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三级转诊耳鼻喉科医护人员中的 COVID-19 感染率。

COVID-19 infection rate among tertiary referral center otorhinolaryngology healthcare workers.

机构信息

Department of Otorhinolaryngology, Head and Neck Surgery and Audiology, Rigshospitalet, University Hospital of Copenhagen, Copenhagen, Denmark.

Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.

出版信息

Eur Arch Otorhinolaryngol. 2021 Aug;278(8):3091-3098. doi: 10.1007/s00405-021-06615-w. Epub 2021 Feb 5.

Abstract

IMPORTANCE

Otorhinolaryngology is considered one of the medical specialties with a high risk for exposure to corona disease 2019 (COVID-19). Uncontrolled transmission in a hospital department poses a risk to both healthcare workers (HCWs) and patients.

OBJECTIVE

To monitor SARS-CoV-2 incidence, transmission, and antibody development among HCWs to identify high risk procedures, pathways, and work areas within the department.

METHODS

Prospective cohort study of HCWs using repetitive oro- and nasopharygeal swab samples, antibody tests, and self-reported symptoms questionnaires at a tertiary referral center in Copenhagen, Denmark.

RESULTS

347/361 (96%) HCWs participated. Seven (1.9%) were positive on swab tests and none had symptoms. Fifteen (4.2%) developed antibodies. Only one case of potential transmission between HCWs was identified. Infection rates were low and no procedures or areas within the department were identified as exposing HCWs to a higher risk.

CONCLUSIONS AND RELEVANCE

Adherence to the surveillance program was high. The low incidence among HCW during the first wave of the COVID-19 pandemic may reflect local transmission and infection control precautions, as well as a low infectious burden in the Danish society.

摘要

重要性

耳鼻喉科被认为是有较高暴露于 2019 年冠状病毒病(COVID-19)风险的医学专业之一。医院科室中不受控制的传播对医护人员(HCWs)和患者都构成了风险。

目的

监测耳鼻喉科 HCWs 中的 SARS-CoV-2 发病率、传播和抗体产生情况,以确定科室中高风险的程序、途径和工作区域。

方法

在丹麦哥本哈根的一家三级转诊中心,对 HCWs 进行了一项前瞻性队列研究,使用反复的口咽和鼻咽拭子样本、抗体测试和自我报告症状问卷。

结果

347/361(96%)名 HCWs 参与了研究。7 名(1.9%)在拭子检测中呈阳性,且均无症状。15 名(4.2%)产生了抗体。仅识别出 1 例 HCW 之间潜在的传播病例。感染率较低,且科室中未确定任何程序或区域会使 HCWs 面临更高的风险。

结论和相关性

对监测计划的遵守率很高。在 COVID-19 大流行的第一波期间,HCW 中的低发病率可能反映了当地的传播和感染控制预防措施,以及丹麦社会中的低传染性负担。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dc9/7862982/e139254615e3/405_2021_6615_Fig1_HTML.jpg

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