Risk assesment and management of exposure of health care workers to COVID-19 in a tertiary care hospital of South Gujarat

Krishnakant N. Bhatt, Amit Gamit, Ashish Patel, Kalpesh Gohel, Shiv Pujari, Siddhant Agrawal, Keshvi Chauhan


Background: The COVID-19 outbreak affected 215 countries worldwide and was declared global COVID-19 pandemic on 11th March 2020 by WHO. Healthcare workers (HCWs) in India are faced with an incredibly high number of patients per worker and because of high infectivity of COVID-19, having higher chances of getting COVID-19 infection. The objective of the study was the risk categorization of HCWs and provide recommendation for HCWs exposed to COVID-19 based on risk categorization.

Methods: After obtaining informed and valid consent from HCWs based on standard WHO questionnaire HCW, who were exposed to COVID-19 were identified and categorised in to high risk and low risk health worker. Those who were at high risk of getting COVID-19 were advised quarantine for 14 days and rt pcr for Covid-19.

Results: Out of 200 participants, 51% were male and 49% were female with the majority of them being in the age group of 18-28 (40%). Out of 200, 190 (95%) were exposed to COVID-19. Majority of HCWs who were having high risk of getting COVID-19 infection were young between age group of 18-28 (66,39.7%, p :0.091), male (91,59.6%, p<0.001), doctors (119, 80.9%, p<0.001).

Conclusions: Young male doctors were more prone to get COVID-19 infection. It is important to protect HCWs from getting COVID-19 infections by taking various fundamental preventive measures like wearing proper PPE kits and adherence to strict hand hygiene.


COVID-19, Health care worker, Personal protective equipment

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Chatterjee P, Nagi N, Agarwal A, Das B, Banerjee S, Sarkar S, et al. The 2019 novel coronavirus disease (COVID-19) pandemic: A review of the current evidence. Indian J Med Res. 2020;151:147-59.

Liu J, Liao X, Qian S, Yuan J, Wang F, Liu Y, et al. Community transmission of severe acute respiratory syndrome coronavirus 2, Shenzhen, China, 2020. Emerg Infect Dis. 2020;26:1320-3.

Risk assessment and management of exposure of health care workers in the context of COVID-19: Interim guidance. Available at:

Alexis Tabah a, ⁎, Mahesh Ramanan b, Kevin B. Laupland c et al: Personal protective equipment and intensive care unit healthcare worker safety in the COVID-19 era (PPE-SAFE): An international survey. J Critic Care. 2020;59:70-5.

Roger. Epidemiology of and Risk Factors for Coronavirus Infection in Health Care Workers A Living Rapid Review: Ann Intern Med. 2020:M20-1632.

Delgado D. Personal Safety during the COVID-19 Pandemic: Realities and Perspectives of Healthcare Workers in Latin America. Int J Environ Res Public Health. 2020;17(8):2798.

Ferioli M. Protecting healthcare workers from SARS-CoV-2 infection: practical indications: Eur Respir Rev. 2020;29(155):200068.

Lao X. Coronavirus Disease 2019 (COVID-2019) Infection Among Health Care Workers and Implications for Prevention Measures in a Tertiary Hospital in Wuhan, China: JAMA Netw Open. 2020;3(5):e209666.