COVID-19 contagious healthcare personnel 5-day early return-to-work program

Source avec lien : American Journal of Infection Control, (En ligne). 10.1016/j.ajic.2022.11.006

Le personnel de santé contagieux COVID-19 qui s’isole pendant une période de 10 jours augmente le fardeau des pénuries de main-d’œuvre. La mise en œuvre d’un programme de retour au travail anticipé de 5 jours peut réduire les périodes d’auto-isolement, sans augmenter le risque de transmission, pendant la pandémie de COVID-19.

Background COVID-19 contagious health care personnel (HCP) who are self-isolating for a 10-day period increases burden to workforce shortages. Implementation of a 5-day early return-to-work (RTW) program may reduce self-isolation periods, without increasing transmission risk, during the COVID-19 pandemic. Design and methods This observational cohort quality improvement study included newly diagnosed COVID-19 HCP at a multifacility health care system. The program allowed HCP to return to work 6 days after date of a positive test result if they were not immunocompromised, had mild and improving symptoms, and self-reported a SARS-CoV-2 antigen negative test on day 5. Results Between January 4 and April 3, 2022, 1,023 HCP self-enrolled and 344 (33.6%) self-reported negative test results. Among these, 161 (46.8%) self-reported negative test results on day 5 and were eligible for early RTW on day 6. A total of 714 days were saved from missed work in self-isolation. The number of tests purchased, dispensed, and reported per day of HCP time saved was 4.4. No transmission events were observed originating from HCP who participated in early RTW. Conclusion Implementing a 5-day early RTW program that includes HCP self-reporting SARS-CoV-2 antigen test results can increase staffing availability, while maintaining a low risk of SARS-CoV-2 transmission.

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