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与新冠病毒感染相关的医护人员状况:印度东部一家四级新冠医院的回顾性研究

Status of Health-care Workers in Relation to COVID-19 Infection: A Retrospective Study in a Level 4 COVID Hospital in Eastern India.

作者信息

Banerjee Abhra, Mukherjee Kheya, Bhattacharjee Debojyoti, Garai Debanjan, Chakraborty Roopsa

机构信息

Assistant Professor, ID and BG Hospital, Kolkata, West Bengal.

Associate Professor, ID and BG Hospital, Kolkata, West Bengal.

出版信息

J Assoc Physicians India. 2020 Dec;68(12):55-57.

Abstract

INTRODUCTION

Healthcare workers (HCWs) have a high risk of acquiring SARSCoV- 2 infection, due to repeated occupational exposure, long working hours, stress and fatigue. In India, there is lack of data regarding the prevalence of COVID-19 amongst HCWs due to absence of routine screening programme within the hospital premises. We have designed this study in order to improve our understanding of the incidence of SARS-CoV2 within the health care workers working in a level 4 COVID hospital in Kolkata.

MATERIALS AND METHODS

A retrospective observational study was conducted at the Department of Microbiology, ID and BG Hospital, Kolkata upon health care workers who presented with symptoms suggestive of Covid 19 and their direct contacts. Oropharyngeal and nasopharyngeal swabs collected from the participants were subjected to Real time RT-PCR for detection of E, RDRP and ORF1B N gene for Covid 19 detection.

RESULT

Out of the 274 HCW tested, 75 (27%) of total HCWs were found to be positive. Among them 33(44%) were frontline workers and rest of them 42 (56%) were non-frontline workers. Predominance of SARS- CoV2 infection was found in male HCWs (57%) than female HCWs (43%). HCWs younger than 45 years (68%) were more infected.52 (69%) HCWs presented with symptoms like fever, sore throat, bodyache, loss of sensation of smell, coughs etc. 23(31%) were asymptomatic with history of direct contact with Covid-19 positive cases.

CONCLUSION

Heath care workers are at higher risk of being exposed to SARS-CoV2 and could potentially has a role in transmission in and out of the hospital. Hence, routine screening of both symptomatic as well as asymptomatic hospital staff is essential for early diagnosis to prevent transmission of COVID 19 infection.

摘要

引言

由于反复的职业暴露、长时间工作、压力和疲劳,医护人员感染严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的风险很高。在印度,由于医院内缺乏常规筛查项目,关于医护人员中2019冠状病毒病(COVID-19)患病率的数据不足。我们开展这项研究是为了更好地了解在加尔各答一家4级COVID医院工作的医护人员中SARS-CoV-2的感染率。

材料与方法

在加尔各答ID和BG医院微生物科对出现COVID-19症状的医护人员及其直接接触者进行了一项回顾性观察研究。从参与者采集的口咽和鼻咽拭子进行实时逆转录聚合酶链反应,以检测COVID-19的E、RNA依赖性RNA聚合酶(RDRP)和开放阅读框1B(ORF1B)N基因。

结果

在接受检测的274名医护人员中,共有75名(27%)呈阳性。其中33名(44%)是一线工作人员,其余42名(56%)是非一线工作人员。发现男性医护人员(57%)感染SARS-CoV-2的比例高于女性医护人员(43%)。45岁以下的医护人员感染率更高(68%)。52名(69%)医护人员出现发热、喉咙痛、身体疼痛、嗅觉丧失、咳嗽等症状。23名(31%)无症状,但有与COVID-19阳性病例直接接触史。

结论

医护人员接触SARS-CoV-2的风险更高,可能在医院内外的传播中起作用。因此,对有症状和无症状的医院工作人员进行常规筛查对于早期诊断以预防COVID-19感染的传播至关重要。

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