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西班牙医护人员中与新型冠状病毒肺炎感染相关的因素。SANICOVI项目。

Factors related to SARS-CoV-2 infection in healthcare professionals in Spain. The SANICOVI project.

作者信息

Moreno-Casbas María Teresa

机构信息

Unidad de Investigación en Cuidados y Servicios de Salud del Instituto de Salud Carlos III (Investén-isciii), Madrid, España; Centro de Investigación Biomédica en Red sobre Fragilidad y Envejecimiento Saludable (CIBERFES), Madrid, España.

出版信息

Enferm Clin (Engl Ed). 2020 Nov-Dec;30(6):360-370. doi: 10.1016/j.enfcli.2020.05.021. Epub 2020 May 25.

Abstract

OBJECTIVE

To describe the factors related to the situation of SARS-CoV-2 transmission identified by health professionals in Spain and to propose prevention strategies.

METHOD

Cross-sectional descriptive study. The population were healthcare professionals working in institutions caring for COVID-19 patients and also confirmed cases of SARS-CoV-2 infection. A questionnaire with sociodemographic, occupational and epidemiological variables was used. Descriptive and bivariate analysis was performed according to the nature of the variables.

RESULTS

A total of 2.230 questionnaires were analysed on a potential population of 41,239 (5.47%). The diagnosis was made based on a suspicious case (63.4%) and a probable case (12.3%). A study of contacts was carried out at 50.3%. The perception about the availability of protective measures as «always/frequently» were: FPP1 mask 57.3%, gloves 89.5%, soap 95% and hydroalcoholic solution 91.5%. In PPE, FPP2, FPP3 mask, goggles and disposable gowns at around 50%. The availability of protective measures, by field of work, presented significant differences. The average number of patients attended related to the performance of hand hygiene at moment4 and the perception of performing it correctly at moments4 and5.

CONCLUSIONS

Preliminary data are presented, with variability in the response rate by Autonomous Region. Healthcare professionals infected by SARS-CoV-2 identified the management of the chain of infection transmission, the use and adequacy of protective equipment, as well as the effectiveness of handwashing as factors related to the transmission of the virus among professionals.

摘要

目的

描述西班牙卫生专业人员确定的与严重急性呼吸综合征冠状病毒2(SARS-CoV-2)传播情况相关的因素,并提出预防策略。

方法

横断面描述性研究。研究对象为在照顾新冠肺炎患者的机构工作且确诊感染SARS-CoV-2的卫生专业人员。使用了一份包含社会人口统计学、职业和流行病学变量的问卷。根据变量性质进行描述性和双变量分析。

结果

在41239名潜在人群中,共分析了2230份问卷(5.47%)。诊断基于疑似病例(63.4%)和可能病例(12.3%)。对50.3%的接触者进行了研究。对防护措施“总是/经常”可用的认知情况为:FPP1口罩57.3%、手套89.5%、肥皂95%和含酒精洗手液91.5%。在个人防护装备方面,FPP2、FPP3口罩、护目镜和一次性防护服的可用率约为50%。按工作领域划分,防护措施的可用性存在显著差异。与时刻4进行手卫生操作以及在时刻4和5正确进行手卫生操作认知相关的平均就诊患者数量。

结论

呈现了初步数据,各自治区的回复率存在差异。感染SARS-CoV-2的卫生专业人员确定感染传播链的管理、防护设备的使用和适用性以及洗手的有效性是与病毒在专业人员中传播相关的因素。

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