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COVID-19 in Turkish health care workers practicing chest medicine
Abdulsamet Sandal1, Zehra Nur Toreyin2, Cuneyt Salturk3
1Ankara Occupational and Environmental Diseases Hospital, Occupational Diseases Clinic - Ankara, Turkey.
Insights
Turkish healthcare workers in chest medicine faced high rates of coronavirus disease 2019 (COVID-19). Occupational and non-occupational factors significantly increased COVID-19 risk, highlighting the need for surveillance and risk control.
Area of Science:
- Medical Research
- Epidemiology
- Public Health
Background:
- The coronavirus disease 2019 (COVID-19) pandemic posed significant risks to healthcare workers globally.
- Chest medicine practitioners, due to their patient population, may face unique exposure risks.
- Understanding COVID-19 prevalence and associated factors among these professionals is crucial for targeted interventions.
Purpose of the Study:
- To evaluate the coronavirus disease 2019 (COVID-19) status among Turkish healthcare workers in chest medicine.
- To identify occupational and non-occupational parameters associated with COVID-19 infection in this cohort.
- To inform strategies for risk mitigation and surveillance.
Main Methods:
- A descriptive study utilizing online survey data collected in two phases (June and December 2020) from members of the Turkish Thoracic Society.
- The survey included 33 items covering demographics, smoking status, chronic diseases, occupation, working status, and COVID-19 exposure (work-related and non-work-related).
- Logistic regression analysis was performed to identify factors associated with COVID-19 contraction, adjusting for age and sex.
Main Results:
- Out of 742 respondents, 40.3% reported a COVID-19 diagnosis.
- A significant increase in COVID-19 frequency was observed between the first and second survey phases (12.1% vs. 57.4%).
- Key risk factors for COVID-19 included working during the outbreak's onset, COVID-19 history in colleagues, non-work-related exposure, home exposure, and family member infection. Use of aprons and goggles showed a protective association.
Conclusions:
- Both occupational and non-occupational factors are significantly associated with COVID-19 risk in chest medicine healthcare workers.
- Active surveillance is recommended to monitor COVID-19 incidence in this population.
- Implementing measures to control identified occupational and non-occupational risks is essential for protecting healthcare professionals.
Objective:
This study aimed to evaluate the data of Turkish health care workers practicing chest medicine on their coronavirus disease 2019 (COVID-19) status and related parameters.
Methods:
This descriptive study included online survey data that the Turkish Thoracic Society conducted with its members in two phases starting in June and December 2020. The 33-item survey included demographic data, smoking status, the presence of any chronic diseases, occupation, working status, and non-work-related and work-related COVID-19 exposure characteristics.
Results:
Of 742 responses, 299 (40.3%) reported that they had contracted COVID-19. The second survey detected a higher frequency of health care workers who had contracted COVID-19 (12.1% versus 57.4%, p<0.001) than the first survey. The analysis of the association between study parameters and COVID-19 in health care workers using logistic regression revealed statistical significance with working at the onset of the outbreak (OR 3.76, 95%CI 1.09-12.98, p=0.036), not working at the time of survey (OR 5.69, 95%CI 3.35-9.67, p<0.001), COVID-19 history in colleagues (OR 2.27, 95%CI 1.51-3.41, p<0.001), any non-work-related COVID-19 exposure (OR 4.72, 95%CI 2.74-8.14, p<0.001), COVID-19 exposure at home (OR 6.52, 95%CI 3.52-12.08, p<0.001), and COVID-19 history in family members (OR 8.16, 95%CI 5.52-12.08, p<0.001) after adjusting for age and sex. The study also observed an inverse relationship between the use of aprons and goggles and COVID-19 in health care workers.
Conclusion:
Occupational and nonoccupational characteristics are related to COVID-19 in health care workers practicing chest medicine. Therefore, active surveillance to detect health care workers contracting COVID-19 and to document and control occupational and nonoccupational risks should be provided.
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