Evidence map›Paper›PMID 32645144›Full record

Trial reportClinical infectious diseases : an official publication of the Infectious Diseases Society of America2021

Risk Factors for Healthcare Personnel Infection With Endemic Coronaviruses (HKU1, OC43, NL63, 229E): Results from the Respiratory Protection Effectiveness Clinical Trial (ResPECT).

Derek A T Cummings, Lewis J Radonovich, Geoffrey J Gorse, Charlotte A Gaydos, Mary T Bessesen, Alexandria C Brown, Cynthia L Gibert, Matthew D T Hitchings, Justin Lessler, Ann-Christine Nyquist and 6 more

Registry-linked trialOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01249625 (Incidence of Respiratory Illness in Outpatient Healthcare Workers Who Wear Respirators or Medical Masks While Caring for Patients), which is not on this map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
2.7field-weighted citation impact, top 8% 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.

NCT01249625 nacompletednot on this map

Incidence of Respiratory Illness in Outpatient Healthcare Workers Who Wear Respirators or Medical Masks While Caring for Patients

TypeinterventionalSponsorJohns Hopkins UniversityRan2010 to 2018Enrolled2,862ConditionsInfluenza, Respiratory Syncytial Viruses, Paramyxoviridae Infections, CoronavirusArmsN95 Respirator, Medical/surgical mask
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 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. Article
  4. Article
  5. Article
  6. Article
  7. Health Care-Acquired Viral Respiratory Diseases.Infectious disease clinics of North America · 2021
    Review
  8. Article
  9. Review
  10. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 11 institutions in 1 country.

Derek A T CummingsDepartment of Biology and Emerging Pathogens Institute, University of Florida, Gainesville, Florida, USA.ORCID 0000-0002-9437-1907
Lewis J RadonovichRespiratory Health Division, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Morgantown, WV, USA.
Geoffrey J GorseSection of Infectious Diseases, and Research and Development Service, Veterans Affairs St. Louis Health Care System, St. Louis, MO, USA.
Charlotte A GaydosInfectious Disease Division, Department of Medicine, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Mary T BessesenVeterans Affairs Eastern Colorado Healthcare System, Denver, CO, USA.
Alexandria C BrownDepartment of Biostatistics and Epidemiology, University of Massachusetts, Amherst, MA, USA.
Cynthia L GibertVeterans Affairs Medical Center, Washington, DC, USA.
Matthew D T HitchingsDepartment of Biology and Emerging Pathogens Institute, University of Florida, Gainesville, Florida, USA.
Justin LesslerDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Ann-Christine NyquistDivision of Infectious Diseases, Department of Medicine, University of Colorado - Denver, Aurora, CO, USA.
Susan M RattiganDepartment of Biology and Emerging Pathogens Institute, University of Florida, Gainesville, Florida, USA.
Maria C Rodriguez-BarradasMichael E. DeBakey Veterans Affairs Medical Center, Houston, Texas, USA.
Connie Savor PriceDivision of Infectious Diseases, Department of Medicine, University of Colorado - Denver, Aurora, CO, USA.
Nicholas G ReichDepartment of Biostatistics and Epidemiology, University of Massachusetts, Amherst, MA, USA.
Michael S SimberkoffVeterans Affairs New York Harbor Healthcare System, New York, NY, USA.
Trish M PerlInfectious Disease Division, Department of Medicine, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Johns Hopkins University · USUniversity of Florida · USUniversity of Massachusetts Amherst · USChildren's Hospital Colorado · USDenver Health Medical Center · USGeorge Washington University · USMichael E. DeBakey VA Medical Center · USNational Institute for Occupational Safety and Health · USVA Eastern Colorado Health Care System · USVA NY Harbor Healthcare System · USVA St. Louis Health Care System · US

Funding

CDC HHS 75D30119P04741
6 · The paper itself

Abstract

backgroundSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2) presents a large risk to healthcare personnel (HCP). Quantifying the risk of coronavirus infection associated with workplace activities is an urgent need.

methodsWe assessed the association of worker characteristics, occupational roles and behaviors, and participation in procedures with the risk of endemic coronavirus infection among HCP who participated in the Respiratory Protection Effectiveness Clinical Trial (ResPECT), a cluster randomized trial to assess personal protective equipment to prevent respiratory infections and illness conducted from 2011 to 2016.

resultsAmong 4689 HCP seasons, we detected coronavirus infection in 387 (8%). HCP who participated in an aerosol-generating procedure (AGP) at least once during the viral respiratory season were 105% (95% confidence interval, 21%-240%) more likely to be diagnosed with a laboratory-confirmed coronavirus infection. Younger individuals, those who saw pediatric patients, and those with household members <5 years of age were at increased risk of coronavirus infection.

conclusionsOur analysis suggests that the risk of HCP becoming infected with an endemic coronavirus increases approximately 2-fold with exposures to AGPs. Our findings may be relevant to the coronavirus disease 2019 (COVID-19) pandemic; however, SARS-CoV-2, the virus that causes COVID-19, may differ from endemic coronaviruses in important ways. CLINICAL TRIALS REGISTRATION: NCT01249625.

Indexed as

Coronavirus OC43, HumanCOVID-19ChildDelivery of Health CareHumansRisk FactorsSARS-CoV-2229Eaerosol generating procedureCoronavirusHKU1NL63OC43risk factors

Identifiers

PMID32645144
PMCPMC7454439
OpenAlexW3040792359

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.