Monitoring approaches for health-care workers during the COVID-19 pandemic.
- Bielicki JA Paediatric Infectious Diseases Research Group, Institute for Infection and Immunity, St George's University of London, London, UK; Paediatric Infectious Diseases and Infection Prevention and Control, University of Basel Children's Hospital, Basel, Switzerland. Electronic address: julia.bielicki@ukbb.ch.
- Duval X Center for Clinical Investigation, Assistance Publique-Hôpitaux de Paris, Bichat-Claude Bernard University Hospital, Paris, France; INSERM, Infections Antimicrobials Modelling Evolution, University of Paris, Paris, France.
- Gobat N Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
- Goossens H Laboratory of Medical Microbiology, Vaccine and Infectious Disease Institute, Faculty of Medicine and Health Science, University of Antwerp, Antwerp, Belgium.
- Koopmans M Erasmus MC, Rotterdam, Netherlands.
- Tacconelli E Division of Infectious Diseases, Department of Diagnostic and Public Health, University of Verona, Verona, Italy.
- van der Werf S Department of Virology, University of Paris, Paris, France; National Reference Center for Respiratory Viruses, Institut Pasteur, Paris, France.
- 2020-07-27
Published in:
- The Lancet. Infectious diseases. - 2020
Betacoronavirus
Coronavirus Infections
Guidelines as Topic
Health Personnel
Health Services Accessibility
Humans
Infection Control
Occupational Exposure
Pandemics
Pneumonia, Viral
Return to Work
Risk Management
English
Health-care workers are crucial to any health-care system. During the ongoing COVID-19 pandemic, health-care workers are at a substantially increased risk of becoming infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and could come to considerable harm as a result. Depending on the phase of the pandemic, patients with COVID-19 might not be the main source of SARS-CoV-2 infection and health-care workers could be exposed to atypical patients, infected family members, contacts, and colleagues, or live in communities of active transmission. Clear strategies to support and appropriately manage exposed and infected health-care workers are essential to ensure effective staff management and to engender trust in the workplace. These management strategies should focus on risk stratification, suitable clinical monitoring, low-threshold access to diagnostics, and decision making about removal from and return to work. Policy makers need to support health-care facilities in interpreting guidance during a pandemic that will probably be characterised by fluctuating local incidence of SARS-CoV-2 to mitigate the impact of this pandemic on their workforce.
- Language
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- English
- Open access status
- bronze
- Identifiers
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- DOI 10.1016/S1473-3099(20)30458-8
- PMID 32711692
- Persistent URL
- https://sonar.ch/global/documents/264408
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