Mahajan Niraj N, Mathe Apeksha, Patokar Gauri A, Bahirat Shubhada, Lokhande Pradip D, Rakh Vishal, Gajbhiye Rahul, Rathi Surbhi, Tilve Arundhati, Mahajan Kshitija, Mohite Shailesh C
Department of Obstetrics and Gynecology, Topiwala National Medical College and BYL Nair Charitable Hospital, Mumbai, Maharashtra.
Department of PSM, Topiwala National Medical College and BYL Nair Charitable Hospital, Mumbai, Maharashtra.
J Assoc Physicians India. 2020 Dec;68(12):16-21.
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is rapidly spreading in India and across the world. Healthcare workers (HCWs) are at increased risk of contracting COVID-19 due to direct or indirect exposure to COVID-19 patients, and require special attention. Limited information is available about its effect in HCWs. Secondary transmission from HCWs is a possibility among patients, family members, and the community. Therefore, it is important to investigate the infection risk of HCWs and the clinical characteristics of affected cases and possible source of infection with exposure details.
The aim of this study is to analyze the medical records of HCWs with COVID-19 retrospectively and carry out the analysis of the data of HCWs with COVID-19 at TNMC and BYL Nair Charitable Hospital (NH, COVID-19 Hospital) in Mumbai.
Interim analysis was carried out for the data collected from 6th April to 20th August 2020. Total 3711 HCWs (frontline, 74.32%, non-frontline, 25.68%) are working at NH Mumbai. We observed 11% prevalence of SARS-CoV-2 infection among HCWs, 4% co-infection and 1% mortality. Majority (85%) of the HCWs with COVID-19 were symptomatic and 15% were asymptomatic. Comorbidities were reported in 19% of HCWs with COVID-19. Hypertension and Diabetes Mellitus were the most common co-morbidities reported. More than 4% percent of HCWs with COVID-19 were also positive for plasmodium vivax Malaria.
The results of the study will be useful for determining the impact of COVID-19 and adverse outcomes in HCWs, identifying probable mode of acquiring SARS-CoV-2 infection in HCWs. This is required for planning the strategies to handle the epidemic of COVID-19 among HCWs in Mumbai region, and at Maharashtra state level.
严重急性呼吸综合征冠状病毒2（SARS-CoV-2）感染正在印度和全球迅速蔓延。医护人员由于直接或间接接触新冠肺炎患者，感染新冠病毒的风险增加，需要特别关注。关于其对医护人员的影响，现有信息有限。医护人员的二次传播在患者、家庭成员和社区中是有可能的。因此，调查医护人员的感染风险、受感染病例的临床特征以及可能的感染源并详细了解暴露情况非常重要。
本研究旨在回顾性分析感染新冠病毒的医护人员的病历，并对孟买塔塔纪念医院（TNMC）和拜勒奈尔慈善医院（NH，新冠肺炎医院）感染新冠病毒的医护人员的数据进行分析。
对2020年4月6日至8月20日收集的数据进行了中期分析。孟买NH医院共有3711名医护人员工作（一线人员占74.32%，非一线人员占25.68%）。我们观察到医护人员中SARS-CoV-2感染率为11%，合并感染率为4%，死亡率为1%。感染新冠病毒的医护人员中，大多数（85%）有症状，15%无症状。19%感染新冠病毒的医护人员报告有合并症。高血压和糖尿病是报告中最常见的合并症。超过4%感染新冠病毒的医护人员同时感染间日疟原虫呈阳性。
该研究结果将有助于确定新冠病毒对医护人员的影响及不良后果，确定医护人员感染SARS-CoV-2的可能方式。这对于制定应对孟买地区及马哈拉施特拉邦医护人员中新冠疫情的策略是必要的。
