Párraga Martínez Ignacio, Pérula de Torres Luis Angel, González Lama Jesús, Jiménez García Celia, Sánchez Montero Rosa, Rider Garrido Faustino
Sección de Investigación de la Sociedad Española de Medicina Familiar y Comunitaria (semFYC), Centro de Salud Zona VIII de Albacete, Gerencia Atención Integrada de Albacete, Facultad de Medicina de Albacete, Universidad de Castilla-La Mancha, Albacete, España.
Atención Primaria de Salud (APS), Unidad Docente Multiprofesional de Atención Familiar y Comunitaria de Córdoba, Grupo de evaluación y mejora del PAPPS-semFYC, Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Hospital Reina Sofía, Universidad de Córdoba, Córdoba, España.
Aten Primaria. 2021 Mar;53(3):101956. doi: 10.1016/j.aprim.2020.12.001. Epub 2020 Dec 17.
To identify the sociodemographic, clinical and epidemiological characteristics associated with the presence of infection by the SARS-CoV-2 virus in family physicians who carry out their work in Primary Care (PC) or in Hospital Emergencies.
Observational analytical case-control study. SITE: Primary care.
969 Primare Care Physicians, Hospital Emergency physicians and other extrahospitalry centers that had PCR for the detection of the SARS-CoV-2. Of these, 133 participated as cases (PCR positive) and 836 as controls (PCR negative).
No.
Sociodemographic and work, contact with a COVID-19 patient, symptoms present during the process, first manifested symptom, previous chronic pathologies, and tobacco use.
13.7% (95% CI: 11.6-16.0) were cases infected with SARS-CoV-2. The most frequently declared symptoms by those infected were a feeling of fatigue/tiredness (69.2%; 95% CI: 60.9-77.4%), cough (56.4%; 95% CI: 47.6-65.2%) and headache (55.6%; 95% CI: 46.8-64.4%).Using logistic regression, the variables independently associated with SARS-CoV-2 virus infection in Family Physicians were: previous contact with a COVID-19 patient (OR: 2.3; 95% CI: 1.2-4.2), present fatigue / tiredness (OR: 2.2; 95% CI: 1.2-3.9), smell alteration (4.6; 95% CI: 1.7-12.5), taste alteration (OR: 32.0; 95% CI: 9.6-106.8), cough (OR: 3.0; 95% CI: 1.7-5.3) and fever (OR: 6.1; 95% CI: 3.2-11.4).
Symptoms independently related to SARS-CoV-2 virus infection in Family Physicians were fatigue, fever, cough, and altered taste and smell. The presence of these symptoms could facilitate the diagnosis of suspected COVID-19 disease and the earlier selection of those that require confirmatory tests.
确定在基层医疗（PC）或医院急诊部门工作的家庭医生中，与感染严重急性呼吸综合征冠状病毒2（SARS-CoV-2）病毒相关的社会人口统计学、临床和流行病学特征。
观察性分析病例对照研究。
基层医疗。
969名基层医疗医生、医院急诊医生和其他进行SARS-CoV-2检测的院外中心工作人员。其中，133人作为病例（PCR阳性），836人作为对照（PCR阴性）。
无。
社会人口统计学和工作情况、与新冠肺炎患者的接触情况、病程中出现的症状、首发症状、既往慢性病史以及吸烟情况。
13.7%（95%置信区间：11.6-16.0）为感染SARS-CoV-2的病例。感染者最常报告的症状是疲劳/疲倦感（69.2%；95%置信区间：60.9-77.4%）、咳嗽（56.4%；95%置信区间：47.6-65.2%）和头痛（55.6%；95%置信区间：46.8-64.4%）。使用逻辑回归分析，家庭医生中与SARS-CoV-2病毒感染独立相关的变量为：既往与新冠肺炎患者接触（比值比：2.3；95%置信区间：1.2-4.2）、当前疲劳/疲倦（比值比：2.2；95%置信区间：1.2-3.9）、嗅觉改变（4.6；95%置信区间：1.7-12.5）、味觉改变（比值比：32.0；95%置信区间：9.6-106.8）、咳嗽（比值比：3.0；95%置信区间：1.7-5.3）和发热（比值比：6.1；95%置信区间：3.2-11.4）。
家庭医生中与SARS-CoV-2病毒感染独立相关的症状为疲劳、发热、咳嗽以及味觉和嗅觉改变。这些症状的出现有助于疑似新冠肺炎疾病的诊断，并能更早地筛选出需要进行确诊检测的患者。
