Infection Control Programme and WHO Collaborating Centre on Patient Safety, Geneva University Hospitals and University of Geneva Faculty of Medicine, Geneva, Switzerland.
Institute of Global Health, Faculty of Medicine, University of Geneva, Geneva, Switzerland.
PLoS One. 2020 May 13;15(5):e0232168. doi: 10.1371/journal.pone.0232168. eCollection 2020.
Healthcare workers (HCWs) and non-HCWs may contribute to the transmission of influenza-like illness (ILI) to colleagues and susceptible patients by working while sick (presenteeism). The present study aimed to explore the views and behavior of HCWs and non-HCWs towards the phenomenon of working while experiencing ILI.
The study was a cross-sectional online survey conducted between October 2018 and January 2019 to explore sickness presenteeism and the behaviour of HCWs and non-HCWs when experiencing ILI. The survey questionnaire was distributed to the members and international networks of the International Society of Antimicrobial Chemotherapy (ISAC) Infection Prevention and Control (IPC) Working Group, as well as via social media platforms, including LinkedIn, Twitter and IPC Blog.
In total, 533 respondents from 49 countries participated (Europe 69.2%, Asia-Pacific 19.1%, the Americas 10.9%, and Africa 0.8%) representing 249 HCWs (46.7%) and 284 non-HCWs (53.2%). Overall, 312 (58.5%; 95% confidence interval [CI], 56.2-64.6) would continue to work when sick with ILI, with no variation between the two categories. Sixty-seven (26.9%) HCWs and forty-six (16.2%) non-HCWs would work with fever alone (p<0 .01) Most HCWs (89.2-99.2%) and non-HCWs (80%-96.5%) would work with "minor" ILI symptoms, such as sore throat, sinus cold, fatigue, sneezing, runny nose, mild cough and reduced appetite.
A future strategy to successfully prevent the transmission of ILI in healthcare settings should address sick-leave policy management, in addition to encouraging the uptake of influenza vaccine.
医护人员（HCWs）和非医护人员（non-HCWs）在患流感样疾病（ILI）时带病工作（presenteeism），可能会将疾病传播给同事和易感患者。本研究旨在探讨 HCWs 和 non-HCWs 对这一现象的看法和行为。
本研究是一项横断面在线调查，于 2018 年 10 月至 2019 年 1 月期间进行，旨在探讨 HCWs 和 non-HCWs 在患 ILI 时的病假 presenteeism 现象和行为。调查问卷分发给国际抗菌化疗学会（ISAC）感染预防和控制（IPC）工作组的成员和国际网络，以及通过社交媒体平台，包括领英、推特和 IPC 博客。
共有来自 49 个国家的 533 名受访者参与了这项研究（欧洲占 69.2%，亚太地区占 19.1%，美洲占 10.9%，非洲占 0.8%），其中 249 名受访者为 HCWs（46.7%），284 名受访者为 non-HCWs（53.2%）。总体而言，312 名受访者（58.5%；95%置信区间[CI]：56.2-64.6）在患 ILI 时会继续工作，两类受访者之间没有差异。67 名 HCWs（26.9%）和 46 名 non-HCWs（16.2%）会仅在发热时工作（p<0.01）。大多数 HCWs（89.2-99.2%）和 non-HCWs（80%-96.5%）会在出现“轻微”ILI 症状时工作，如喉咙痛、鼻窦感冒、疲劳、打喷嚏、流鼻涕、轻度咳嗽和食欲不振。
未来要成功预防医疗机构中 ILI 的传播，应同时解决病假政策管理问题，并鼓励接种流感疫苗。
