{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T12:16:41Z","timestamp":1782735401740,"version":"3.54.5"},"reference-count":25,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2023,4,28]],"date-time":"2023-04-28T00:00:00Z","timestamp":1682640000000},"content-version":"unspecified","delay-in-days":117,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ASHE"],"published-print":{"date-parts":[[2023]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:sec id=\"S2732494X23001572_as1\">\n\t    <jats:title>Objectives:<\/jats:title>\n\t    <jats:p>To describe the burden and sources of severe acute respiratory coronavirus virus 2 (SARS-CoV-2) infection among healthcare personnel (HCP), such as occupational role, work setting, vaccination status, and patient contact between March 2020 through May 2022.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2732494X23001572_as2\">\n\t    <jats:title>Design:<\/jats:title>\n\t    <jats:p>Active prospective surveillance.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2732494X23001572_as3\">\n\t    <jats:title>Setting:<\/jats:title>\n\t    <jats:p>Large tertiary-care teaching institution with inpatient and ambulatory care services.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2732494X23001572_as4\">\n\t    <jats:title>Results:<\/jats:title>\n\t    <jats:p>We identified 4,430 cases among HCPs between March 1, 2020, through May 31, 2022. The median age of this cohort was 37 years (range, 18\u201389); 2,840 (64.1%) were female; and 2,907 (65.6%) were white. Most of the infected HCP were in the general medicine department, followed by ancillary departments and support staff. Less than 10% of HCP SARS-CoV-2\u2013positive cases worked on a COVID-19 unit. Of the reported SARS-CoV-2 exposures, 2,571 (58.0%) were from an unknown source, 1,185 (26.8%) were from a household source, 458 (10.3%) were from a community source, and 211 (4.8%) were healthcare exposures. A higher proportion of cases with reported healthcare exposures was vaccinated with only 1 or 2 doses, whereas a higher proportion of cases with reported household exposure was vaccinated and boosted, and a higher proportion of community cases with reported and unknown exposures were unvaccinated (<jats:italic>P<\/jats:italic> &lt; .0001). HCP exposure to SARS-CoV-2 correlated with community-level transmission regardless of type of reported exposure.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2732494X23001572_as5\">\n\t    <jats:title>Conclusions:<\/jats:title>\n\t    <jats:p>The healthcare setting was not an important source of perceived COVID-19 exposure among our HCPs. Most HCPs were not able to definitively identify the source of their COVID-19, followed by suspected household and community exposures. HCP with community or unknown exposure were more likely to be unvaccinated.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1017\/ash.2023.157","type":"journal-article","created":{"date-parts":[[2023,4,28]],"date-time":"2023-04-28T07:58:01Z","timestamp":1682668681000},"source":"Crossref","is-referenced-by-count":3,"title":["Sources of coronavirus disease 2019 (COVID-19) exposure among healthcare personnel (HCP) in a large tertiary-care medical center"],"prefix":"10.1017","volume":"3","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0955-3392","authenticated-orcid":false,"given":"Jana","family":"Shaw","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Suits","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heidi","family":"Steigerwald","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen J.","family":"Thomas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret K.","family":"Formica","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2023,4,28]]},"reference":[{"key":"S2732494X23001572_ref18","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2022.01.007"},{"key":"S2732494X23001572_ref19","first-page":"1092","article-title":"Household COVID-19 risk and in-person schooling","volume":"372","author":"Lessler","year":"2021","journal-title":"Science (1979)"},{"key":"S2732494X23001572_ref10","doi-asserted-by":"publisher","DOI":"10.1097\/JOM.0000000000002562"},{"key":"S2732494X23001572_ref14","unstructured":"14. Isolation what to do if you test positive, were exposed to someone who tested positive or display COVID-19 symptoms. New York State Department of Health website. https:\/\/coronavirus.health.ny.gov\/isolation. Accessed April 14, 2023."},{"key":"S2732494X23001572_ref21","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.16009"},{"key":"S2732494X23001572_ref3","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciab608"},{"key":"S2732494X23001572_ref22","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0266410"},{"key":"S2732494X23001572_ref6","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-021-89107-5"},{"key":"S2732494X23001572_ref1","doi-asserted-by":"publisher","DOI":"10.3201\/eid2703.204508"},{"key":"S2732494X23001572_ref17","unstructured":"17. Bassett, MT. New York State Department of Health highlights healthcare workforce booster progress and announces additional efforts to bring boosters directly to healthcare workers. 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Accessed April 14, 2023."},{"key":"S2732494X23001572_ref5","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-020-06171-9"}],"container-title":["Antimicrobial Stewardship &amp; Healthcare Epidemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S2732494X23001572","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,28]],"date-time":"2023-04-28T07:58:10Z","timestamp":1682668690000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S2732494X23001572\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023]]},"references-count":25,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2023]]}},"alternative-id":["S2732494X23001572"],"URL":"https:\/\/doi.org\/10.1017\/ash.2023.157","relation":{},"ISSN":["2732-494X"],"issn-type":[{"value":"2732-494X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023]]},"article-number":"e85"}}