Evidence map›Paper›PMID 34524648›Full record

ArticleInfection2021

Importance of mitigation measures for hospital transmission of SARS-CoV-2 at the onset of the epidemic: the experience of Brescia, Northern Italy.

Valentina Marchese, Beatrice Formenti, Gloria Cola, Natalia Gregori, Elisa Albini, Giuseppe De Palma, Irene Possenti, Marco Scala, Francesco Castelli, Alberto Matteelli

Open access · hybridAbstract read
In one paragraph

Article in Infection, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.2field-weighted citation impact, top 46% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Valentina MarcheseUniversity Department of Infectious and Tropical Diseases, WHO Collaborating Centre for TB/HIV Collaborative Activities and for TB Elimination Strategy, University of Brescia, ASST Spedali Civili of Brescia, Brescia, Italy.
Beatrice FormentiUniversity Department of Infectious and Tropical Diseases, WHO Collaborating Centre for TB/HIV Collaborative Activities and for TB Elimination Strategy, University of Brescia, ASST Spedali Civili of Brescia, Brescia, Italy.
Gloria ColaDepartment of Infectious and Tropical Diseases, University of Brescia, Piazza Spedali Civili, 1, 25125, Brescia, Italy.
Natalia GregoriDepartment of Infectious and Tropical Diseases, University of Brescia, Piazza Spedali Civili, 1, 25125, Brescia, Italy.
Elisa AlbiniSection of Occupational Health, Department of Experimental and Applied Medicine, University of Brescia, Brescia, Italy.
Giuseppe De PalmaSection of Public Health and Human Sciences, Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Brescia, Italy.
Irene PossentiDepartment of Statistical Sciences "Paolo Fortunati", University of Bologna, Bologna, Italy.
Marco ScalaDepartment of Environmental Health Sciences, Instituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.
Francesco CastelliUniversity Department of Infectious and Tropical Diseases, WHO Collaborating Centre for TB/HIV Collaborative Activities and for TB Elimination Strategy, University of Brescia, ASST Spedali Civili of Brescia, Brescia, Italy.
Alberto MatteelliUniversity Department of Infectious and Tropical Diseases, WHO Collaborating Centre for TB/HIV Collaborative Activities and for TB Elimination Strategy, University of Brescia, ASST Spedali Civili of Brescia, Brescia, Italy. alberto.matteelli@unibs.it.
University of Brescia · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITUniversity of Bologna · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSince the first Italian case of SARS-CoV-2 was detected in Lombardy (Northern Italy)  Italy quickly became one of the worst-affected European countries, with a severe impact on health-care workers (HCWs). In the first epidemic, HCWs accounted for 12% of all national COVID-19 cases. We evaluated the burden of COVID-19 among HCWs and other non-health-care workers (nHCWs) in a large Italian hospital.

methodsFrom March 1st to May 31st 2020, we performed a retrospective study at ASST Civil Hospital, in the Province of Brescia, Lombardy. The study population included all hospital personnel (n = 9265), categorized by professional status.

resultsA SARS-CoV-2 test was performed in 3572 workers (38.5%), with a positive result in 552 (5.9% of all hospital personnel). The temporal trend of SARS-CoV-2 cases in hospital staff broadly reflected that in the community, with a great majority of infections occurred during March 2020 (87.7%). From April onward, a steep decrease of positive cases was observed among hospital personnel, while in the community the decrease was much slower. Medical doctors (8.9%) and nurses (8.5%) were the most affected professional categories with a significantly higher risk of SARS-CoV-2 infection (OR 1.436 and OR 1.410, respectively p < 0.0001). HCWs in COVID-19 units presented a significantly higher risk of infection compared to HCWs in non-COVID units (p < 0.001).

conclusionHCWs were severely affected by the COVID-19 epidemic, probably associated with an overwhelming burden of work and lack of preparedness in prevention of nosocomial transmission of the infection. The rapid decrease of COVID-19 spread in the hospital, registered before the one in the community, suggests that the adopted preventive measures were effective.

Indexed as

COVID-19EpidemicsHealth PersonnelHospitalsHumansItalyRetrospective StudiesSARS-CoV-2COVID-19Health-care workersHospital infectionMitigation measuresNosocomial infectionSARS-CoV-2

Identifiers

PMID34524648
PMCPMC8441227
OpenAlexW3201531510

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.