A University Hospital Healthcare Workers' High-Risk Contact with Patients Diagnosed with Coronavirus Disease (COVID-19): a Cross-Sectional Evaluation
Öz
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.
Anahtar Kelimeler
COVID-19 Healthcare workers contact tracing High-risk exposure Occupational health and safety
Kaynakça
- Republic of Turkey Ministry of Health. COVID-19 Guides [Internet]. Vol. 1 June. 2020 [cited 2020 Aug 12]. Available from: https://hsgm.saglik.gov.tr/en/covid-19-i-ngilizce-dokumanlar/rehberler.html
- European Centre for Disease Prevention and Control. Contact Tracing: Public Health Management of Persons, Including Healthcare Workers, Having Had Contact with COVID-19 Cases in the European. Stokholm; 2020.
- Heneghan C, Oke J, Jefferson T. COVID-19 How many Healthcare workers are infected? - CEBM [Internet]. 2020 [cited 2020 Aug 8]. Available from: https://www.cebm.net/covid-19/covid-19-how-many-healthcare-workers-are-infected/
- Kluytmans-van den Bergh, M., Buiting, A., Pas, S. D., Bentvelsen, R. G. et al. (2020). Prevalence and Clinical Presentation of Health Care Workers With Symptoms of Coronavirus Disease 2019 in 2 Dutch Hospitals During an Early Phase of the Pandemic. JAMA network open, 3(5), e209673. https://doi.org/10.1001/jamanetworkopen.2020.9673
- Xiaoquan Lai, MD1; Minghuan Wang, MD, PhD2; Chuan Qin, MD, PhD2 et al. (2020) Coronavirus Disease 2019 (COVID-2019) Infection Among Health Care Workers and Implications for Prevention Measures in a Tertiary Hospital in Wuhan, China. JAMA Netw open. 3(5):e209666.
- Arslan GK, Özdemir M, Feyzioğlu B, Kurt E, Eray İ (2020). Results of SARS-COV-2 Rapid Antibody Tests and ELISA Antibody Tests in Healthcare Workers in Our Hospital. In: COVID19 Symposium. Sakarya.
- NSW Government (2020). Nosocomial COVID-19 infections, Evidence Check.
- CDC (2020). Interim Operational Considerations for Public Health Management of Healthcare Workers Exposed to or with Suspected or Confirmed COVID-19: non-U.S. Healthcare Settings [Internet]. [cited 2020 Aug 9]. Available from: https://www.cdc.gov/coronavirus/2019-ncov/hcp/non-us-settings/public-health-management-hcw-exposed.html
- European Centre for Disease Prevention and Control. Contact tracing: public health management of persons, including healthcare workers, who have had contact with COVID-19 cases in the European Union – third update, 18 November 2020. Stockholm: ECDC; 2020
- CDC. Appendix 1: Risk Assessment for Healthcare Workers Exposed to Persons with COVID-19. 2019;1–3.
- Republic of Turkey Ministry of Health April 2020. Assessment of Healthcare Staff with COVID-19 Contact 09.04.2020.
- World Health Organization. Report of the WHO-China Joint Mission on Coronavirus Disease 2019 (COVID-19). Vol. 2019, The WHO-China Joint Mission on Coronavirus Disease 2019. 2020.
- Wu Y, Song S, Kao Q, Kong Q, Sun Z, Wang B (2020). Risk of SARS-CoV-2 infection among contacts of individuals with COVID-19 in Hangzhou, China. Public Health;185:57–9.
- Ran L, Zhang L, Wu W, Tan X, Chen X, Wang Y (2020). Risk Factors of Healthcare Workers With Corona Virus Disease 2019: A Retrospective Cohort Study in a Designated Hospital of Wuhan in China - PubMed. Clin Infect Dis.
