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Article Dans Une Revue Infection Prevention in Practice Année : 2023

Risk of SARS-CoV-2 infection in healthcare workers with inflammatory bowel disease: a case-control study

Jean Marc Gornet
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Stéphane Nancey
Romain Altwegg
David Laharie
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Anthony Buisson
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Stephanie Viennot
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Lucine Vuitton
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Philippe Marteau
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Philippe Seksik

Résumé

BACKGROUND: Whether healthcare workers with inflammatory bowel disease (IBD) are at increased risk of Novel coronavirus disease (COVID-19) due to occupational exposure is unknown. AIM: To assess the risk of COVID-19 in healthcare workers with IBD. METHODS: A case control study enrolled 326 healthcare workers with IBD from 17 GETAID centres and matched non-healthcare workers with IBD controls (1:1) for gender, age, disease subtype and year of diagnosis. The study period was year 2020 during the COVID-19 outbreak. RESULTS: In total, 59 COVID-19 were recorded among cases (n = 32) and controls (n = 27), including 2 severe COVID-19 (requiring hospitalization, mechanic ventilation) but no death. No difference was observed between healthcare workers and controls regarding the overall incidence rates of COVID-19 4.9 ± 2.2 vs. 3.8 ± 1.9 per 100 patient-semesters, P = 0.34) and the overall incidence rates of severe COVID-19 (0.6 ± 7.8 vs. 0.3 ± 5.5 per 100 patient-semesters, P = 0.42). In multivariate analysis in the entire study population, COVID-19 was associated with patients with body mass index > 30 kg/m(2) (HR = 2.48, 95%CI [1.13-5.44], P = 0.02). CONCLUSION: Healthcare workers with IBD do not have an increased risk of COVID-19 compared with other patients with IBD.
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hal-03980521 , version 1 (30-05-2023)

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Aurélien Amiot, Anne Bourrier, Jean Marc Gornet, Olivier Dewit, Stéphane Nancey, et al.. Risk of SARS-CoV-2 infection in healthcare workers with inflammatory bowel disease: a case-control study. Infection Prevention in Practice, 2023, 5 (1), pp.100267. ⟨10.1016/j.infpip.2022.100267⟩. ⟨hal-03980521⟩
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