印度东部一家三级医院医护人员抗sars coV-2血清阳性率的横断面研究

Samatirtha Chandra, R. Ghosh, MD.Khalid Rashid
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引用次数: 0

摘要

目的:在我国三级卫生保健机构的卫生保健工作者(HCWs)队列中,严重急性呼吸综合征冠状病毒2 (SARS-CoV-2)的血清阳性率,并确定血清转化与接触COVID-19患者的卫生保健工作者的人口学特征、暴露水平、工作职责和临床症状之间的关系。方法:在加尔各答医学科学与研究研究生院微生物学系进行观察性横断面流行病学研究。研究人群为向患者提供护理和服务的医院工作人员。结果:共有242名医护人员参与了这项横断面研究。研究人群中男性161人(66.5%),女性81人(33.5%),中位年龄43岁。其中22.7%是医生,22.3%是护士,15.7%是实验室技术员。共有16名医护人员报告患有糖尿病,7名患有慢性肺病,4名患有心脏病。在242名参与者中,30名(12.4%)医护人员在COVID医院工作4个月后发现抗sars - cov -2 IgG抗体阳性。血清阳性率以18 ~ 44岁年龄组(76.7%)和医生(33.3%)高于其他学科。其中31.4%(76/242)的人与新冠肺炎患者或样本有高危接触,18.4%的人血清阳性。共有59.1%的卫生保健工作者提供了家庭中已知或疑似与COVID患者接触史,14.7%的卫生保健工作者血清呈阳性。参加过感染控制实践内部培训的参与者中,共有84.8%的人血清检测呈阴性。结论:总之,在加尔各答一家三级医院进行的横断面血清学研究显示,242名参与者中有30名(12.4%)医护人员对SARS-CoV-2有阳性血清学反应。虽然医院有预防疾病传播的感染控制政策和做法,但高危暴露和合并症的存在是我们研究中明确的患病危险因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A cross-sectional anti-SARS coV-2 seroprevalence study among healthcare workers in a tertiary care hospital of eastern India
Purpose: Seroprevalence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in a cohort of health care workers (HCWs) in our tertiary health care set-up and determine the association of seroconversion with demographic characteristics, level of exposure, job responsibilities, and clinical symptoms of HCWs exposed to COVID-19 patients. Method: An observational cross-sectional epidemiological study was conducted in the Department of Microbiology, ESI-Postgraduate Institute of Medical Science and Research (PGIMSR), Kolkata. The study population was hospital staff who deliver care and services to patients Result: A total of 242 HCWs participated in this cross-sectional study. Among the study population, 161 (66.5%) were male, and 81 (33.5%) were females, and the median age was 43 years. Of all, 22.7% were physicians, 22.3% nurses, 15.7% lab technician. A total of 16 HCWs had reported having diabetes mellitus, 7 chronic lung diseases, and 4 cardiac diseases. Out of 242 participants, 30 (12.4%) HCWs were found to be anti-SARS-CoV-2 IgG antibody positive after 4 months of duty in COVID hospital. Seropositivity rate was more among the age group 18–44 years (76.7%) and doctors (33.3%) than other disciplines. Around 31.4% (76/242) of them had high-risk exposure with either COVID patients or samples, and 18.4% became seropositive. A total of 59.1% HCWs gave the history of known or suspected contact with COVID patients in the household, and 14.7% turned seropositive. A total of 84.8% of those participants, who attended in-house training on infection control practices, remained seronegative. Conclusion: In conclusion, the cross-sectional serology study in a tertiary care hospital in Kolkata revealed 30 (12.4%) HCWs had positive serology responses to SARS-CoV-2 out of 242 participants. Though there was an infection control policy and practice in the hospital to prevent the disease transmission, high-risk exposure and presence of comorbidities were definite risk factors for acquiring disease in our study.
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