COVID-19 infection and diffusion among the healthcare workforce in a large university-hospital in northwest Italy.
COVID-19 infection and diffusion among the healthcare workforce in a large university-hospital in northwest Italy.
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DOI：
10.23749/mdl.v111i3.9767
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发表时间：
2020-06-26
期刊：
影响因子：
--
通讯作者：
Pira E
中科院分区：
文献类型：
--
作者：
Garzaro G;Clari M;Ciocan C;Grillo E;Mansour I;Godono A;Borgna LG;Sciannameo V;Costa G;Raciti IM;Bert F;Berchialla P;Coggiola M;Pira E
自2019年冠状病毒病(新冠肺炎)爆发以来，医护人员一直是最有可能感染该疾病的工作人员。因此，需要将重点放在医院战略上，以最大限度地减少接触和传播，提供保护，并促进感染人员的早期发现和隔离。评估结构化风险管理对暴露在新冠肺炎中的医务工作者的早期影响，并描述他们的特征如何导致感染和传播。收集了社会人口学和临床数据、事件暴露的各个方面(日期、地点、暴露的时间和距离、个人防护装备的使用)以及联系人的详细信息。2411名卫生部妇女报告了2924名接触过新冠肺炎的人。在830名高危或中危的医务工作者中，有80人检测呈阳性(9.6%)。医生(OR=2.03)和非医疗服务导致风险增加(OR=4.23)。护理病人不会增加风险，但共享工作环境会增加风险(OR=2.63)。自协议实施以来，暴露和警告、暴露和测试以及警告和测试之间的时间显著缩短。具有管理职位的卫生工作者是主要的感染源，因为相互作用的数量很高。一个积极主动的系统，包括及时发现有传染性的工作人员和确定接触来源，有助于降低感染在医院内的传播。作为一项预防措施，工作人员更快地重返工作岗位，减少因工作人员短缺而造成的工作量过大所造成的压力，从而提高工作人员士气和护理病人。
Since the beginning of the coronavirus disease 2019 (COVID-19) outbreak, healthcare workers (HCWs) have been the workers most likely to contract the disease. Intensive focus is therefore needed on hospital strategies that minimize exposure and diffusion, confer protection and facilitate early detection and isolation of infected personnel. To evaluate the early impact of a structured risk-management for exposed COVID-19 HCWs and describe how their characteristics contributed to infection and diffusion. Socio-demographic and clinical data, aspects of the event-exposure (date, place, length and distance of exposure, use of PPE) and details of the contact person were collected. The 2411 HCWs reported 2924 COVID-19 contacts. Among 830 HCWs who were at ‘high or medium risk’, 80 tested positive (9.6%). Physicians (OR=2.03), and non-medical services resulted in an increased risk (OR=4.23). Patient care did not increase the risk but sharing the work environment did (OR=2.63). There was a significant time reduction between exposure and warning, exposure and test, and warning and test since protocol implementation. HCWs with management postitions were the main source of infection due to the high number of interactions. A proactive system that includes prompt detection of contagious staff and identification of sources of exposure helps to lower the intra-hospital spread of infection. A speedier return to work of staff who would otherwise have had to self-isolate as a precautionary measure improves staff morale and patient care by reducing the stress imposed by excessive workloads arising from staff shortages.
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影响因子：
3.1
作者：
Ki, Hyun Kyun;Han, Sang Kuk;Park, Sang O.
通讯作者：
Park, Sang O.
DOI：
10.1098/rsif.2018.0060
发表时间：
2018-06
期刊：
Journal of the Royal Society, Interface
影响因子：
--
作者：
López-García M;Kypraios T
通讯作者：
Kypraios T
DOI：
10.1088/1742-5468/2008/10/p10008
发表时间：
2008-10-01
影响因子：
2.4
作者：
Blondel, Vincent D.;Guillaume, Jean-Loup;Lefebvre, Etienne
通讯作者：
Lefebvre, Etienne
气溶胶生成程序和将急性呼吸道感染传播给医疗保健工作者的风险：系统评价。
影响因子：
3.7
作者：
Tran K;Cimon K;Severn M;Pessoa-Silva CL;Conly J
通讯作者：
Conly J
MERS、SARS 和埃博拉：超级传播者在传染病中的作用
影响因子：
30.3
作者：
Wong G;Liu W;Liu Y;Zhou B;Bi Y;Gao GF
通讯作者：
Gao GF