COVID-19 and healthcare workers: a rapid systematic review into risks and preventive measures
Open Access
- 20 January 2021
- Vol. 11 (1), e042270
- https://doi.org/10.1136/bmjopen-2020-042270
Abstract
Objective The COVID-19 pandemic is demanding for occupational medicine and for public health. As healthcare workers (HCWs) fight impacts of SARS-CoV-2 on front lines, we must create safe work environments through comprehensive risk assessments, evaluation and effective implementation of counter-measures. We ask: ‘What does current literature report on health risks at workplaces regarding COVID-19?’ and ‘What do current studies report on the effectiveness of enacted preventative recommendations?’ Methods As a snapshot of early HCW research, on 26 April 2020, we conducted a rapid systematic literature search in three databases (PubMed, Web of Science and PsycInfo) for COVID-19-related health outcomes and preventive measures in healthcare-associated workplaces. Results 27 studies were identified as relevant for exploring the risk of infection, 11 studies evaluated preventive measures. The studies described that SARS-CoV-2 impacts significantly on HCW’s health and well-being, not only through infections (n=6), but also from a mental health perspective (n=16). 4 studies reported indirect risks such as skin injuries, one study described headaches to result from the use of personal protective equipment. Few studies provided information on the effectiveness of prevention strategies. Overall, most studies on health risks as well as on the effectiveness of preventive measures were of a moderate-to-low quality; this was mainly due to limitations in study design, imprecise exposure and outcome assessments. Conclusions Due to widespread exposure of HCW to SARS-CoV-2, workplaces in healthcare must be as safe as possible. Information from HCW can provide valuable insights into how infections spread, into direct and indirect health effects and into how effectively counter-measures mitigate adverse health outcomes. However, available research disallows to judge which counter-measure(s) of a current ‘mix’ should be prioritised for HCW. To arrive at evidence-based cost-effective prevention strategies, more well-conceived studies on the effectiveness of counter-measures are needed.Keywords
This publication has 60 references indexed in Scilit:
- COVID-19 and the Risk to Health Care Workers: A Case ReportAnnals of Internal Medicine, 2020
- Risk Factors of Healthcare Workers With Coronavirus Disease 2019: A Retrospective Cohort Study in a Designated Hospital of Wuhan in ChinaClinical Infectious Diseases, 2020
- Safety and efficacy of different anesthetic regimens for parturients with COVID-19 undergoing Cesarean delivery: a case series of 17 patientsCanadian Journal of Anesthesia/Journal canadien d'anesthésie, 2020
- Social Capital and Sleep Quality in Individuals Who Self-Isolated for 14 Days During the Coronavirus Disease 2019 (COVID-19) Outbreak in January 2020 in ChinaMedical Science Monitor, 2020
- Skin damage among health care workers managing coronavirus disease-2019Journal of the American Academy of Dermatology, 2020
- Vicarious traumatization in the general public, members, and non-members of medical teams aiding in COVID-19 controlBrain, Behavior, and Immunity, 2020
- The Effects of Social Support on Sleep Quality of Medical Staff Treating Patients with Coronavirus Disease 2019 (COVID-19) in January and February 2020 in ChinaMedical Science Monitor, 2020
- Mental health care for medical staff in China during the COVID-19 outbreakThe Lancet Psychiatry, 2020
- Coronavirus: hospitals must learn from past pandemicsNature, 2020
- Do theatre staff use face masks in accordance with the manufacturers’ guidelines of use?Journal of Infection Prevention, 2019