成人和儿科学术医疗中心医护人员中 COVID-19 的流行情况。
The prevalence of COVID-19 in healthcare personnel in an adult and pediatric academic medical center.
机构信息
Department of Quality, Patient Safety and Clinical Effectiveness, Stanford Health Care, Stanford, CA.
Stanford University, School of Medicine, Department of Medicine, Primary Care and Population Health, Occupational Health Respiratory Evaluation Center, Stanford, CA.
出版信息
Am J Infect Control. 2021 May;49(5):542-546. doi: 10.1016/j.ajic.2021.01.004.
BACKGROUND
It is vital to know which healthcare personnel (HCP) have a higher chance of testing positive for severe acute respiratory syndrome coronavirus 2 (COVID-19).
METHODS
A retrospective analysis was conducted at Stanford Children's Health (SCH) and Stanford Health Care (SHC) in Stanford, California. Analysis included all HCP, employed by SCH or SHC, who had a COVID-19 reverse transcriptase polymerase chain reaction (RT-PCR) test resulted by the SHC Laboratory, between March 1, 2020 and June 15, 2020. The primary outcome was the RT-PCR percent positivity and prevalence of COVID-19 for HCP and these were compared across roles.
RESULTS
SCH and SHC had 24,081 active employees, of which 142 had at least 1 positive COVID-19 test. The overall HCP prevalence of COVID-19 was 0.59% and percent positivity was 1.84%. Patient facing HCPs had a significantly higher prevalence (0.66% vs 0.43%; P = .0331) and percent positivity (1.95% vs 1.43%; P = .0396) than nonpatient facing employees, respectively. Percent positivity was higher in food service workers (9.15%), and environmental services (5.96%) compared to clinicians (1.93%; P < .0001) and nurses (1.46%; P < .0001), respectively.
DISCUSSION AND CONCLUSION
HCP in patient-facing roles and in support roles had a greater chance of being positive of COVID-19.
背景
了解哪些医护人员（HCP）检测出严重急性呼吸综合征冠状病毒 2（COVID-19）呈阳性的几率更高至关重要。
方法
在加利福尼亚州斯坦福的斯坦福儿童健康（SCH）和斯坦福健康保健（SHC）进行了回顾性分析。分析包括 2020 年 3 月 1 日至 6 月 15 日期间，在 SHC 实验室进行过 COVID-19 逆转录酶聚合酶链反应（RT-PCR）检测的 SCH 或 SHC 雇用的所有 HCP。主要结局是 HCP 的 RT-PCR 阳性率和 COVID-19 的患病率，并对这些数据进行了角色间的比较。
结果
SCH 和 SHC 共有 24081 名在职员工，其中 142 人至少有 1 次 COVID-19 检测呈阳性。HCP 的 COVID-19 总患病率为 0.59%，阳性率为 1.84%。与非直面患者的员工相比，直面患者的 HCP 患病率（0.66%比 0.43%；P=0.0331）和阳性率（1.95%比 1.43%；P=0.0396）均明显更高。餐饮服务人员（9.15%）和环境服务人员（5.96%）的阳性率均高于临床医生（1.93%；P<0.0001）和护士（1.46%；P<0.0001）。
讨论与结论
直面患者的 HCP 和支持性岗位的 HCP 检测出 COVID-19 阳性的几率更高。
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