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与 COVID-19 内镜医护人员感染风险相关的因素:来自意大利消化内镜学会的调查。

Factors associated with risk of COVID-19 contagion for endoscopy healthcare workers: A survey from the Italian society of digestive endoscopy.

机构信息

Pancreatobiliary and EUS Unit, Pancreas Translational and Clinical Research Center, San Raffaele Scientific Institute IRCCS, Vita e Salute University of Milan, Via Olgettina 60, Milan 20132, Italy.

Pancreatobiliary and EUS Unit, Pancreas Translational and Clinical Research Center, San Raffaele Scientific Institute IRCCS, Vita e Salute University of Milan, Via Olgettina 60, Milan 20132, Italy.

出版信息

Dig Liver Dis. 2021 May;53(5):534-539. doi: 10.1016/j.dld.2021.03.014. Epub 2021 Mar 20.

Abstract

BACKGROUND AND AIMS

The present study was aimed to assess the risk of SARS-CoV-2 infection and associated factors among HCWs in endoscopy centers in Italy.

METHODS

All members of the Italian Society of Digestive Endoscopy (SIED) were invited to participate to a questionnaire-based survey during the first months of the COVID-19 outbreak in Italy.

RESULTS

314/1306 (24%) SIED members accounting for 201/502 (40%) endoscopic centers completed the survey. Personal Protection Equipment (PPE) were available in most centers, but filtering face-piece masks (FFP2 or FFP3) and negative pressure room were not in 10.9 and 75.1%. Training courses on PPE use were provided in 57.2% of centers only; there was at least one positive HCW in 17.4% of centers globally, 107/3308 (3.2%) HCWs were diagnosed with COVID-19 with similar rates of physicians (2.9%), nurses (3.5%) and other health operators (3.5%). Involvement in a COVID-19 care team (OR: 4.96) and the lack of training courses for PPE, (OR: 2.65) were associated with increased risk.

CONCLUSIONS

The risk of COVID-19 among endoscopy HCWs was not negligible and was associated with work in a COVID-19 care team and lack of education on proper PPE use. These data deserve attention during the subsequent waves.

摘要

背景与目的

本研究旨在评估意大利内镜中心医护人员(HCWs)感染 SARS-CoV-2 的风险及其相关因素。

方法

邀请意大利消化内镜学会(SIED)的所有成员在意大利 COVID-19 爆发的最初几个月内参与一项基于问卷的调查。

结果

314/1306(24%)名 SIED 成员(占 201/502(40%)内镜中心)完成了调查。大多数中心都配备了个人防护设备(PPE),但仍有 10.9%的中心缺乏过滤式口罩(FFP2 或 FFP3),75.1%的中心缺乏负压室。仅有 57.2%的中心提供了 PPE 使用培训课程;全球有 17.4%的中心至少有一名阳性 HCW,107/3308(3.2%)名 HCWs 被诊断患有 COVID-19,医生(2.9%)、护士(3.5%)和其他卫生工作者(3.5%)的发病率相似。参与 COVID-19 护理团队(OR:4.96)和缺乏 PPE 使用培训课程(OR:2.65)与风险增加相关。

结论

内镜 HCWs 感染 COVID-19 的风险不容忽视,与在 COVID-19 护理团队工作以及缺乏适当 PPE 使用教育有关。这些数据在后续疫情中值得关注。

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