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急诊医疗服务人员暴露于产生气溶胶的程序后罹患冠状病毒病的风险。

Risk for Acquiring Coronavirus Disease Illness among Emergency Medical Service Personnel Exposed to Aerosol-Generating Procedures.

出版信息

Emerg Infect Dis. 2021 Sep;27(9):2340-2348. doi: 10.3201/eid2709.210363. Epub 2021 Jul 1.

DOI:10.3201/eid2709.210363
PMID:34197282
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8386780/
Abstract

We investigated the risk of coronavirus disease (COVID-19)- patients transmitting severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) to emergency medical service (EMS) providers, stratified by aerosol-generating procedures (AGP), in King County, Washington, USA, during February 16-July 31, 2020. We conducted a retrospective cohort investigation using a statewide COVID-19 registry and identified 1,115 encounters, 182 with ≥1 AGP. Overall, COVID-19 incidence among EMS personnel was 0.57 infections/10,000 person-days. Incidence per 10,000 person-days did not differ whether or not infection was attributed to a COVID-19 patient encounter (0.28 vs. 0.59; p>0.05). The 1 case attributed to a COVID-19 patient encounter occurred within an at-risk period and involved an AGP. We observed a very low risk for COVID-19 infection attributable to patient encounters among EMS first responders, supporting clinical strategies that maintain established practices for treating patients in emergency conditions.

摘要

我们调查了美国华盛顿州金县 2020 年 2 月 16 日至 7 月 31 日期间，按产生气溶胶的程序（AGP）分层的，患有冠状病毒病（COVID-19）的患者将严重急性呼吸综合征冠状病毒 2（SARS-CoV-2）传播给急诊医疗服务（EMS）提供者的风险。我们使用全州范围的 COVID-19 注册处进行了回顾性队列研究，确定了 1,115 次接触，其中 182 次接触至少有 1 次 AGP。总体而言，EMS 人员中 COVID-19 的发病率为每 10,000 人/天 0.57 例感染。无论感染是否归因于 COVID-19 患者接触，每 10,000 人/天的发病率并无差异（0.28 比 0.59；p>0.05）。归因于 COVID-19 患者接触的 1 例病例发生在高危期内，并涉及 AGP。我们观察到 EMS 一线急救人员因患者接触而感染 COVID-19 的风险非常低，这支持了在紧急情况下维持治疗患者的既定实践的临床策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d79/8386780/fbfbae26f1a1/21-0363-F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d79/8386780/ab8d61315969/21-0363-F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d79/8386780/fbfbae26f1a1/21-0363-F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d79/8386780/ab8d61315969/21-0363-F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d79/8386780/fbfbae26f1a1/21-0363-F2.jpg

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