加拿大安大略省医生之间的SARS-CoV-2感染随时间推移:基于人口的回顾性队列研究
Steven Habbous1, Natasha Saunders, Kelvin Kw Chan
1Steven Habbous, 525 University Ave, Toronto, Ontario, Canada, M5G 2L3, steven.habbous@ontariohealth.ca.
Croatian medical journal
|March 4, 2024
概括
在大流行初期,安大略省医生面临的COVID-19感染风险高于普通人口. 随着时间的推移,风险下降,长期护理医生和儿科医生显示出更高的感染率.
科学领域:
- 流行病学 流行病学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- COVID-19 流行病对医疗保健专业人员构成重大风险.
- 了解医生中SARS-CoV-2感染率对于职业健康策略至关重要.
研究的目的:
- 为了评估安大略省医生中SARS-CoV-2感染的风险.
- 根据专业,比较医生感染率与非医生对照.
主要方法:
- 分析聚合酶链反应 (PCR) 的回顾性队列研究证实了SARS-CoV-2感染.
- 从2020年3月到2022年12月,医生 (n=30,617) 与社区匹配的对照组 (n=29,763) 的比较.
- 评估二次结果,包括住院治疗,重症监护使用和死亡率.
主要成果:
- 医生有20%的SARS-CoV-2感染率 (6172例).
- 在女性医生,长期护理人员和儿科医生中观察到更高的感染风险.
- 医生在早期的流行病浪潮 (OR 1.38) 中显示感染风险增加,但从第3波开始 (OR 0.93) 没有.
结论:
- 医生SARS-CoV-2感染率在疫情初期超过了社区控制,但后来正常化.
- 长期护理和儿科等专业对医生来说存在更高的风险.
- 与对照组相比,医生在感染后的住院率较低.
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