Kumar Goenka Mahesh, Bharat Shah Bhavik, Goenka Usha, Das Sudipto S, Afzalpurkar Shivaraj, Mukherjee Mohuya, Patil Vikram U, Jajodia Surabhi, Rodge Gajanan A, Khan Ujjaini, Bandopadhyay Syamasis
Institute of Gastrosciences and Liver Apollo Gleneagles Hospitals Kolkata India.
Department of Clinical Imaging and Interventional Radiology Apollo Gleneagles Hospitals Kolkata India.
JGH Open. 2020 Nov 9;5(1):56-63. doi: 10.1002/jgh3.12447. eCollection 2021 Jan.
In the present coronavirus disease-19 (COVID-19) era, health-care workers (HCWs) warrant special attention because of their higher risk and potential to transmit the disease. Gastroenterology services include emergency and critical care along with the endoscopy procedures, which have aerosol-generating potential. This study was aimed at auditing the COVID-19 impact on HCWs working in the Gastroenterology department of our hospital.
The COVID-19 status of 117 HCWs was collected using either polymerase chain reaction (PCR) or Immunoglobulin G (IgG) seroassay. COVID-19 positivity was correlated with demographic characteristics, job profile, area of work, and medical history.
Thirty-eight HCWs (32.48%) showed evidence of COVID-19 using PCR (23.93%) or only IgG assay (8.55%). Endoscopy technicians (68.75%) exhibited significantly higher ( = 0.003) COVID-19 incidence compared to doctors (20.69%). Those working in the critical care units exhibited a trend toward higher COVID-19 incidence (42.86%). None of the six HCWs who received adequate hydroxychloroquine prophylaxis developed evidence of COVID-19. All the HCWs with COVID-19 disease recovered. However, there was a considerable loss of "man-days."
In our setting, we observed a high COVID-19 risk for HCWs working in the Gastroenterology department, with the highest risk among the endoscopy technicians. A more stringent triaging and pretesting of patients, as well as HCWs, might decrease the risk of COVID-19. Further multicenter studies are needed to evaluate the risk and related parameters.
在当前新型冠状病毒肺炎（COVID-19）疫情时代，医护人员因其感染风险较高且具有传播疾病的可能性而值得特别关注。胃肠病学服务包括急诊和重症监护以及内镜检查程序，这些操作具有产生气溶胶的潜在风险。本研究旨在评估COVID-19对我院胃肠病科医护人员的影响。
采用聚合酶链反应（PCR）或免疫球蛋白G（IgG）血清学检测收集117名医护人员的COVID-19感染状况。将COVID-19阳性结果与人口统计学特征、工作岗位、工作区域和病史进行关联分析。
38名医护人员（32.48%）通过PCR检测（23.93%）或仅通过IgG检测（8.55%）显示有COVID-19感染证据。与医生（20.69%）相比，内镜技术员的COVID-19感染率显著更高（ = 0.003）（68.75%）。在重症监护病房工作的人员COVID-19感染率有升高趋势（42.86%）。接受充分羟氯喹预防的6名医护人员均未出现COVID-19感染证据。所有感染COVID-19的医护人员均已康复。然而，出现了相当数量的“人日”损失。
在我们的研究环境中，我们观察到胃肠病科医护人员感染COVID-19的风险较高，其中内镜技术员的风险最高。对患者以及医护人员进行更严格的分诊和预检可能会降低COVID-19的感染风险。需要进一步开展多中心研究来评估风险及相关参数。
