Physicians: Here's what to do if you're exposed to COVID-19

Posted by Alison Williams on 03/09/2020

From the AMA Senior News Writer Sara Berg:

Physicians and other health professionals are on the front lines of care for patients with COVID-19. And as multiple health workers in the U.S. have been sickened by COVID-19, it raises questions and concerns. What should physicians and other health professionals do if they are exposed to COVID-19? The Centers for Disease Control and Prevention (CDC) has advice for clinicians.  

To answer questions about possible exposure to COVID-19, the CDC has updated their guidance for risk assessment. This guidance is available for health personnel with potential exposure in a health care setting to patients with COVID-19. It details risk levels and what to do if exposure occurs. However, the risk of transmission of SARS-CoV-2, which causes COVID-19, is currently incomplete and the precision of current risk assignment is limited.  

When assigning risk, identify duration of exposure, clinical symptoms of the patient and whether the patient was wearing a facemask. It’s also important to note if an aerosol generating procedure was performed and the type of personal protection equipment (PPE) used by health personnel.  

The AMA encourages physicians to stay up to date on this evolving situation and has provided COVID-19 resources for doctors, other health professionals and the public. The AMA will provide continual updates. 

Access to test kits for COVID-19 are now becoming more widely available in the U.S. The CDC is shipping tests to laboratories designated as qualified, including U.S. state and local public health laboratories, Department of Defense laboratories and select international laboratories. 

Here are five epidemiologic risk factors—listed from high to no identifiable risk—and what the CDC recommends for physicians and other health professionals who might have been exposed to COVID-19.  

Present in the room 

Think about the patient with COVID-19 and the procedure being performed. If a physician or other health professional is not wearing proper PPE (their eyes, nose, or mouth were not protected) and is present in the room or performed a procedure that generated higher concentrations of respirator secretions, they are at high-risk.  

The CDC recommends monitoring for COVID-19 until 14 days after the last potential exposure. These individuals should also be excluded from work during the monitoring period. If a fever or respiratory symptoms consistent with COVID-19 develop, immediately self-isolate and notify your local or state public health authority and health care facility promptly.   

Prolonged close contact 

Similarly, if a physician or other health care professional had prolonged close contact with a patient with COVID-19 where the patient was wearing a facemask, but the health care provider was not wearing a facemask or respirator, the health care provider should be actively monitored for COVID-19 and be excluded from work for 14 days after the last exposure.

Learn more from the CDC about what health personnel should know about caring for patients with confirmed or possible COVID-19 infection.  

Proper adherence to infection control 

A physician wearing all recommended PPE including a facemask or respirator while having prolonged close contact with a patient who was also wearing a facemask is at low risk. It is important to note, though, that a respirator confers a higher level of protection than a facemask. Learn more about the CDC’s interim infection prevention and control recommendations

 

Full text from the AMA here.