Prophylactic Use of Hydroxychloroquine and Subsequent SARS-CoV-2 Infection among Healthcare Workers - A Matched Case-control Study

  • Ravneet Kaur Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India.
  • Shashi Kant Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India.
  • Mohan Bairwa Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India.
  • Arvind Kumar Department of Medicine, All India Institute of Medical Sciences, New Delhi, India.
  • Suprakash Mandal Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India.
  • Sunanda Gupta Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India.
  • Ravi Kumar S.R. Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India.
Keywords: Healthcare Workers, COVID-19, Prophylaxis, Hydroxychloroquine, Case-control Study

Abstract

Introduction: Healthcare Workers (HCWs) are at a higher risk of contracting SARS-CoV-2 infection as they have greater exposure to confirmed COVID-19 patients. It is essential to implement prophylactic measures to reduce the incidence of COVID-19 among them. The Indian guidelines recommend the use of hydroxychloroquine (HCQ) as prophylaxis for HCWs.
Objective: To investigate the role of HCQ as prophylaxis against SARS-CoV-2 infection among HCWs.
Method: The cases and controls were matched at an individual level on occupation (doctor, nurse, technical staff, attending/ cleaning staff, administrative staff), area of posting (whether designated COVID care area or non-COVID area), use of personal protective equipment (PPE), and risk category of exposure.
Results: In matched-pair analysis, no statistically significant difference was found in the incidence of COVID-19 infection with the use of HCQ for prophylaxis (OR 0.73, 95% CI: 0.40-1.36).
Conclusion: Prophylactic use of HCQ does not have any effect on the prevention of COVID-19 infection.

How to cite this article:
Kaur R, Kant S, Bairwa M, Kumar A, Mandal S, Gupta S, Kumar RSR. Prophylactic Use of Hydroxychloroquine and Subsequent SARS-CoV-2 Infection among Healthcare Workers - A Matched Case-control Study. Epidem Int. 2022;7(1):1-6.

DOI: https://doi.org/10.24321/2455.7048.202201

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Published
2022-03-31