{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T08:34:28Z","timestamp":1782462868604,"version":"3.54.5"},"reference-count":28,"publisher":"Cambridge University Press (CUP)","issue":"7","license":[{"start":{"date-parts":[[2025,5,16]],"date-time":"2025-05-16T00:00:00Z","timestamp":1747353600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Infect. Control Hosp. Epidemiol."],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0899823X25000698_as1\"><jats:title>Objective:<\/jats:title><jats:p>To assess the frequency of and motivations for acute respiratory illness (ARI) presenteeism in healthcare personnel (HCP) during two waves of COVID-19.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X25000698_as2\"><jats:title>Design:<\/jats:title><jats:p>Survey.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X25000698_as3\"><jats:title>Setting:<\/jats:title><jats:p>Large academic medical center, both ambulatory and acute care settings.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X25000698_as4\"><jats:title><jats:italic>Participants<\/jats:italic>:<\/jats:title><jats:p>All HCPs (n = 11,429) at the University of North Carolina Medical Center were eligible for two voluntary, electronic surveys: pre-Omicron (n = 591, recall period March 2020 - December 2021) and Omicron BA.1 (n = 385, recall period January - April 2022).<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X25000698_as5\"><jats:title>Methods:<\/jats:title><jats:p>We compared self-reported ARI presenteeism (working despite feeling feverish plus cough and\/or sore throat) and motivators across time and demographics. We also estimated effects of workplace perceptions and culture on ARI presenteeism with log-binomial regression, adjusting for age, gender, HCP role, and patient interaction.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X25000698_as6\"><jats:title>Results:<\/jats:title><jats:p>In the pre-Omicron and Omicron BA.1 eras, 24% and 34% of respondents respectively reported at least one instance of ARI presenteeism. In both eras, clinical frontline HCP were more likely to report ARI presenteeism than other roles, as were HCP primarily providing direct patient care vs not. Pre-Omicron motivators included disciplinary action and sick leave concerns, whereas workplace culture predominated during Omicron. Feeling professional obligation to attend work and observing colleague presenteeism increased ARI presenteeism in both eras. During Omicron, COVID-19 burnout, fatigue, and unclear call-out procedures increased ARI presenteeism.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X25000698_as7\"><jats:title>Conclusions:<\/jats:title><jats:p>ARI presenteeism was common and had diverse motivations, including workplace culture, disciplinary action, and sick leave. Efforts to reduce presenteeism should address these factors and prioritize frontline clinical personnel with direct patient interaction.<\/jats:p><\/jats:sec>","DOI":"10.1017\/ice.2025.69","type":"journal-article","created":{"date-parts":[[2025,5,16]],"date-time":"2025-05-16T05:02:21Z","timestamp":1747371741000},"page":"721-729","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":2,"title":["Characterizing presenteeism among healthcare personnel at an academic medical center across eras of the COVID-19 pandemic"],"prefix":"10.1017","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-7913-3336","authenticated-orcid":false,"given":"Amanda","family":"Brown Marusiak","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Sickbert-Bennett","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hilary","family":"Babcock","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Westreich","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin","family":"Lessler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Weber","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2025,5,16]]},"reference":[{"key":"S0899823X25000698_ref12","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.16176"},{"key":"S0899823X25000698_ref16","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-019-7138-x"},{"key":"S0899823X25000698_ref1","unstructured":"1. World Health Organization. Pneumonia of Unknown Cause \u2014 China. World Health Organization; 2020. https:\/\/www.who.int\/emergencies\/disease-outbreak-news\/item\/2020-DON229"},{"key":"S0899823X25000698_ref14","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-021-12008-9"},{"key":"S0899823X25000698_ref17","doi-asserted-by":"publisher","DOI":"10.3389\/ijph.2021.1604260"},{"key":"S0899823X25000698_ref19","unstructured":"19. Fisher\u2019s Exact Test for Count Data. Accessed December 13, 2024. https:\/\/search.r-project.org\/R\/refmans\/stats\/html\/fisher.test.html"},{"key":"S0899823X25000698_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30154-9"},{"key":"S0899823X25000698_ref22","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2017.91"},{"key":"S0899823X25000698_ref20","unstructured":"20. Centers for Disease Control and Prevention. COVID Data Tracker. 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