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医疗机构内医护人员全面佩戴口罩政策的实施与医疗机构内医护人员 SARS-CoV-2 检测阳性率之间的关联。

Association Between Implementation of a Universal Face Mask Policy for Healthcare Workers in a Health Care System and SARS-CoV-2 Positivity Testing Rate in Healthcare Workers.

机构信息

Division of Cardiovascular Disease, Center for Structural Heart (Dr Wang, Dr O'Neill); Infectious Disease (Dr Zervos, Dr McKinnon, Dr Alangaden, Dr Suleyman); Family Medicine (Dr Allard); Public Health Sciences (Dr Schultz, Dr Poisson); Office of Clinical Quality and Safety, Henry Ford Health System (Dr Chu); and Department of Neurosurgery (Dr Kalkanis), Henry Ford Hospital, Detroit, Michigan.

出版信息

J Occup Environ Med. 2021 Jun 1;63(6):476-481. doi: 10.1097/JOM.0000000000002174.

Abstract

OBJECTIVE

Examine the effect of a universal facemask policy for healthcare workers (HCW) and incidence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) positivity.

METHODS

Daily number of symptomatic HCW tested, SARS-CoV-2 positivity rates, and HCW job-descriptions were collected pre and post Universal HCW facemask policy (March 26, 2020). Multiple change point regression was used to model positive-test-rate data. SARS-CoV-2 testing and positivity rates were compared for pre-intervention, transition, post-intervention, and follow-up periods.

RESULTS

Between March 12 and August 10, 2020, 19.2% of HCW were symptomatic for COVID-19 and underwent SARS-CoV-2 testing. A single change point was identified ∼March 28-30 (95% probability). Before the change point, the odds of a tested HCW having a positive result doubled every 4.5 to 7.5 days. Post-change-point, the odds of a tested HCW having a positive result halved every 10.5 to 13.5 days.

CONCLUSIONS

Universal facemasks were associated with reducing HCW's risk of acquiring COVID-19.

摘要

目的

研究医护人员(HCW)普遍佩戴口罩政策对严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)阳性率的影响。

方法

收集普遍 HCW 口罩政策(2020 年 3 月 26 日)前后每日症状性 HCW 检测数量、SARS-CoV-2 阳性率和 HCW 工作描述。采用多变化点回归对阳性检测率数据进行建模。比较干预前、过渡期、干预后和随访期的 SARS-CoV-2 检测和阳性率。

结果

2020 年 3 月 12 日至 8 月 10 日期间,19.2%的 HCW 出现 COVID-19 症状并接受了 SARS-CoV-2 检测。确定了一个单一的变化点,大约在 3 月 28-30 日(95%概率)。在变化点之前,接受检测的 HCW 阳性结果的几率每 4.5 至 7.5 天增加一倍。变化点后,接受检测的 HCW 阳性结果的几率每 10.5 至 13.5 天减半。

结论

普遍佩戴口罩与降低 HCW 感染 COVID-19 的风险有关。

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