SARS-CoV-2 infection among asymptomatic healthcare workers of the emergency department in a tertiary care facility.
SARS-CoV-2 infection among asymptomatic healthcare workers of the emergency department in a tertiary care facility.
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DOI：
10.1016/j.jcv.2020.104710
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发表时间：
2021-01
期刊：
影响因子：
--
通讯作者：
Tantawi O
中科院分区：
文献类型：
--
作者：
Abdelmoniem R;Fouad R;Shawky S;Amer K;Elnagdy T;Hassan WA;Ali AM;Ezzelarab M;Gaber Y;Badary HA;Musa S;Talaat H;Kassem AM;Tantawi O
14.3% 的急诊室医护人员发现了 SARS-CoV-2。 SARS-CoV-2 的快速血清学检测可以提高诊断率。建议对无症状的医护人员进行 SARS-CoV-2 筛查。重点做好运输、保洁人员的感染控制。在 2019 年冠状病毒病 (COVID-19) 大流行危机期间，医护人员 (HCW) 属于高风险类别，急诊科 (ED) 的一线医护人员可能面临更高的风险。确定医护人员中的感染传播情况可能会对医院的感染控制政策产生影响。本研究旨在检测埃及开罗一家大型三级中心急诊室无症状医护人员中的严重急性呼吸综合征冠状病毒-2 (SARS-CoV-2) 感染。该研究于2020年6月1日至14日进行。遵循了所有推荐的国家和国际感染控制措施指征。该研究纳入了 203 名医护人员，并通过鼻咽拭子 (NPS) 和快速血清学检测 (RST) 进行检测。使用描述性统计分析来总结数据。在 203 名医护人员中，29 名（14.3%）通过实时逆转录聚合酶链反应（RT-PCR）检测呈阳性。 37 名 (18.2%) 医护人员的 RST 检测结果呈阳性：20 名医护人员同时检测出 IgM 和 IgG； 14 例仅含有 IgM，3 例仅含有 IgG。年龄、性别和/或职业不是 SARS-CoV-2 感染的危险因素。根据 RT-PCR 检测，三级护理机构急诊室无症状医护人员的 COVID-19 点流行率为 14.3%。这说明了无论症状如何，对所有医护人员进行筛查的重要性，以及在当前大流行期间采取严格措施保护医护人员的必要性，以减少从医疗机构向社区的传播。
SARS-CoV-2 was found in 14.3 % of healthcare workers in emergency department. Rapid serological tests for SARS-CoV-2 can increase the diagnostic yield. Screening of asymptomatic healthcare workers for SARS-CoV-2 is advised. Infection control among transportation and cleaning staff should be stressed. Healthcare workers (HCWs) represent a high-risk category during the coronavirus disease 2019 (COVID-19) pandemic crisis, with frontline HCWs at emergency departments (EDs) may be at an even higher risk. Determining the spread of infection among HCWs may have implications for infection control policies in hospitals. This study aimed to detect severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection among asymptomatic HCWs of the ED of a large tertiary center in Cairo, Egypt. The study was conducted from June 1st to June 14th, 2020. All the recommended national and international indications on infection control measures were followed. Two hundred and three HCWs were included in the study and tested by nasopharyngeal swab (NPS) and rapid serological test (RST). Descriptive statistical analyses were used to summarize the data. Of the 203 HCWs, 29 (14.3 %) tested positive by real-time reverse transcription polymerase chain reaction (RT-PCR). Thirty-seven (18.2 %) HCWs tested positive with RST: 20 with both IgM and IgG; 14 with IgM only, and 3 with IgG only. Age, gender, and/or occupation were not risk factors for SARS-CoV-2 infection. Point prevalence of COVID-19 in asymptomatic HCWs in ED of tertiary care facility is 14.3 % by RT-PCR. This illustrates the importance of screening all HCWs regardless of symptoms, and the need for strict measures in securing HCWs to reduce transmission from healthcare facilities to the community during the current pandemic.
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