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"
Thieme. All rights reserved..
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: · The risk of acquiring COVID-19 increases with the amount of contact with infected individuals.. · The occupational risk of a SARS-CoV-2 infection for radiology staff is similar to that of nurses and physicians in COVID wards.. · Hygiene concepts and medical resources have to be adapted for further COVID outbreaks.. · Reporting of an occupational disease can be considered in the case of seropositive staff.
CITATION FORMAT: · 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.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:193 |
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| Enthalten in: |
RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin - 193(2021), 5 vom: 11. Mai, Seite 537-543 |
| Sprache: |
Englisch |
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| Weiterer Titel: |
Risiko radiologischer Mitarbeiter für eine COVID-19-Infektion in einer Hoch- und Niedrigrisikoregion in Deutschland: Lehren aus der „ersten Welle“ |
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| Beteiligte Personen: |
Finkenzeller, Thomas [VerfasserIn] |
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| Anmerkungen: |
Date Completed 17.05.2021 Date Revised 17.05.2021 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1055/a-1393-6668 |
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| Förderinstitution / Projekttitel: |
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| 100 | 1 | |a Finkenzeller, Thomas |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Risk to Radiology Staff for Occupational COVID-19 Infection in a High-Risk and a Low-Risk Region in Germany |b Lessons from the "First Wave" |
| 246 | 3 | 3 | |a Risiko radiologischer Mitarbeiter für eine COVID-19-Infektion in einer Hoch- und Niedrigrisikoregion in Deutschland: Lehren aus der „ersten Welle“ |
| 264 | 1 | |c 2021 | |
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| 500 | |a Date Completed 17.05.2021 | ||
| 500 | |a Date Revised 17.05.2021 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Thieme. All rights reserved. | ||
| 520 | |a 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 | ||
| 520 | |a 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 | ||
| 520 | |a 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) | ||
| 520 | |a CONCLUSION: HCWs in radiology have a high occupational infection risk similar to that of HCWs in ICUs and dedicated COVID wards | ||
| 520 | |a KEY POINTS: · The risk of acquiring COVID-19 increases with the amount of contact with infected individuals.. · The occupational risk of a SARS-CoV-2 infection for radiology staff is similar to that of nurses and physicians in COVID wards.. · Hygiene concepts and medical resources have to be adapted for further COVID outbreaks.. · Reporting of an occupational disease can be considered in the case of seropositive staff | ||
| 520 | |a CITATION FORMAT: · 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 | ||
| 650 | 4 | |a Journal Article | |
| 700 | 1 | |a Lenhart, Stephan |e verfasserin |4 aut | |
| 700 | 1 | |a Reinwald, Mark |e verfasserin |4 aut | |
| 700 | 1 | |a Lüth, Stefan |e verfasserin |4 aut | |
| 700 | 1 | |a Dendl, Lena Marie |e verfasserin |4 aut | |
| 700 | 1 | |a Paetzel, Christian |e verfasserin |4 aut | |
| 700 | 1 | |a Szczypien, Natasza |e verfasserin |4 aut | |
| 700 | 1 | |a Klawonn, Frank |e verfasserin |4 aut | |
| 700 | 1 | |a Von Meyer, Alexander |e verfasserin |4 aut | |
| 700 | 1 | |a Schreyer, Andreas G |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin |d 1993 |g 193(2021), 5 vom: 11. Mai, Seite 537-543 |w (DE-627)NLM000138134 |x 1438-9010 |7 nnns |
| 773 | 1 | 8 | |g volume:193 |g year:2021 |g number:5 |g day:11 |g month:05 |g pages:537-543 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1055/a-1393-6668 |3 Volltext |
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