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伊朗西南部医护人员中的 COVID-19 感染:一项横断面研究。

COVID-19 infection among healthcare workers: a cross-sectional study in southwest Iran.

机构信息

Trauma Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

Clinical Microbiology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Virol J. 2021 Mar 17;18(1):58. doi: 10.1186/s12985-021-01532-0.


DOI:10.1186/s12985-021-01532-0
PMID:33731169
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7968574/
Abstract

OBJECTIVE: With the novel coronavirus pandemic, the impact on the healthcare system and workers cannot be overlooked. However, studies on the infection status of medical personnel are still lacking. It is imperative to ensure the safety of health-care workers (HCWs) not only to safeguard continuous patient care but also to ensure they do not transmit the virus, therefore evaluation of infection rates in these groups are indicated. METHODS: Demographic and clinical data regarding infected cases among HCWs of Fars, Iran with positive SARS-CoV-2 PCR tests were obtained from 10th March to 17th May 2020. RESULTS: Our data demonstrated a rate of 5.62% (273 out of 4854 cases) infection among HCW, with a mean age of 35 years and a dominance of female cases (146 cases: 53.5%). The majority of infected cases were among nurses (51.3%), while the most case infection rate (CIR) was among physicians (27 positive cases out of 842 performed test (3.2%)). Also, the highest rate of infection was in the emergency rooms (30.6%). Also, 35.5% of the patients were asymptomatic and the most frequent clinical features among symptomatic patients were myalgia (46%) and cough (45.5%). Although 5.5% were admitted to hospitals, there were no reports of ICU admission. Furthermore, 10.3% of the cases reported transmitting the infection to family and friends. Regarding safety precautions, 1.6% didn't wear masks and 18.7% didn't use gloves in work environments. CONCLUSION: HCWs are among the highest groups at risk of infection during the COVID-19 pandemic; therefore, evaluating infection rates and associated features is necessary to improve and adjust protective measures of these vulnerable, yet highly essential group.

摘要

目的:随着新冠病毒疫情的爆发,医疗系统和工作人员受到的影响不容忽视。然而,目前仍缺乏针对医务人员感染状况的研究。保障医护人员(HCW)的安全不仅是为了保证持续的患者护理,也是为了确保他们不会传播病毒,因此评估这些人群的感染率是必要的。

方法:从 2020 年 3 月 10 日至 5 月 17 日,获取了伊朗法尔斯省感染新冠病毒 PCR 检测呈阳性的 HCW 的人口统计学和临床数据。

结果:我们的数据显示,在 4854 例病例中,HCW 的感染率为 5.62%(273 例),平均年龄为 35 岁,女性病例居多(146 例:53.5%)。感染病例主要集中在护士(51.3%),而医生的病例感染率最高(842 次检测中 27 例阳性(3.2%))。此外,感染率最高的科室是急诊室(30.6%)。此外,35.5%的患者无症状,而有症状患者最常见的临床特征是肌痛(46%)和咳嗽(45.5%)。虽然 5.5%的患者住院,但没有 ICU 入院的报告。此外,有 10.3%的病例报告将感染传播给了家人和朋友。关于安全预防措施,1.6%的人在工作环境中不戴口罩,18.7%的人不戴手套。

结论:在 COVID-19 大流行期间,HCW 是感染风险最高的群体之一;因此,评估感染率和相关特征对于改进和调整这些脆弱但至关重要的群体的保护措施是必要的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d99b/7972236/f92fea15caf6/12985_2021_1532_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d99b/7972236/d313440c9d85/12985_2021_1532_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d99b/7972236/f92fea15caf6/12985_2021_1532_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d99b/7972236/d313440c9d85/12985_2021_1532_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d99b/7972236/f92fea15caf6/12985_2021_1532_Fig2_HTML.jpg

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[4]
[Intention to leave the nursing profession due to mental health factors in Navarre (Spain) during the post.COVID-19 pandemic period].

An Sist Sanit Navar. 2025-4-30

[5]
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[6]
Nursing students in isolation during the COVID-19 pandemic: A phenomenological study.

Health SA. 2025-1-23

[7]
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Acta Med Philipp. 2025-1-31

[8]
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[9]
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[10]
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本文引用的文献

[1]
The mental health impact of COVID-19 outbreak: a Nationwide Survey in Iran.

Int J Ment Health Syst. 2021-2-27

[2]
Evaluation of students' attitude and emotions towards the sudden closure of schools during the COVID-19 pandemic: a cross-sectional study.

BMC Psychol. 2020-12-17

[3]
COVID-19: clinical or laboratory diagnosis? A matter of debate.

Trop Doct. 2021-1

[4]
Epidemiological and clinical features of 2019 novel coronavirus diseases (COVID-19) in the South of Iran.

BMC Infect Dis. 2020-6-18

[5]
Analysis of the Infection Status of Healthcare Workers in Wuhan During the COVID-19 Outbreak: A Cross-sectional Study.

Clin Infect Dis. 2020-11-19

[6]
Preventing Intra-hospital Infection and Transmission of Coronavirus Disease 2019 in Health-care Workers.

Saf Health Work. 2020-6

[7]
Covid-19: four fifths of cases are asymptomatic, China figures indicate.

BMJ. 2020-4-2

[8]
Clinical characteristics of 54 medical staff with COVID-19: A retrospective study in a single center in Wuhan, China.

J Med Virol. 2020-4-6

[9]
Clinical characteristics of 24 asymptomatic infections with COVID-19 screened among close contacts in Nanjing, China.

Sci China Life Sci. 2020-3-4

[10]
Correlation of Chest CT and RT-PCR Testing for Coronavirus Disease 2019 (COVID-19) in China: A Report of 1014 Cases.

Radiology. 2020-2-26

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