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2020 年 3 月至 10 月卡塔尔初级保健工作者中 COVID-19 感染的流行病学特征。

Epidemiology Characteristics of COVID-19 Infection Amongst Primary Health Care Workers in Qatar: March-October 2020.

机构信息

Primary Health Care Corporation, Doha, Qatar.

Ministry of Public Health, Doha, Qatar.

出版信息

Front Public Health. 2021 May 20;9:679254. doi: 10.3389/fpubh.2021.679254. eCollection 2021.

Abstract

COVID-19 transmission was significant among Healthcare workers worldwide. In March 2020, Qatar started reporting numbers of COVID-19 positive cases among workers in Primary Health Care Corporation (PHCC). The study estimates the burden of the aforementioned infections and examines the demographic characteristics associated with the recorded positivity rates. A cross-sectional descriptive study was conducted among Primary healthcare workers between March 1st and October 31st, 2020. The study examined the positivity rate of the different types of Primary healthcare workers and, analyzed the demographic characteristics of the infected persons. 1,048 (87.4%) of the infected Health Care Workers (HCWs) belonged to the age group below 45 years, and 488 (40.7%) HCWs were females. 450 (37.5%) were HCWs clinical staff working in one of the 27 PHCC Health Centers (HCs) Despite the increased patient footfall and risk environment, the COVID dedicated HCs had an attack rate of 10.1%, which is not significantly different from the average attack rate of 8.9% among staff located in other HCs ( = 0.26). Storekeepers, engineering & maintenance staff, housekeeping staff, support staff, and security staff (outsourced non-clinical positions) had the highest positivity rates, 100, 67.2, 47.1, 32.4, and 29.5% respectively. The elevated risk of infection among outsourced non-clinical healthcare workers can be explained by environmental factors such as living conditions. Furthermore, better containment within clinical healthcare workers can be attributed to strict safety training and compliance with preventative measures which is recommended to be implemented across all settings.

摘要

COVID-19 在全球医护人员中传播显著。2020 年 3 月,卡塔尔开始报告初级保健公司(PHCC)工作人员 COVID-19 阳性病例数。本研究估计了上述感染的负担,并检查了与记录阳性率相关的人口统计学特征。 2020 年 3 月 1 日至 10 月 31 日,对初级保健工作者进行了一项横断面描述性研究。该研究检查了不同类型初级保健工作者的阳性率,并分析了感染者的人口统计学特征。 1048 名(87.4%)感染的医护人员(HCWs)年龄在 45 岁以下,488 名(40.7%)为女性。450 名(37.5%)为在 27 个 PHCC 保健中心(HC)之一工作的临床工作人员 尽管患者就诊量增加且环境风险增加,但专门的 COVID 保健中心的发病率为 10.1%,与位于其他 HC 的工作人员的平均发病率 8.9%(= 0.26)无显著差异。仓库管理员、工程和维护人员、家政人员、支持人员和安全人员(外包非临床职位)的阳性率最高,分别为 100%、67.2%、47.1%、32.4%和 29.5%。 外包非临床医护人员感染风险增加,可以用环境因素来解释,例如生活条件。此外,临床医护人员内部的感染得到更好的控制,可以归因于严格的安全培训和对预防措施的遵守,建议在所有环境中实施这些措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2059/8173064/14a2da3ccab9/fpubh-09-679254-g0001.jpg

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