埃塞俄比亚埃卡·科泰贝治疗中心医护人员感染新冠病毒的风险及相关因素：一项横断面研究
Risk of COVID-19 Infection and Associated Factors Among Healthcare Workers: A Cross-Sectional Study at Eka Kotebe Treatment Center in Ethiopia.
作者信息
Hussen Hawi, Alemu Zewdie Aderaw
机构信息
Yekatit 12 Hospital, Addis Ababa Health Bureau, Ministry of Health, Addis Ababa, Ethiopia.
Public Health Department, Debre Markos University, Debre Mark'os, Ethiopia.
出版信息
Int J Gen Med. 2021 May 7;14:1763-1772. doi: 10.2147/IJGM.S301518. eCollection 2021.
BACKGROUND
Healthcare worker-associated COVID-19 infection is a worldwide problem. The magnitude of exposure risk to COVID-19 infections in Ethiopia is rapidly increasing following its spread in the country. However, studies about the risk of COVID-19 infection among healthcare workers and factors associated with risk of COVID-19 infection are lacking in Ethiopia.
OBJECTIVE
The study investigated level of risk of COVID-19 infection and associated factors among healthcare workers at Eka Kotebe COVID-19 treatment center.
METHODS
A facility-based cross-sectional study was conducted from September to October 2020 to determine risk of COVID-19 infection and associated factors at Eka Kotebe COVID-19 treatment center. In total, 318 healthcare workers participated in the study. Data was analyzed using SPSS version 25. A binary logistic regression model was used to evaluate the risk of COVID-19 infection among healthcare workers.
RESULTS
A total of 243 (76%) healthcare workers had a high exposure risk of COVID-19 infection. Department of healthcare workers, ICU department workers [AOR: 6.545, 95% CI; (1.79-23.97)], long working hours [AOR: 9.224, 95% CI; (2.00-42.61)], inadequate supply of PPE [AOR: 0.318, 95% CI; (0.14-0.75)], lack of access to alcohol-based hand rub [AOR: 0.093, 95% CI; (0.01-0.98)], providing care within one meter of COVID-19 patients [AOR: 20.633, 95% CI; (3.88-109.76)], and direct contact with an environment in which a COVID-19 patient received care [AOR: 9.600, 95% CI; (1.05-84.50)] were found to be risk factors for COVID-19 infection.
CONCLUSION
Healthcare workers face a high risk of COVID-19 infection while providing care for COVID-19 patients. Proper use and adequate supply of PPE and the implementation of basic infection prevention and control with frequent protocol revision and strict supervision are crucial to limit exposure risk to COVID-19 among healthcare workers.
背景
医护人员相关的新冠病毒感染是一个全球性问题。随着新冠病毒在埃塞俄比亚传播，该国医护人员面临的感染风险正在迅速增加。然而，埃塞俄比亚缺乏关于医护人员感染新冠病毒风险以及与感染风险相关因素的研究。
目的
本研究调查了埃卡·科特贝新冠病毒治疗中心医护人员的新冠病毒感染风险水平及相关因素。
方法
于2020年9月至10月开展了一项基于机构的横断面研究，以确定埃卡·科特贝新冠病毒治疗中心的新冠病毒感染风险及相关因素。共有318名医护人员参与了该研究。使用SPSS 25版软件进行数据分析。采用二元逻辑回归模型评估医护人员感染新冠病毒的风险。
结果
共有243名（76%）医护人员面临较高的新冠病毒感染暴露风险。医护人员所在科室、重症监护室工作人员[AOR：6.545，95%置信区间；（1.79 - 23.97）]、工作时间长[AOR：9.224，95%置信区间；（2.00 - 42.61）]、个人防护装备供应不足[AOR：0.318，95%置信区间；（0.14 - 0.75）]、无法获取含酒精洗手液[AOR：0.093，95%置信区间；（0.01 - 0.98）]、在距离新冠病毒患者一米范围内提供护理[AOR：20.633，95%置信区间；（3.88 - 109.76）]以及直接接触新冠病毒患者接受护理的环境[AOR：9.600，95%置信区间；（1.05 - 84.50）]被发现是新冠病毒感染的风险因素。
结论
医护人员在为新冠病毒患者提供护理时面临较高的感染风险。正确使用和充足供应个人防护装备，以及通过频繁修订方案和严格监督实施基本的感染预防与控制措施，对于降低医护人员接触新冠病毒的风险至关重要。
Zotero 插件