Diagnosis of COVID-19 Based on Symptomatic Analysis of Hospital Healthcare Workers in Belgium: Observational Study in a Large Belgian Tertiary Care Center During Early COVID-19 Outbreak
- PMID: 32858554
- PMCID: PMC7773160
- DOI: 10.1097/JOM.0000000000002015
Diagnosis of COVID-19 Based on Symptomatic Analysis of Hospital Healthcare Workers in Belgium: Observational Study in a Large Belgian Tertiary Care Center During Early COVID-19 Outbreak
Abstract
Objective: To identify early symptoms allowing rapid appraisal of infection with SARS-CoV-2 among healthcare workers of a large Belgian hospital.
Methods: Healthcare workers with mild symptoms of an acute respiratory tract infection were systematically screened on clinical characteristics of corona virus disease 2019 (COVID-19). A nasopharyngeal swab was taken and analyzed by real-time Reverse-Transcription-Polymerase-Chain-Reaction (rRT-PCR).
Results: Fifty percent of 373 workers tested COVID-19 positive. The symptoms cough (82%), headache (78%), myalgia (70%), loss of smell or taste (40%), and fever more than or equal to 37.5 °C (76%) were significantly higher among those infected.
Conclusion: Where each individual symptom contributes to the clinical evaluation of possible infection, it is the combination of COVID-19 symptoms that could allow for a rapid diagnostic appraisal of the disease in a high prevalence setting. Early transmission control is important at the onset of an epidemic.
Copyright © 2020 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the American College of Occupational and Environmental Medicine.
Conflict of interest statement
Van Loon, Verbrugghe, Cartuyvels, and Ramaekers have no relationships/conditions/circumstances that present potential conflict of interest.
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References
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- van Halem K, Cox J, Messiaen P, et al. Care for adult non-ICU Covid-19 patients: early experiences from a Belgian tertiary care centre. Neth J Med 2020; 78:111–115. - PubMed
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- World Health Organisation. Q&A on coronaviruses (COVID-19) [Online]; 2020. Available at: https://www.who.int/news-room/q-a-detail/q-a-coronaviruses. Accessed April 27, 2020.
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