- Chen, Y., Tong, X., Wang, J. et al. (2020). High SARS-CoV-2 antibody prevalence among healthcare workers exposed to COVID-19 patients. The Journal of infection, 81(3), 420–426. https://doi.org/10.1016/j.jinf.2020.05.067
- World Health Organization (May 10,2020 ). Contact tracing in the context of COVID-19. WHO Guideline. 1–7.
- CDC (2020). Interim U.S. Guidance for Risk Assessment and Work Restrictions for Healthcare Personnel with Potential Exposure to COVID-19 | CDC [Internet]. [cited 2020 Aug 10]. Available from: https://www.cdc.gov/coronavirus/2019-ncov/hcp/guidance-risk-assesment-hcp.html
- Heinzerling A, Stuckey MJ, Scheuer T. et al. (April, 2020). Transmission of COVID-19 to Health Care Personnel During Exposures to a Hospitalized Patient - Solano County, California, February 2020. MMWR Morb Mortal Wkly Rep. 17;69(15):472-476. doi: 10.15585/mmwr.mm6915e5. PMID: 32298249; PMCID: PMC7755059.
- Maltezou, H. C., Dedoukou, X., Tseroni, M. et al.(2020). SARS-CoV-2 infection in healthcare personnel with high-risk occupational exposure: evaluation of seven-day exclusion from work policy. Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, ciaa888. Advance online publication. https://doi.org/10.1093/cid/ciaa888
- Bielicki, J. A., Duval, X., Gobat, N. et al.(2020). Monitoring approaches for health-care workers during the COVID-19 pandemic. The Lancet Infectious Diseases, 20(10). https://doi.org/10.1016/S1473-3099(20)30458-8
- L., Huang, M., Chen, M., Tan, C., et al.(2020). Household Transmission of SARS-CoV-2, Zhuhai, China, (2020). Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 71(16), 2099–2108. https://doi.org/10.1093/cid/ciaa557
- OSHA. Guidance on Preparing Workplaces for COVID-19. 2020.
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
COVID-19 Koronavirüs hastalığı temaslı izlem yüksek riskli temas Çalışan sağlığı ve güvenliği
Kaynakça
- Republic of Turkey Ministry of Health. COVID-19 Guides [Internet]. Vol. 1 June. 2020 [cited 2020 Aug 12]. Available from: https://hsgm.saglik.gov.tr/en/covid-19-i-ngilizce-dokumanlar/rehberler.html
- European Centre for Disease Prevention and Control. Contact Tracing: Public Health Management of Persons, Including Healthcare Workers, Having Had Contact with COVID-19 Cases in the European. Stokholm; 2020.
- Heneghan C, Oke J, Jefferson T. COVID-19 How many Healthcare workers are infected? - CEBM [Internet]. 2020 [cited 2020 Aug 8]. Available from: https://www.cebm.net/covid-19/covid-19-how-many-healthcare-workers-are-infected/
- Kluytmans-van den Bergh, M., Buiting, A., Pas, S. D., Bentvelsen, R. G. et al. (2020). Prevalence and Clinical Presentation of Health Care Workers With Symptoms of Coronavirus Disease 2019 in 2 Dutch Hospitals During an Early Phase of the Pandemic. JAMA network open, 3(5), e209673. https://doi.org/10.1001/jamanetworkopen.2020.9673
- Xiaoquan Lai, MD1; Minghuan Wang, MD, PhD2; Chuan Qin, MD, PhD2 et al. (2020) Coronavirus Disease 2019 (COVID-2019) Infection Among Health Care Workers and Implications for Prevention Measures in a Tertiary Hospital in Wuhan, China. JAMA Netw open. 3(5):e209666.
- Arslan GK, Özdemir M, Feyzioğlu B, Kurt E, Eray İ (2020). Results of SARS-COV-2 Rapid Antibody Tests and ELISA Antibody Tests in Healthcare Workers in Our Hospital. In: COVID19 Symposium. Sakarya.
- NSW Government (2020). Nosocomial COVID-19 infections, Evidence Check.
