Endoscopy 2022; 54(S 01): S173-S174
DOI: 10.1055/s-0042-1745032
Abstracts | ESGE Days 2022
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GASTROINTESTINAL ENDOSCOPY, HOSPITAL DELIVERY SETTING, PROCEDURES PER DAY AND LOCAL INCIDENCE INCREASE THE RISK FOR SARS-COV-2 INFECTION IN HEALTH CARE WORKERS IN AEROSOL-GENERATING DISCIPLINES

Authors

  • C. Römmele

    1   University Hospital Augsburg, Hospital for Internal Medicine III – Gastroenterology and Infectious Diseases, Augsburg, Germany

  • A. Ebigbo

    1   University Hospital Augsburg, Hospital for Internal Medicine III – Gastroenterology and Infectious Diseases, Augsburg, Germany

  • M. Kahn

    1   University Hospital Augsburg, Hospital for Internal Medicine III – Gastroenterology and Infectious Diseases, Augsburg, Germany

  • S. Zellmer

    1   University Hospital Augsburg, Hospital for Internal Medicine III – Gastroenterology and Infectious Diseases, Augsburg, Germany

  • A. Muzalyova

    1   University Hospital Augsburg, Hospital for Internal Medicine III – Gastroenterology and Infectious Diseases, Augsburg, Germany

  • G. Hammel

    2   Helmholtz Zentrum München, Institute of Environmental Medicine, Neuherberg, Germany

  • C. Bartenschlager

    3   University Augsburg, Chair of Health Care Operations/Health Information Management, Augsburg, Germany

  • A. Beyer

    4   Medical Practice for Gastroenterology and Gastrointestinal Oncology, Altötting, Germany

  • J. Rosendahl

    5   University Hospital Halle, Hospital for Internal Medicine I – Gastroenterology and Pneumology, Halle, Germany

  • T. Schlittenbauer

    6   University Hospital Augsburg, Department of Oral and Maxillofacial Surgery, Augsburg, Germany

  • J. Zenk

    7   University Hospital Augsburg, Department of Otorhinolaryngology, Head and Neck Surgery, Augsburg, Germany

  • B. Al-Nawas

    8   University Hospital Mainz, Hospital and Polyhospital for Oral and Maxillofacial Surgery, Plastic Surgery, Mainz, Germany

  • R. Frankenberger

    9   Philipps University Marburg and University Hospital Giessen and Marburg, Campus Marburg, Department for Operative Dentistry, Endodontics, and Pediatric Dentistry, Marburg, Germany

  • J. Hoffmann

    10   University Hospital Heidelberg, Department of Oral and Maxillofacial Surgery, Heidelberg, Germany

  • C. Arens

    11   University Hospital Magdeburg, Department of Otorhinolaryngology, Head and Neck Surgery, Magdeburg, Germany

  • F. Lammert

    12   Saarland University Medical Center, Saarland University, Department of Medicine II, Homburg, Germany
    13   Hannover Medical School (MHH), Hannover, Germany

  • C. Traidl-Hoffmann

    14   University of Augsburg, Department of Environmental Medicine, Faculty of Medicine, Augsburg, Germany

  • H. Messmann

    1   University Hospital Augsburg, Hospital for Internal Medicine III – Gastroenterology and Infectious Diseases, Augsburg, Germany
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Aims Healthcare workers (HCW) are at high risk of SARS-CoV-2 infection due to exposure to potentially infectious material, especially during aerosol-generating procedures (AGP). We aimed to investigate risk factors for SARS-CoV-2 infection among HCW in medical disciplines with AGP.

Methods A nationwide questionnaire-based study in in- and outpatient settings was conducted between 12/16/2020 and 01/24/2021. Data on SARS-CoV-2 infections among HCW and potential risk factors were investigated.

Results 2,070 healthcare facilities with 25,113 employees were included in the study. Overall infection rate among HCW was 4.7%. Multivariate analysis showed that regions with higher incidence rates had significantly increasedrisk of infection among HCW. Furthermore, hospital setting and AGP during gastrointestinal endoscopy (GIE) have more than double the risk of infection (OR 2.63; 95% CI 2.501-2.817, p<0.01 and OR 2.35; 95% CI 2.245-2.498, p<0.01). The number of procedures performed per day was also significantly associated with an increased risk of infection (OR 1.01; 95% CI 1.007-1.014), p<0.01). For HCW who did not treat confirmed SARS-CoV-2 cases, there was a tendency towards lower risk of infection (OR 0.72; 95% CI 0.507-1.025, p=0.068).

Conclusions HCW in GIE seem to be at higher risk of infection than those in other AGP, especially in the hospital setting. Regions with higher SAS-CoV-2 incidence rates and the total number of procedures performed daily in an institution were also significantly associated with increased risk of infection.



Publication History

Article published online:
14 April 2022

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