PMID- 33612486 OWN - NLM STAT- MEDLINE DCOM- 20210709 LR - 20210709 IS - 0974-7559 (Electronic) IS - 0019-6061 (Print) IS - 0019-6061 (Linking) VI - 58 IP - 6 DP - 2021 Jun 15 TI - Characteristics and Transmission Dynamics of COVID-19 in Healthcare Workers in a Pediatric COVID-Care Hospital in Mumbai. PG - 568-571 LID - S097475591600288 [pii] AB - OBJECTIVE: To evaluate if Healthcare workers (HCWs) at the frontline of COVID-19 response in a pediatric hospital are at an increased risk of acquiring SARS-CoV-2. METHODS: The Hospital Infection Control Committee (HICC) and virology testing records were combined to identify SARS-CoV-2 positive HCWs and study the transmission dynamics of COVID-19 over 6 months. RESULTS: COVID-19 cases in our HCWs cohort rose and declined parallel to community cases. Forty two out of 534 HCWs (8%) were SARS-CoV-2 positive with no fatalities. No clinical staff in the special COVID ward or ICU was positive. Significant proportion of non-clinical staff (30%) were SARS-CoV-2 positive. About 70% of SARS-CoV-2 positive staff had likely community acquisition, with a significant proportion having travelled by public transport or having a contact history with a positive case in the community. Twenty four percent of positive staff were asymptomatic and detected positive on re-joining test. CONCLUSIONS: Sustained transmission of SARS-CoV-2 did not occur in our cohort beyond community transmission. Appropriate PPE use, strict and constantly improving infection control measures and testing of both clinical and non-clinical staff were essential methods for restricting transmission amongst HCWs. FAU - Pandrowala, Ambreen AU - Pandrowala A AD - Department of Pediatrics, SRCC Children's Hospital managed by Narayana Health, Mumbai, Maharashtra. Correspondence to: Dr Ambreen Pandrowala, Department of Pediatrics, SRCC Children's Hospital, Mahalaxmi, Mumbai 400 034, India. apandrowala@gmail.com. FAU - Shaikh, Shaheen AU - Shaikh S AD - Department of Microbiology, SRCC Children's Hospital managed by Narayana Health, Mumbai, Maharashtra. FAU - Balsekar, Mahesh AU - Balsekar M AD - Department of Pediatrics, SRCC Children's Hospital managed by Narayana Health, Mumbai, Maharashtra. FAU - Kirolkar, Suverna AU - Kirolkar S AD - Department of Microbiology, SRCC Children's Hospital managed by Narayana Health, Mumbai, Maharashtra. FAU - Udani, Soonu AU - Udani S AD - Department of Critical Care and Emergency Services, SRCC Children's Hospital managed by Narayana Health, Mumbai, Maharashtra. LA - eng PT - Journal Article DEP - 20200219 PL - India TA - Indian Pediatr JT - Indian pediatrics JID - 2985062R SB - IM MH - Adult MH - COVID-19/*diagnosis/epidemiology/*transmission MH - Child MH - Disease Transmission, Infectious/prevention & control/*statistics & numerical data MH - Female MH - Health Personnel/*statistics & numerical data MH - Hospitals, Pediatric MH - Humans MH - Infection Control MH - Male MH - Middle Aged MH - Personal Protective Equipment MH - SARS-CoV-2 PMC - PMC8253679 EDAT- 2021/02/23 06:00 MHDA- 2021/07/10 06:00 PMCR- 2021/07/03 CRDT- 2021/02/22 05:50 PHST- 2021/02/23 06:00 [pubmed] PHST- 2021/07/10 06:00 [medline] PHST- 2021/02/22 05:50 [entrez] PHST- 2021/07/03 00:00 [pmc-release] AID - S097475591600288 [pii] AID - 2243 [pii] AID - 10.1007/s13312-021-2243-1 [doi] PST - ppublish SO - Indian Pediatr. 2021 Jun 15;58(6):568-571. doi: 10.1007/s13312-021-2243-1. Epub 2020 Feb 19.