Strong associations and moderate predictive value of early symptoms for SARS-CoV-2 test positivity among healthcare workers, the Netherlands, March 2020

Euro Surveill. 2020 Apr;25(16):2000508. doi: 10.2807/1560-7917.ES.2020.25.16.2000508.

Abstract

Healthcare workers (n = 803) with mild symptoms were tested for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (n = 90 positive) and asked to complete a symptom questionnaire. Anosmia, muscle ache, ocular pain, general malaise, headache, extreme tiredness and fever were associated with positivity. A predictive model based on these symptoms showed moderate discriminative value (sensitivity: 91.2%; specificity: 55.6%). While our models would not justify presumptive SARS-CoV-2 diagnosis without molecular confirmation, it can contribute to targeted screening strategies.

Keywords: COVID-19; SARS-CoV-2; healthcare workers; outbreak; pandemic; prediction model; screening.

MeSH terms

  • Adult
  • Aged
  • Betacoronavirus
  • COVID-19
  • Cohort Studies
  • Coronavirus Infections* / complications
  • Coronavirus Infections* / diagnosis
  • Cough / etiology
  • Eye Pain / etiology
  • Fatigue / etiology
  • Fever / etiology
  • Headache / etiology
  • Health Personnel*
  • Health Policy
  • Humans
  • Middle Aged
  • Myalgia / etiology
  • Netherlands
  • Pandemics*
  • Patient Isolation
  • Personnel, Hospital*
  • Pharyngitis / etiology
  • Pneumonia, Viral* / complications
  • Pneumonia, Viral* / diagnosis
  • Predictive Value of Tests
  • SARS-CoV-2
  • Young Adult