印度卫生工作者感染SARS-CoV-2的危险因素:一个病例控制研究
Leyanna Susan George1,2, Chitra Tomy1, Charutha Retnakumar1
1Department of Community Medicine, Amrita School of Medicine, Amrita Vishwa Vidyapeetham University, Kochi, India.
Frontiers in public health
|June 16, 2023
概括
31岁以上的医疗保健工作者,男性,以及糖尿病患者面临更高的COVID-19风险. 实际的感染控制培训和直接的患者暴露也增加了卫生专业人员之间的SARS-CoV-2传播.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 职业健康 职业健康 职业健康
背景情况:
- 2020年1月,COVID-19被宣布为国际关注的公共卫生紧急情况.
- 与普通人群相比,医疗保健工作者感染SARS-CoV-2的风险更高.
- 了解医疗保健工作者的传播风险因素和临床表现至关重要.
研究的目的:
- 评估卫生保健工作者之间SARS-CoV-2传播的风险因素.
- 在医疗保健专业人员中描述COVID-19的临床谱.
- 确定卫生保健工作者面临的特定职业危险.
主要方法:
- 在印度7个州的19个医院进行了嵌套病例控制研究.
- 参与医疗保健工作者照顾COVID-19患者.
- 从2020年12月到2021年12月招募未接种疫苗的参与者,使用发病密度抽样.
主要成果:
- 973名医疗保健工作者 (345例,628例对照) 参与了调查.
- 感染SARS-CoV-2的重大风险因素包括年龄>31岁,男性性别,实践感染预防和控制 (IPC) 培训,直接接触COVID-19患者和糖尿病.
- 在过去的14天内进行预防性治疗也与风险增加有关.
结论:
- 强调需要专门的医院感染控制部门和定期的IPC计划.
- 强调有必要制定政策,应对医疗保健工作者的职业危险.
- 强调有针对性的干预措施的重要性,以保护医疗保健专业人员免受COVID-19的侵害.
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