Survey of COVID-19 Disease Among Orthopaedic Surgeons in Wuhan, People's Republic of China
Survey of COVID-19 Disease Among Orthopaedic Surgeons in Wuhan, People's Republic of China
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DOI：
10.2106/jbjs.20.00417
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发表时间：
2020-05-20
影响因子：
5.3
通讯作者：
Wu, Yongchao
中科院分区：
文献类型：
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作者：
Guo, Xiaodong;Wang, Jiedong;Wu, Yongchao
背景：2019 年冠状病毒病 (COVID-19) 于 2019 年 12 月在中华人民共和国武汉爆发，现已在世界范围内流行。武汉的一些骨科医生感染了 COVID-19。方法：我们进行了一项调查，以确定武汉感染了 COVID-19 的骨科医生。发放自填问卷，收集社会人口变量、临床表现、接触史、疫情认知、医院提供的感染控制培训和个人防护措施等信息。为了进一步探讨个体层面可能的危险因素，进行了1:2匹配的病例对照研究。结果：武汉市 8 家医院共有 26 名骨科医生被确诊患有 COVID-19。各医院的发病率从1.5%到20.7%不等。症状出现时间为2020年1月13日至2月5日，并于1月23日达到高峰，即公众疫情高峰前8天。疑似暴露地点为普通病房（79.2%）、医院公共场所（20.8%）、手术室（12.5%）、重症监护室（4.2%）和门诊（4.2%）。 25%的病例由这些医生传染给其他人，包括传染给家人（20.8%）、传染给同事（4.2%）、传染给患者（4.2%）和传染给朋友（4.2%）。研究发现，参加预防措施的实时培训对预防 COVID-19 具有保护作用（比值比 [OR]，0.12）。未佩戴 N95 呼吸器被发现是一个危险因素（OR，5.20 [95% 置信区间 (CI)，1.09 至 25.00]）。研究发现始终佩戴呼吸器或口罩具有保护作用（OR，0.15）。研究发现，严重疲劳是感染 COVID-19 的一个危险因素（OR，4 [95% CI，1 至 16]）。结论：骨科医生在 COVID-19 大流行期间面临风险。公共工作场所可能会受到污染。骨科医生必须更加警惕并采取更多预防措施，以避免感染 COVID-19。
Background: Coronavirus disease 2019 (COVID-19) broke out in Wuhan, the People's Republic of China, in December 2019 and now is a pandemic all around the world. Some orthopaedic surgeons in Wuhan were infected with COVID-19. Methods: We conducted a survey to identify the orthopaedic surgeons who were infected with COVID-19 in Wuhan. A self-administered questionnaire was distributed to collect information such as social demographic variables, clinical manifestations, exposure history, awareness of the outbreak, infection control training provided by hospitals, and individual protection practices. To further explore the possible risk factors at the individual level, a 1:2 matched case-control study was conducted. Results: A total of 26 orthopaedic surgeons from 8 hospitals in Wuhan were identified as having COVID-19. The incidence in each hospital varied from 1.5% to 20.7%. The onset of symptoms was from January 13 to February 5, 2020, and peaked on January 23, 8 days prior to the peak of the public epidemic. The suspected sites of exposure were general wards (79.2%), public places at the hospital (20.8%), operating rooms (12.5%), the intensive care unit (4.2%), and the outpatient clinic (4.2%). There was transmission from these doctors to others in 25% of cases, including to family members (20.8%), to colleagues (4.2%), to patients (4.2%), and to friends (4.2%). Participation in real-time training on prevention measures was found to have a protective effect against COVID-19 (odds ratio [OR], 0.12). Not wearing an N95 respirator was found to be a risk factor (OR, 5.20 [95% confidence interval (CI), 1.09 to 25.00]). Wearing respirators or masks all of the time was found to be protective (OR, 0.15). Severe fatigue was found to be a risk factor (OR, 4 [95% CI, 1 to 16]) for infection with COVID-19. Conclusions: Orthopaedic surgeons are at risk during the COVID-19 pandemic. Common places of work could be contaminated. Orthopaedic surgeons have to be more vigilant and take more precautions to avoid infection with COVID-19.