Evidence map›Paper›PMID 32391746›Full record

ArticleInfection control and hospital epidemiology2020

Containment of COVID-19 cases among healthcare workers: The role of surveillance, early detection, and outbreak management.

Liang En Wee, Xiang Ying Jean Sim, Edwin Philip Conceicao, May Kyawt Aung, Jia Qing Goh, Dennis Wu Ting Yeo, Wee Hoe Gan, Ying Ying Chua, Limin Wijaya, Thuan Tong Tan and 3 more

Open access · hybridAbstract read
In one paragraph

Article in Infection control and hospital epidemiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 4 pooled it
8.9field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

64 citing papers in PubMed, 4 syntheses or guidelines pooled it, 126 citations in OpenAlex.

  1. Pooled it
  2. Systematic review of productivity loss among healthcare workers due to Covid-19.The International journal of health planning and management · 2022
    Pooled it
  3. COVID-19 Prevention and Control Measures in Workplace Settings: A Rapid Review and Meta-Analysis.International journal of environmental research and public health · 2021
    Pooled it
  4. The role of asymptomatic and pre-symptomatic infection in SARS-CoV-2 transmission-a living systematic review.Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases · 2021
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4 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 2 institutions in 1 country.

Liang En WeeSinghealth Infectious Diseases Residency, Singapore.ORCID 0000-0001-6428-9999
Xiang Ying Jean SimDepartment of Infectious Diseases, Singapore General Hospital, Singapore.
Edwin Philip ConceicaoDepartment of Infection Prevention and Epidemiology, Singapore General Hospital, Singapore.
May Kyawt AungDepartment of Infection Prevention and Epidemiology, Singapore General Hospital, Singapore.
Jia Qing GohDepartment of Clinical Quality and Performance Management, Singapore General Hospital, Singapore.
Dennis Wu Ting YeoDepartment of Clinical Quality and Performance Management, Singapore General Hospital, Singapore.
Wee Hoe GanDepartment of Occupational and Environmental Medicine, Singapore General Hospital, Singapore.
Ying Ying ChuaDepartment of Infectious Diseases, Singapore General Hospital, Singapore.
Limin WijayaDepartment of Infectious Diseases, Singapore General Hospital, Singapore.
Thuan Tong TanDepartment of Infectious Diseases, Singapore General Hospital, Singapore.
Ban Hock TanDepartment of Infectious Diseases, Singapore General Hospital, Singapore.
Moi Lin LingDepartment of Infection Prevention and Epidemiology, Singapore General Hospital, Singapore.
Indumathi VenkatachalamDepartment of Infectious Diseases, Singapore General Hospital, Singapore.
Singapore General Hospital · SGSingHealth · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveStaff surveillance is crucial during the containment phase of a pandemic to help reduce potential healthcare-associated transmission and sustain good staff morale. During an outbreak of SARS-COV-2 with community transmission, our institution used an integrated strategy for early detection and containment of COVID-19 cases among healthcare workers (HCWs).

methodsOur strategy comprised 3 key components: (1) enforcing reporting of HCWs with acute respiratory illness (ARI) to our institution's staff clinic for monitoring; (2) conducting ongoing syndromic surveillance to obtain early warning of potential clusters of COVID-19; and (3) outbreak investigation and management.

resultsOver a 16-week surveillance period, we detected 14 cases of COVID-19 among HCWs with ARI symptoms. Two of the cases were linked epidemiologically and thus constituted a COVID-19 cluster with intrahospital HCW-HCW transmission; we also detected 1 family cluster and 2 clusters among HCWs who shared accommodation. No transmission to HCWs or patients was detected after containment measures were instituted. Early detection minimized the number of HCWs requiring quarantine, hence preserving continuity of service during an ongoing pandemic.

conclusionsAn integrated surveillance strategy, outbreak management, and encouraging individual responsibility were successful in early detection of clusters of COVID-19 among HCWs. With ongoing local transmission, vigilance must be maintained for intrahospital spread in nonclinical areas where social mingling of HCWs occurs. Because most individuals with COVID-19 have mild symptoms, addressing presenteeism is crucial to minimize potential staff and patient exposure.

Indexed as

Personnel, HospitalPopulation SurveillanceAdultCluster AnalysisCoronavirus InfectionsCOVID-19Early DiagnosisFemaleHospitals, GeneralHumansInfection ControlMaleMiddle AgedPandemicsPneumonia, ViralSingapore

Identifiers

PMID32391746
PMCPMC7248595
OpenAlexW3021828523

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.