COVID-19–associated Hospitalizations Among Health Care Personnel — COVID-NET, 13 States, March 1–May 31, 2020

Details

• Personal Author:
  Kambhampati, Anita K. ; O’Halloran, Alissa C. ; Whitaker, Michael ; Magill, Shelley S. ; Chea, Nora ; Chai, Shua J. ; Kirley, Pam Daily ; Herlihy, Rachel K. ; Kawasaki, Breanna ; Meek, James ; Yousey-Hindes, Kimberly ; Anderson, Evan J. ; Openo, Kyle P. ; Monroe, Maya L. ; Ryan, Patricia A. ; Kim, Sue ; Reeg, Libby ; Como-Sabetti, Kathryn ; Danila, Richard ; Davis, Sarah Shrum ; Torres, Salina ; Barney, Grant ; Spina, Nancy L. ; Bennett, Nancy M. ; Felsen, Christina B. ; Billing, Laurie M. ; Shiltz, Jessica ; Sutton, Melissa ; West, Nicole ; Schaffner, William ; Talbot, H. Keipp ; Chatelain, Ryan ; Hill, Mary ; Brammer, Lynnette ; Fry, Alicia M. ; Hall, Aron J. ; Wortham, Jonathan M. ; Garg, Shikha ; Kim, Lindsay
• Corporate Authors:
  COVID-NET Surveillance Team. ; CDC COVID-NET Team. ; Eagle Global Scientific. ; National Center for Emerging and Zoonotic Infectious Diseases (U.S.)Division of Healthcare Quality Promotion. ; California Emerging Infections Program. ; Centers for Disease Control and Prevention (U.S.)Career Epidemiology Field Officer Program. ; Colorado. Department of Public Health and Environment. ; Yale University. School of Public Health.Connecticut Emerging Infections Program. ; Emory University School of Medicine. Department of Medicine. ; Emory University School of Medicine. Department of Pediatrics. ; Veterans Affairs Medical Center (Atlanta, Ga.). Emerging Infections Program ; Foundation for Atlanta Veterans Education and Research ; Maryland. Department of Health. ; Michigan. Department of Health and Human Services. ; Minnesota. Department of Health. ; New Mexico Emerging Infections Program, Albuquerque, New Mexico. ; New Mexico. Department of Health. ; New York. State Department of Health. ; University of Rochester School of Medicine and Dentistry. ; Ohio .Department of Health. ; Oregon Health Authority. Public Health Division. ; Vanderbilt University Medical Center. ; Salt Lake County (Utah). Health Department.
• Description:
  What is already known about this topic? Data on characteristics and outcomes of U.S. health care personnel (HCP) hospitalized with COVID-19 are limited.
  
  What is added by this report? Analysis of COVID-19 hospitalization data from 13 sites indicated that 6% of adults hospitalized with COVID-19 were HCP. Among HCP hospitalized with COVID-19, 36% were in nursing-related occupations, and 73% had obesity. Approximately 28% of these patients were admitted to an intensive care unit, 16% required invasive mechanical ventilation, and 4% died.
  
  What are the implications for public health practice? HCP can have severe COVID-19–associated illness, highlighting the need for continued infection Prevention and control in health care settings as well as community mitigation efforts to reduce SARS-CoV-2 Transmission.
  
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  Health care personnel (HCP) can be exposed to SARS-CoV-2, the Virus that causes coronaVirus disease 2019 (COVID-19), both within and outside the workplace, increasing their risk for infection. Among 6,760 adults hospitalized during March 1–May 31, 2020, for whom HCP status was determined by the COVID-19–Associated Hospitalization Surveillance Network (COVID-NET), 5.9% were HCP. Nursing-related occupations (36.3%) represented the largest proportion of HCP hospitalized with COVID-19. Median age of hospitalized HCP was 49 years, and 89.8% had at least one underlying medical condition, of which obesity was most commonly reported (72.5%). A substantial proportion of HCP with COVID-19 had indicators of severe disease: 27.5% were admitted to an intensive care unit (ICU), 15.8% required invasive mechanical ventilation, and 4.2% died during hospitalization. HCP can have severe COVID-19–associated illness, highlighting the need for continued infection Prevention and control in health care settings as well as community mitigation efforts to reduce Transmission.
  
  COVID-NET conducts population-based Surveillance for laboratory-confirmed COVID-19–associated hospitalizations among persons of all ages in 99 counties in 14 states (1). Hospitalized patients who are residents of the Surveillance catchment area and have a positive SARS-CoV-2 molecular test result during their hospitalization or within 14 days before admission are included in COVID-NET. SARS-CoV-2 tTesting is performed at the discretion of health care providers or according to hospital tTesting policies. Trained Surveillance officers conduct medical chart abstractions for COVID-19 patients using a standardized case report form, which includes HCP status. Data on HCP status collected by sites representing 98* counties in 13 states (California, Colorado, Connecticut, Georgia, Maryland, Michigan, Minnesota, New Mexico, New York, Ohio, Oregon, Tennessee, and Utah) are included in this Analysis. HCP were defined as persons working in health care settings, home health care services, or health care occupations within other settings (e.g., school nurses) who have potential for exposure to patients or infectious materials (2). HCP were stratified into two groups for analyses according to presumed level of patient contact (i.e., those generally expected and those generally not expected to have direct patient contact) based on reported occupation.
  
  Suggested citation for this article: Kambhampati AK, O’Halloran AC, Whitaker M, et al. COVID-19–Associated Hospitalizations Among Health Care Personnel — COVID-NET, 13 States, March 1–May 31, 2020. MMWR Morb Mortal Wkly Rep. ePub: 26 October 2020.
  
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• Subjects:
  BetacoronaVirus CoronaVirus Infections COVID-19 Cross Infection Health Personnel Hospitalization Pandemics Pneumonia, Viral
• Source:
  MMWR: Morbidity and Mortality Weekly Report 2020; v. 69 Early Release
• Series:
  Weekly Report: Morbidity and Mortality Weekly Report (MMWR)
• ISSN:
  0149-2195 (print) ; 1545-861X (digital)
• Document Type:
  Journal Article
• Name as Subject:
  COVID-NET ; COVID-NET
• Place as Subject:
  California ; Colorado ; Connecticut ; Georgia ; Maryland ; Michigan ; Minnesota ; Tennessee ; New Mexico ; New York ; Ohio ; Oregon
• Pages in Document:
  9 pdf pages
• Volume:
  69
• Collection(s):
  Morbidity and Mortality Weekly Report (MMWR)
• Main Document Checksum:
  urn:sha-512:0c0b72388f76213f0483799fd93cf126064063f051be8cbb6c5dc6b41025494a2553c69e7149d84f53d12a06e1f65d90a81157fdbf56f43e1851292d6c3306be
• Download URL:
  https://stacks.cdc.gov/view/cdc/95952/cdc_95952_DS1.pdf
• File Type:
  [PDF - 296.02 KB ]