%0 Journal Article
%@ 2561-326X
%I JMIR Publications
%V 5
%N 10
%P e28519
%T Hospital-Based Contact Tracing of Patients With COVID-19 and Health Care Workers During the COVID-19 Pandemic in Eastern India: Cross-sectional Study
%A Sahoo,Durgesh Prasad
%A Singh,Arvind Kumar
%A Sahu,Dinesh Prasad
%A Pradhan,Somen Kumar
%A Patro,Binod Kumar
%A Batmanabane,Gitanjali
%A Mishra,Baijayantimala
%A Behera,Bijayini
%A Das,Ambarish
%A Dora,G Susmita
%A Anand,L
%A Azhar,S M
%A Nair,Jyolsna
%A Panigrahi,Sasmita
%A Akshaya,R
%A Sahoo,Bimal Kumar
%A Sahu,Subhakanta
%A Sahoo,Suchismita
%+ All India Institute of Medical Sciences, Bhubaneswar, Sijua, Patrapada, Bhubaneswar, Odisha, 751019, India, 91 6742476001, director@aiimsbhubaneswar.edu.in
%K COVID-19
%K SARS-CoV-2
%K risk categorization
%K health care personnel
%K virus transmission
%K contact tracing
%K pandemic
%K risk stratification
%D 2021
%7 21.10.2021
%9 Original Paper
%J JMIR Form Res
%G English
%X Background: The contact tracing and subsequent quarantining of health care workers (HCWs) are essential to minimizing the further transmission of SARS-CoV-2 infection and mitigating the shortage of HCWs during the COVID-19 pandemic situation. Objective: This study aimed to assess the yield of contact tracing for COVID-19 cases and the risk stratification of HCWs who are exposed to these cases. Methods: This was an analysis of routine data that were collected for the contact tracing of COVID-19 cases at the All India Institute of Medical Sciences, Bhubaneswar, in Odisha, India. Data from March 19 to August 31, 2020, were considered for this study. COVID-19 cases were admitted patients, outpatients, or HCWs in the hospital. HCWs who were exposed to COVID-19 cases were categorized, per the risk stratification guidelines, as high-risk contacts or low-risk contacts Results: During contact tracing, 3411 HCWs were identified as those who were exposed to 360 COVID-19 cases. Of these 360 cases, 269 (74.7%) were either admitted patients or outpatients, and 91 (25.3%) were HCWs. After the risk stratification of the 3411 HCWs, 890 (26.1%) were categorized as high-risk contacts, and 2521 (73.9%) were categorized as low-risk contacts. The COVID-19 test positivity rates of high-risk contacts and low-risk contacts were 3.8% (34/890) and 1.9% (48/2521), respectively. The average number of high-risk contacts was significantly higher when the COVID-19 case was an admitted patient (number of contacts: mean 6.6) rather than when the COVID-19 case was an HCW (number of contacts: mean 4.0) or outpatient (number of contacts: mean 0.2; P=.009). Similarly, the average number of high-risk contacts was higher when the COVID-19 case was admitted in a non–COVID-19 area (number of contacts: mean 15.8) rather than when such cases were admitted in a COVID-19 area (number of contacts: mean 0.27; P<.001). There was a significant decline in the mean number of high-risk contacts over the study period (P=.003). Conclusions: Contact tracing and risk stratification were effective and helped to reduce the number of HCWs requiring quarantine. There was also a decline in the number of high-risk contacts during the study period. This indicates the role of the implementation of hospital-based, COVID-19–related infection control strategies. The contact tracing and risk stratification approaches that were designed in this study can also be implemented in other health care settings. 
%M 34596569
%R 10.2196/28519
%U https://formative.jmir.org/2021/10/e28519
%U https://doi.org/10.2196/28519
%U http://www.ncbi.nlm.nih.gov/pubmed/34596569