An assessment of the level of concern among hospital-based health-care workers regarding MERS outbreaks in Saudi Arabia.
An assessment of the level of concern among hospital-based health-care workers regarding MERS outbreaks in Saudi Arabia.
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DOI：
10.1186/s12879-016-2096-8
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发表时间：
2017-01-03
影响因子：
3.7
通讯作者：
Balkhy HH
中科院分区：
文献类型：
--
作者：
Abolfotouh MA;AlQarni AA;Al-Ghamdi SM;Salam M;Al-Assiri MH;Balkhy HH
中东呼吸综合征(MERS)由MERS冠状病毒(MERS-CoV)引起。超过80%的报告病例发生在沙特阿拉伯，死亡率超过50%。卫生保健工作者面临感染和传播该病毒的风险，因此评估了沙特阿拉伯卫生工作者对中东呼吸综合征的关切。2014年10月至12月，沙特阿拉伯三家三级医院向1031名卫生工作者发放了一份匿名的、自我管理的、先前有效的问卷。对疾病、其严重性和政府控制疾病的努力以及疾病结果的关切使用了五个不同领域的31项关切声明进行了评估。对每一位HCW的关注总分进行了计算。多元回归分析被用来确定高关注度分数的预测因素。调查对象的平均年龄为37.1%± 9.0岁，已婚占65.8%，护士占59.1%。大多数受访者(70.4%)感到在工作中感染MERS冠状病毒的风险，69.1%的受访者觉得同事感染MERS冠状病毒会受到威胁，60.9%的受访者感到有义务照顾感染MERS冠状病毒的患者，87.8%的受访者在使用标准预防措施时感到工作不安全。此外，87.7%的人认为政府应该将MERS患者隔离在专科医院，73.7%的人同意限制往返MERS疫区的旅行，65.3%的人同意避免邀请外籍人士从这些地区前往。在调整协变量后，高关注度得分与沙特国民(p <； 0.001)、非医生(p <； 0.001)和在中部地区工作(p <； 0.001)显著相关。大多数受访者报告了对工作中暴露的MERS冠状病毒感染的担忧。总体关注程度可能受到以往MERS疫情和相关文化问题的影响。卫生工作者的关切可能会影响其在暴发中的整体效力，应通过将管理战略纳入暴发规划来解决。
Middle East Respiratory Syndrome (MERS) is caused by MERS coronavirus (MERS-CoV). More than 80% of reported cases have occurred in Saudi Arabia, with a mortality exceeding 50%. Health-care workers (HCWs) are at risk of acquiring and transmitting this virus, so the concerns of HCWs in Saudi Arabia regarding MERS were evaluated. An anonymous, self-administered, previously validated questionnaire was given to 1031 HCWs at three tertiary hospitals in Saudi Arabia from October to December, 2014. Concerns regarding the disease, its severity and governmental efforts to contain it, as well as disease outcomes were assessed using 31 concern statements in five distinct domains. A total concern score was calculated for each HCW. Multiple regression analyses were used to identify predictors of high concern scores. The average age of participants was 37.1 ± 9.0 years, 65.8% were married and 59.1% were nurses. The majority of respondents (70.4%) felt at risk of contracting a MERS-CoV infection at work, 69.1% felt threatened if a colleague contracted MERS-CoV, 60.9% felt obliged to care for patients infected with MERS-CoV and 87.8% did not feel safe at work using standard precautions. In addition, 87.7% believed that the government should isolate patients with MERS in specialized hospitals, 73.7% agreed with travel restriction to and from areas affected by MERS and 65.3% agreed with avoiding inviting expatriates from such areas. After adjustment for covariates, high concern scores were significantly associated with being a Saudi national (p < 0.001), a non-physician (p < 0.001) and working in the central region (p < 0.001). The majority of respondents reported concern regarding MERS-CoV infection from exposure at work. The overall level of concern may be influenced by previous experience of MERS outbreaks and related cultural issues. The concerns of HCWs may affect their overall effectiveness in an outbreak and should be addressed by incorporating management strategies in outbreak planning.
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影响因子：
4.2
作者：
FISHER, WA;FISHER, JD;RYE, BJ
通讯作者：
RYE, BJ
影响因子：
3
作者：
Koh, D;Lim, MK;Fones, C
通讯作者：
Fones, C
沙特公众对猪流感大流行的认识、态度和做法。
影响因子：
3.7
作者：
Balkhy HH;Abolfotouh MA;Al-Hathlool RH;Al-Jumah MA
通讯作者：
Al-Jumah MA
影响因子：
1.9
作者：
Abolfotouh MA;Al-Alwan IA;Al-Rowaily MA
通讯作者：
Al-Rowaily MA
影响因子：
3.7
作者：
Albano, Luciana;Matuozzo, Anna;Di Giuseppe, Gabriella
通讯作者：
Di Giuseppe, Gabriella