Assessment of Risk Factors for Coronavirus Disease-2019 in Healthcare Workers: A Case-Control Study.

IF 1.5
Sukhyanti Kerai, Rahil Singh, Kirti N Saxena, Suraj D Desai
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引用次数: 4

Abstract

Background and aims: With the rise of coronavirus disease-2019 (COVID-19) cases globally, the infection among frontline healthcare workers (HCWs) escalates many folds. There is, however, limited literature from low middle-income countries regarding risk factors for COVID-19 infection in HCWs. We conducted a case-control study to evaluate the risk factors of COVID-19 infection to HCWs.

Materials and methods: This case-control study was conducted in a designated COVID-19 hospital. Eighty-one HCWs involved in direct care of COVID-19 patients, identified as cases, and 266 were recruited as controls. Telephonic interviews with participants were conducted, and information regarding demographic variables, chemoprophylaxis, exposure to infected patients, and adherence to infection prevention and control (IPC) measures was collected.

Results: We observed a statistically significant difference in the number of times training session for IPC measures attended by HCWs (p = 0.02), performance of aerosol-generating medical procedures (AGMPs) (p <0.001), practices of donning and doffing of personal protective equipment (PPE) (p <0.001), hand hygiene (p <0.001), and decontamination of highly touched surfaces (p <0.001). Logistic regression analysis revealed if the decontamination of highly touched surfaces is decreased by one unit, the odds of getting COVID-19 infection is multiplied by a factor of 0.41 and AGMPs decrease the risk of being a case by 0.76.

Conclusion: This study highlighted that inadequate observation of IPC methods increases the risk of COVID-19 infection to frontline HCWs, whereas performance of AGMPs does not enhance the risk. In this study, HCWs undertaking an AGMP, because of concern of acquiring infection, were more diligent during procedures and hence had lesser infection.

How to cite this article: Kerai S, Singh R, Saxena KN, Desai SD. Assessment of Risk Factors for Coronavirus Disease-2019 in Healthcare Workers: A Case-Control Study. Indian J Crit Care Med 2022;26(1):76-84.

医护人员冠状病毒病-2019危险因素评估:病例-对照研究
背景与目的:随着2019冠状病毒病(COVID-19)病例在全球范围内的上升,一线医护人员(HCWs)的感染增加了许多倍。然而,低收入中等收入国家关于卫生保健工作者感染COVID-19的危险因素的文献有限。我们通过病例对照研究评估医护人员感染COVID-19的危险因素。材料和方法:本病例-对照研究在新冠肺炎定点医院进行。81名直接护理COVID-19患者的医护人员被确定为病例,266名被招募为对照组。对参与者进行了电话访谈,并收集了有关人口统计学变量、化学预防、接触感染患者以及遵守感染预防和控制(IPC)措施的信息。结果:我们观察到医护人员参加IPC措施培训的次数(p = 0.02)和产生气溶胶的医疗程序(agmp)的表现(p p p p)有统计学意义差异。结论:本研究强调,对IPC方法的观察不足会增加一线医护人员感染COVID-19的风险,而agmp的表现不会增加风险。在本研究中,进行AGMP的医护人员由于担心感染,在操作过程中更加勤奋,因此感染较少。本文摘自:Kerai S, Singh R, Saxena KN, Desai SD。医护人员冠状病毒病-2019危险因素评估:病例-对照研究中华检验医学杂志;2009;26(1):76-84。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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