A University Hospital Healthcare Workers' High-Risk Contact with Patients Diagnosed with Coronavirus Disease (COVID-19): a Cross-Sectional Evaluation

Seyfi Durmaz; Aslı Ata Teneler; Aysun Cevhertaş; Nurdan Filis; Atalay Aktuna; Raika Durusoy

doi:10.19161/etd.903177

EN TR

A University Hospital Healthcare Workers' High-Risk Contact with Patients Diagnosed with Coronavirus Disease (COVID-19): a Cross-Sectional Evaluation

Abstract

Aim: This study aimed to determine the risk level of contact with COVID-19 positive patients among healthcare workers (HCW) at a university hospital in Turkey and to demonstrate the factors associated with high-risk contact. Materials and Methods: This cross-sectional study included all contacts from March 11 to May 31, 2020. Risk contact status (High / Medium / Low) was the dependent variable. Independent variables are defined on the basis of personal characteristics, occupational health and safety data and communication data. Logistic regression analysis was performed to determine the corrected relationships of all descriptive variables obtained using chi-square and student’s t tests with the dependent variable. Results: A total of 1043 contact cases were included. Taking COVID-19 clinics as a reference, other clinics and areas outside the clinics were found to involve 1.57-fold [95%CI:1.10–2.22] and 2.20-fold (95%CI:1.22–3.96) higher risk of exposure, respectively. The contact of HCW with each other was found to pose a 5.78-fold (95%CI: 4.07–8.20) higher risk, whereas nonhospital settings posed a 13.34-fold (95% CI:5.24–33.96) higher risk than contact with patients. Conclusion: The fact that high-risk contact was less common among the frontline sites and HCW’s can be interpreted as an indicator that HCW have improved themselves in terms of the use of personal protective equipment and infection control measures.

Keywords

Bir üniversite hastanesinde sağlık çalışanlarının COVID-19 tanılılar ile yüksek riskli temasları: Kesitsel bir değerlendirme

Öz

Amaç: Bu çalışmada, pandemi sırasında Türkiye'de bir üniversite hastanesindeki sağlık çalışanlarının koronavirüs (COVID 19) pozitif hastalarla temaslarına bağlı risk düzeylerinin belirlenmesi ve sağlık çalışanları arasında yüksek riskli temasla ilişkili faktörlerin ortaya konması amaçlanmıştır. Gereç ve Yöntem: Kesitsel tipteki bu çalışma, Ege Üniversitesi Tıp Fakültesi Hastanesinde 11 Mart - 31 Mayıs 2020 tarihleri arasında sağlık çalışanları ile COVID-19 hastaları arasındaki tüm temasları içermektedir. Riskli temas durumu (Yüksek/Orta/Düşük) bağımlı değişken olarak alınmıştır. Kişisel özellikler, iş sağlığı ve güvenliği verileri ve iletişim verileri bağımsız değişkenler olarak tanımlanmıştır. Tüm tanımlayıcı değişkenlerin bağımlı değişkenle olan ilişkisi Ki-kare ve Student's t testleri ile araştırılmıştır. Açıklayıcı değişkenlerin bağımlı değişken ile düzeltilmiş ilişkilerini belirlemek amacıyla lojistik regresyon analizi uygulanmıştır. Bulgular: Toplam 1043 temas vakası çalışmaya dahil edilmiştir. COVID-19 klinikleri referans alınarak, diğer kliniklerin ve kliniklerin dışındaki alanların 1,57 kat [% 95 CI: 1,10-2,22] ve 2,20 kat (% 95 CI: 1,22-3,96) daha yüksek maruz kalma riski içerdiği bulunmuştur. Sırasıyla sağlık çalışanlarının birbirleriyle teması 5,78 kat (% 95 CI: 4,07–8,20) daha yüksek risk oluştururken, hastane dışı ortamlar hastalarla temastan 13,34 kat (% 95 CI: 5,24–33,96) daha yüksek risk oluşturmuştur. Sonuç: Yüksek riskli temasın ön saflarda ve sağlık çalışanları arasında daha az yaygın olması, sağlık çalışanlarının kişisel koruyucu ekipman kullanımı ve enfeksiyon kontrol önlemleri açısından kendilerini geliştirdiklerinin bir göstergesi olarak yorumlanabilir.

Anahtar Kelimeler

References

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Details

Primary Language

English

Subjects

Health Care Administration

Journal Section

Research Article

Authors

Seyfi Durmaz
0000-0001-9756-7764
Türkiye

Aslı Ata Teneler ^*
0000-0002-6054-1517
Türkiye

Aysun Cevhertaş
0000-0002-3824-5439
Türkiye

Nurdan Filis
0000-0001-9529-7190
Türkiye

Atalay Aktuna
0000-0002-7896-2977
Türkiye

Raika Durusoy
0000-0003-1041-8462
Türkiye

Publication Date

June 30, 2021

Submission Date

March 26, 2021

Acceptance Date

May 20, 2021

Published in Issue

Year 2021 Volume: 60 Number: 2

DOI

https://doi.org/10.19161/etd.903177

IZ

https://izlik.org/JA44NF75YH

Cite

RIS / Bibtex

Vancouver

1.Seyfi Durmaz, Aslı Ata Teneler, Aysun Cevhertaş, Nurdan Filis, Atalay Aktuna, Raika Durusoy. A University Hospital Healthcare Workers’ High-Risk Contact with Patients Diagnosed with Coronavirus Disease (COVID-19): a Cross-Sectional Evaluation. EJM. 2021 Jun. 1;60(2):145-54. doi:10.19161/etd.903177