- CDC (2020). Interim Operational Considerations for Public Health Management of Healthcare Workers Exposed to or with Suspected or Confirmed COVID-19: non-U.S. Healthcare Settings [Internet]. [cited 2020 Aug 9]. Available from: https://www.cdc.gov/coronavirus/2019-ncov/hcp/non-us-settings/public-health-management-hcw-exposed.html
- European Centre for Disease Prevention and Control. Contact tracing: public health management of persons, including healthcare workers, who have had contact with COVID-19 cases in the European Union – third update, 18 November 2020. Stockholm: ECDC; 2020
- CDC. Appendix 1: Risk Assessment for Healthcare Workers Exposed to Persons with COVID-19. 2019;1–3.
- Republic of Turkey Ministry of Health April 2020. Assessment of Healthcare Staff with COVID-19 Contact 09.04.2020.
- World Health Organization. Report of the WHO-China Joint Mission on Coronavirus Disease 2019 (COVID-19). Vol. 2019, The WHO-China Joint Mission on Coronavirus Disease 2019. 2020.
- Wu Y, Song S, Kao Q, Kong Q, Sun Z, Wang B (2020). Risk of SARS-CoV-2 infection among contacts of individuals with COVID-19 in Hangzhou, China. Public Health;185:57–9.
- Ran L, Zhang L, Wu W, Tan X, Chen X, Wang Y (2020). Risk Factors of Healthcare Workers With Corona Virus Disease 2019: A Retrospective Cohort Study in a Designated Hospital of Wuhan in China - PubMed. Clin Infect Dis.
- Chen, Y., Tong, X., Wang, J. et al. (2020). High SARS-CoV-2 antibody prevalence among healthcare workers exposed to COVID-19 patients. The Journal of infection, 81(3), 420–426. https://doi.org/10.1016/j.jinf.2020.05.067
- World Health Organization (May 10,2020 ). Contact tracing in the context of COVID-19. WHO Guideline. 1–7.
- CDC (2020). Interim U.S. Guidance for Risk Assessment and Work Restrictions for Healthcare Personnel with Potential Exposure to COVID-19 | CDC [Internet]. [cited 2020 Aug 10]. Available from: https://www.cdc.gov/coronavirus/2019-ncov/hcp/guidance-risk-assesment-hcp.html
- Heinzerling A, Stuckey MJ, Scheuer T. et al. (April, 2020). Transmission of COVID-19 to Health Care Personnel During Exposures to a Hospitalized Patient - Solano County, California, February 2020. MMWR Morb Mortal Wkly Rep. 17;69(15):472-476. doi: 10.15585/mmwr.mm6915e5. PMID: 32298249; PMCID: PMC7755059.
- Maltezou, H. C., Dedoukou, X., Tseroni, M. et al.(2020). SARS-CoV-2 infection in healthcare personnel with high-risk occupational exposure: evaluation of seven-day exclusion from work policy. Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, ciaa888. Advance online publication. https://doi.org/10.1093/cid/ciaa888
- Bielicki, J. A., Duval, X., Gobat, N. et al.(2020). Monitoring approaches for health-care workers during the COVID-19 pandemic. The Lancet Infectious Diseases, 20(10). https://doi.org/10.1016/S1473-3099(20)30458-8
- L., Huang, M., Chen, M., Tan, C., et al.(2020). Household Transmission of SARS-CoV-2, Zhuhai, China, (2020). Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 71(16), 2099–2108. https://doi.org/10.1093/cid/ciaa557
- OSHA. Guidance on Preparing Workplaces for COVID-19. 2020.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Araştırma Makaleleri |
| Yazarlar | |
| Yayımlanma Tarihi | 30 Haziran 2021 |
| Gönderilme Tarihi | 26 Mart 2021 |
| Yayımlandığı Sayı | Yıl 2021Cilt: 60 Sayı: 2 |
