Heliyon
Volume 9, Issue 5, May 2023, e15996
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Research article
Evaluation of workplace infection prevention and control measures for COVID-19: A prospective cohort study in Japan

https://doi.org/10.1016/j.heliyon.2023.e15996Get rights and content
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open access

Highlights

  • COVID-19 infection assessment in workplace infection prevention and control (IPC).

  • This prospective cohort study was conducted from December 2020 to December 2021.

  • Employees restricted from working when ill had significantly lower infection rates.

  • Workplaces should prioritize implementing this measure as a workplace IPC.

Abstract

Background

Encouraging the implementation of infection prevention and control (IPC) measures has been necessary to prevent workplace infections caused by the coronavirus disease 2019 (COVID-19). However, the effectiveness of these measures in reducing infections has not been thoroughly evaluated. We evaluated employees’ COVID-19 infection rates in relation to the implementation of IPC measures at their workplaces to identify effective workplace measures.

Methods

This prospective cohort study was conducted between December 2020 and December 2021 using Internet-based self-assessment questionnaires, with 11,982 participants included from the baseline. To estimate whether implementing workplace IPC measures was associated with COVID-19 incidence rates among participants, we estimated multivariate-adjusted relative risk (RR) using a log-binomial model.

Results

After adjusting for sex, age, education, household members, occupation-related factors, and personal preventive behaviors, requesting ill employees to refrain from going to work showed significantly lower COVID-19 infection rates than not requesting it (RR: 0.56, 95% CI: 0.34–0.91, p = 0.019).

Conclusions

Employees restricted from reporting to work when ill had significantly lower COVID-19 infection rates than those who did not follow this measure. The results indicated that not coming to work when ill was effective in reducing COVID-19 infections at the workplace. We suggest that companies proactively adopt this policy and encourage their employees to comply with it.

Keywords

Infection prevention
Infection control
COVID-19 infection
Prospective cohort study
Workplace evaluation

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