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Factors Associated with Pre-Vaccination SARS-CoV-2 Infection Risk among Hospital Nurses Facing COVID-19 Outbreak

Author

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  • Luca Coppeta

    (Department of Occupational Medicine, University of Rome Tor Vergata, 00133 Rome, Italy)

  • Cristiana Ferrari

    (Department of Occupational Medicine, University of Rome Tor Vergata, 00133 Rome, Italy)

  • Andrea Mazza

    (Department of Occupational Medicine, University of Rome Tor Vergata, 00133 Rome, Italy)

  • Marco Trabucco Aurilio

    (Department of Medicine and Health Sciences “V. Tiberio”, University of Molise, 86100 Campobasso, Italy)

  • Stefano Rizza

    (Department of Systems Medicine, University of Rome Tor Vergata, 00133 Rome, Italy)

Abstract

The objective of this work was to evaluate the magnitude of COVID-19 spread and the related risk factors among hospital nurses employed in a COVID hospital in Rome, before the beginning of the vaccination programmes commenced in 2021. Participants periodically underwent (every 15–30 days) nasopharyngeal swab and/or blood sample for SARS-CoV-2 IgG examination. From 1 March 2020 to 31 December 2020, we found 162 cases of COVID-19 infection ( n = 143 nasopharyngeal swab and n = 19 IgG-positive) in a total of 918 hospital nurses (17.6%). Most SARS-CoV-2-infected hospital nurses were night shift workers (NSWs), smokers, with higher BMI and lower mean age than that of individuals who tested negative. After adjusting for covariates, age (OR = 0.923, 95% C.I. 0.895–0.952), night shift work (OR = 2.056, 95% C.I. 1.320–2.300), smoking status (OR = 1.603, 95% C.I. 1.080–2.378) and working in high-risk settings (OR = 1.607, 95% C.I. 1.036–2.593) were significantly associated with SARS-CoV-2 hospital infection, whereas BMI was not significantly related. In conclusion, we found a high prevalence of SARS-CoV-2 infection among hospital nurses at a Rome COVID hospital in the pre-vaccination period. Smoking, young age, night shift work and high-risk hospital settings are relevant risk factors for hospital SARS-CoV-2 infection; therefore, a close health surveillance should be necessary among hospital nurses exposed to SARS-CoV-2.

Suggested Citation

  • Luca Coppeta & Cristiana Ferrari & Andrea Mazza & Marco Trabucco Aurilio & Stefano Rizza, 2021. "Factors Associated with Pre-Vaccination SARS-CoV-2 Infection Risk among Hospital Nurses Facing COVID-19 Outbreak," IJERPH, MDPI, vol. 18(24), pages 1-7, December.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:24:p:13053-:d:699707
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    References listed on IDEAS

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    1. Chiara Airoldi & Filippo Patrucco & Fulvia Milano & Daniela Alessi & Andrea Sarro & Maicol Andrea Rossi & Tiziana Cena & Silvio Borrè & Fabrizio Faggiano, 2021. "High Seroprevalence of SARS-CoV-2 among Healthcare Workers in a North Italy Hospital," IJERPH, MDPI, vol. 18(7), pages 1-11, March.
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    Cited by:

    1. Luca Coppeta & Cristiana Ferrari & Marco Trabucco Aurilio & Gianluigi Ferrazza & Andrea Magrini & Stefano Rizza, 2022. "Night Shift Work Is Associated with Reduced Rate of Humoral Response Following Vaccination for HBV," IJERPH, MDPI, vol. 19(14), pages 1-7, July.

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