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Risk of SARS-CoV-2 infection in healthcare workers with insufficient use of personal protective equipment in Denmark.

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Title: Risk of SARS-CoV-2 infection in healthcare workers with insufficient use of personal protective equipment in Denmark.
Authors: Bungum, Ane Berger1, Tøttenborg, Sandra Søgaard1,2, Begtrup, Luise Mølenberg1,2, Petersen, Kajsa Ugelvig1, Worm, Maja Søndergård1, Bonde, Jens Peter1,2, Dalbøge, Annett3, Kinnerup, Martin Byskov3, Würtz, Else Toft3, Kolstad, Henrik Albert3,4, Schlünssen, Vivi5, Cramer, Christine3,5, Biering, Karin6, Nielsen, Kent Jacob6, Flachs, Esben Meulengracht1
Source: Annals of Work Exposures & Health. Jan2025, Vol. 69 Issue 1, p96-103. 8p.
Subjects: Risk assessment, Personal protective equipment, Research funding, Longitudinal method, COVID-19, COVID-19 pandemic, Industrial safety
Geographic Terms: Denmark
Abstract: Aim The aim was to evaluate the role of insufficient use of personal protective equipment (PPE) in SARS-CoV-2 transmission risk for healthcare workers (HCW) during the COVID-19 pandemic. Methods Prospective study within the COBRA cohort, including 15,127 HCW. Daily assessment of insufficient use of PPE, defined as self-reported PPE failure or noncompliance, in relation to SARS-CoV-2 infection ascertained by polymerase chain reaction (PCR) test. Statistical analysis involved calculating incidence rate ratios with 95% confidence intervals (CI). Results The included HCW contributed to 780,515 risk days including 67,723 d (8.7%) with insufficient PPE use and 133 events (positive PCR test). Self-reported insufficient use of PPE was slightly associated with infection with COVID-19 in HCW, but the data were statistically consistent with parameter values ranging from a protective effect to a to a doubling in risk (IRR 1.3, 95% CI 0.8; 2.3). Sensitivity analyses restricted to high-risk departments and to a period with a sufficient supply of PPE and a fully developed testing system, respectively, confirmed these findings. Conclusion Insufficient use of PPE among HCW during the pandemic in Denmark was uncommon but associated with a slightly increased risk of COVID-19 among HCW. However, the findings are uncertain due to the limited number of cases and the potential for misclassification bias stemming from the self-reported nature of the exposure. [ABSTRACT FROM AUTHOR]
Copyright of Annals of Work Exposures & Health is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Risk of SARS-CoV-2 infection in healthcare workers with insufficient use of personal protective equipment in Denmark.
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  Data: <searchLink fieldCode="AR" term="%22Bungum%2C+Ane+Berger%22">Bungum, Ane Berger</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Tøttenborg%2C+Sandra+Søgaard%22">Tøttenborg, Sandra Søgaard</searchLink><relatesTo>1,2</relatesTo><br /><searchLink fieldCode="AR" term="%22Begtrup%2C+Luise+Mølenberg%22">Begtrup, Luise Mølenberg</searchLink><relatesTo>1,2</relatesTo><br /><searchLink fieldCode="AR" term="%22Petersen%2C+Kajsa+Ugelvig%22">Petersen, Kajsa Ugelvig</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Worm%2C+Maja+Søndergård%22">Worm, Maja Søndergård</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Bonde%2C+Jens+Peter%22">Bonde, Jens Peter</searchLink><relatesTo>1,2</relatesTo><br /><searchLink fieldCode="AR" term="%22Dalbøge%2C+Annett%22">Dalbøge, Annett</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Kinnerup%2C+Martin+Byskov%22">Kinnerup, Martin Byskov</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Würtz%2C+Else+Toft%22">Würtz, Else Toft</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Kolstad%2C+Henrik+Albert%22">Kolstad, Henrik Albert</searchLink><relatesTo>3,4</relatesTo><br /><searchLink fieldCode="AR" term="%22Schlünssen%2C+Vivi%22">Schlünssen, Vivi</searchLink><relatesTo>5</relatesTo><br /><searchLink fieldCode="AR" term="%22Cramer%2C+Christine%22">Cramer, Christine</searchLink><relatesTo>3,5</relatesTo><br /><searchLink fieldCode="AR" term="%22Biering%2C+Karin%22">Biering, Karin</searchLink><relatesTo>6</relatesTo><br /><searchLink fieldCode="AR" term="%22Nielsen%2C+Kent+Jacob%22">Nielsen, Kent Jacob</searchLink><relatesTo>6</relatesTo><br /><searchLink fieldCode="AR" term="%22Flachs%2C+Esben+Meulengracht%22">Flachs, Esben Meulengracht</searchLink><relatesTo>1</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Annals+of+Work+Exposures+%26+Health%22">Annals of Work Exposures & Health</searchLink>. Jan2025, Vol. 69 Issue 1, p96-103. 8p.
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  Data: <searchLink fieldCode="DE" term="%22Risk+assessment%22">Risk assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Personal+protective+equipment%22">Personal protective equipment</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Longitudinal+method%22">Longitudinal method</searchLink><br /><searchLink fieldCode="DE" term="%22COVID-19%22">COVID-19</searchLink><br /><searchLink fieldCode="DE" term="%22COVID-19+pandemic%22">COVID-19 pandemic</searchLink><br /><searchLink fieldCode="DE" term="%22Industrial+safety%22">Industrial safety</searchLink>
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  Label: Geographic Terms
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  Data: <searchLink fieldCode="DE" term="%22Denmark%22">Denmark</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Aim The aim was to evaluate the role of insufficient use of personal protective equipment (PPE) in SARS-CoV-2 transmission risk for healthcare workers (HCW) during the COVID-19 pandemic. Methods Prospective study within the COBRA cohort, including 15,127 HCW. Daily assessment of insufficient use of PPE, defined as self-reported PPE failure or noncompliance, in relation to SARS-CoV-2 infection ascertained by polymerase chain reaction (PCR) test. Statistical analysis involved calculating incidence rate ratios with 95% confidence intervals (CI). Results The included HCW contributed to 780,515 risk days including 67,723 d (8.7%) with insufficient PPE use and 133 events (positive PCR test). Self-reported insufficient use of PPE was slightly associated with infection with COVID-19 in HCW, but the data were statistically consistent with parameter values ranging from a protective effect to a to a doubling in risk (IRR 1.3, 95% CI 0.8; 2.3). Sensitivity analyses restricted to high-risk departments and to a period with a sufficient supply of PPE and a fully developed testing system, respectively, confirmed these findings. Conclusion Insufficient use of PPE among HCW during the pandemic in Denmark was uncommon but associated with a slightly increased risk of COVID-19 among HCW. However, the findings are uncertain due to the limited number of cases and the potential for misclassification bias stemming from the self-reported nature of the exposure. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Annals of Work Exposures & Health is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1093/annweh/wxae075
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        Text: English
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      – SubjectFull: Denmark
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