit, Foundation IRCCS Ca’ Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy)

  • Alessandra Bandera

    (Infectious Diseases Unit, Foundation IRCCS Ca’ Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy
    Department of Pathophysiology and Transplantation, University of Milan, 20122 Milan, Italy
    Centre for Multidisciplinary Research in Health Science (MACH), University of Milan, 20122 Milan, Italy)

  • Andrea Gori

    (Infectious Diseases Unit, Foundation IRCCS Ca’ Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy
    Department of Pathophysiology and Transplantation, University of Milan, 20122 Milan, Italy
    Centre for Multidisciplinary Research in Health Science (MACH), University of Milan, 20122 Milan, Italy)

Abstract

Background: since October 2020, a second SARS-CoV-2 epidemic wave has hit Italy. We investigate the frequency of positive nasopharyngeal swabs among HCWs during the two waves and the association with occupation and demographic characteristics. Methods: this is a retrospective, observational study conducted in a large university hospital in Milan, Northern Italy. We defined two epidemic waves: 1st (February 2020–July 2020) and 2nd (August 2020–January 2021). Occupational and demographic characteristics of HCWs who underwent nasopharyngeal swabs for SARS-CoV-2 were collected. Results: in the 1st wave, 242 positive subjects (7.2%) were found among 3378 HCWs, whereas in the 2nd wave, the positive subjects were 545 out of 4465 (12.2%). In both epidemic waves positive NPSs were more frequent among HCWs with health-related tasks and lower among students ( p < 0.001). However, in the 2nd wave, workers engaged in non-health-related tasks had a peak of 20.7% positivity. Among 160 positive HCWs in the 1st wave who were tested again in the 2nd wave, the rate of reinfection based on SARS-CoV2 RNA cycle quantification value was 0.6%. Conclusions: during the 2nd epidemic wave, we confirmed a significant impact of COVID-19 among HCWs. The rise of infection rate among HCWs seems to reflect the increasing spread of SARS-CoV-2 among the overall population.

Suggested Citation

  • Agnese Comelli & Dario Consonni & Andrea Lombardi & Giulia Viero & Massimo Oggioni & Patrizia Bono & Sara Colonia Uceda Renteria & Ferruccio Ceriotti & Davide Mangioni & Antonio Muscatello & Alessandr, 2021. "Nasopharyngeal Testing among Healthcare Workers (HCWs) of a Large University Hospital in Milan, Italy during Two Epidemic Waves of COVID-19," IJERPH, MDPI, vol. 18(16), pages 1-10, August.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:16:p:8748-:d:617429
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    References listed on IDEAS

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    1. Edith Lahner & Emanuele Dilaghi & Claudio Prestigiacomo & Giuliano Alessio & Laura Marcellini & Maurizio Simmaco & Iolanda Santino & Giovanni Battista Orsi & Paolo Anibaldi & Adriano Marcolongo & Brun, 2020. "Prevalence of Sars-Cov-2 Infection in Health Workers (HWs) and Diagnostic Test Performance: The Experience of a Teaching Hospital in Central Italy," IJERPH, MDPI, vol. 17(12), pages 1-12, June.
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    Cited by:

    1. Yueli Mei & Xiuyun Guo & Zhihao Chen & Yingzhi Chen, 2022. "An Effective Mechanism for the Early Detection and Containment of Healthcare Worker Infections in the Setting of the COVID-19 Pandemic: A Systematic Review and Meta-Synthesis," IJERPH, MDPI, vol. 19(10), pages 1-20, May.

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