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Year : 2021  |  Volume : 10  |  Issue : 3  |  Page : 151-156

Clinical spectrum, transmission dynamics, outcome and hydroxychloroquine prophylaxis in COVID-19 positive health care workers at a tertiary care hospital

1 Integrated Disease Surveillance Programme, National Centre for Disease Control, New Delhi, India
2 Atal Bihari Vajpayee Institute of Medical Sciences, New Delhi, India
3 Department of Respiratory Medicine, Atal Bihari Vajpayee Institute of Medical Sciences, Dr Ram Manohar Lohia Hospital, New Delhi, India
4 University College of Medical Sciences, Guru Teg Bahadur Hospital, New Delhi, India

Correspondence Address:
Arvind Achra
Assistant Professor, Atal Bihari Vajpayee Institute of Medical Sciences, Dr Ram Manohar Lohia Hospital, New Delhi
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jcsr.jcsr_19_21

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Introduction: Being at the forefront, health-care workers (HCWs) have been at an increased risk of developing COVID-19. Objectives: To understand the pattern of the clinical symptoms, transmission dynamics, intake of hydroxychloroquine (HCQ) prophylaxis and outcome in COVID-19 positive HCWs. Methods: One hundred and fifty-one COVID-19 infected HCWs were telephonically followed up to study the exposure details, clinical presentation, comorbidities, HCQ prophylaxis, outcome and further transmission to their families. Results: The most commonly infected were doctors 60 (39.74%), followed by nursing staff (22.52%) and office staff (13.25%). Only 40 (26.49%) of infected staff was posted in COVID area. The most common source of exposure were patients (33.11%), followed by fellow staff members (28.48%) and 13 (8.61%) had contracted the disease from their family. Fever (74.17%) was the most common symptom followed by myalgia (43.71%), anosmia (37.75), sore throat (33.77%), ageusia (31.13%) and dry cough (28.48%). Three (1.99%) HCWs expired due to COVID-19 and 23 (16.31%) transmitted infection to their family members. Conclusions: This study concludes that HCWs are at greater risk of acquiring infection, particularly while working in non COVID areas, contracting the virus mainly from patients and co-workers. They are also a potential source of onward transmission to their colleagues and family.

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