Yakobi Michael, Nandigam Harish, Fallon James
Emergency Department, Thomas Jefferson University Hospital, Philadelphia, USA.
Anesthesiology, Saint Michael's Medical Center, Newark, USA.
Cureus. 2021 Aug 12;13(8):e17131. doi: 10.7759/cureus.17131. eCollection 2021 Aug.
Brief description of the primary research objective Among healthcare workers, anesthesiologists are regarded as frequently exposed frontline providers in the fight against COVID-19 due to their proximity to patient airways and involvement in aerosolized procedures. As such, the risk of contracting the COVID-19 virus as an occupational hazard is presumed to be higher. To date, in most published studies, all healthcare workers were grouped together, independent of specialty or profession. At the time that this survey was distributed, we did not find any peer-reviewed articles that differentiated COVID-19 infection rates among frontline, such as anesthesiologists vs. non-frontline healthcare workers. This retrospective survey's primary research objective was to report the rate of COVID-19 infection among anesthesiologists compared to the general population of healthcare workers. Methodology A survey was sent among anesthesiology attendings and residents in Northern New Jersey and Brooklyn, New York hospitals on duty during the peak pandemic from March 2020 to May 2020. Questions in the survey focused on infection rates and adherence to standards of infection precaution and personal protective equipment (PPE) utilization. Main Findings This retrospective study highlights the rate of infection among anesthesiologists as a particularly vulnerable subgroup of frontline residents and physicians, as they are called to duty when emergent airway management is required. In our study, the reported rate of contracting COVID-19 among anesthesiologists was 16.7%. This statistic is higher than the infection rates published by studies by New York State and the CDC. Conclusion The survey sent to anesthesiologists is useful to understand the impact of COVID-19 on this subgroup of frontline providers and the importance of adhering to standards of infection protocol and the role of PPE.
主要研究目标简述 在医护人员中,麻醉医生因靠近患者气道且参与产生气溶胶的操作,被视为抗击新冠疫情中经常暴露的一线工作人员。因此,感染新冠病毒作为一种职业危害的风险被认为更高。迄今为止,在大多数已发表的研究中,所有医护人员都被归为一组,而不考虑专业或职业。在本次调查开展时,我们未找到任何经过同行评审的文章对一线人员(如麻醉医生与非一线医护人员)之间的新冠感染率进行区分。这项回顾性调查的主要研究目标是报告麻醉医生与医护人员总体人群相比的新冠感染率。
方法 2020年3月至2020年5月疫情高峰期,向新泽西州北部和纽约布鲁克林医院值班的麻醉科主治医师和住院医师发送了一份调查问卷。调查问卷中的问题集中在感染率以及对感染预防标准和个人防护装备(PPE)使用的遵守情况。
主要发现 这项回顾性研究突出了麻醉医生作为一线住院医师和医生中特别易感染的亚组的感染率,因为在需要紧急气道管理时他们会被召唤上岗。在我们的研究中,报告的麻醉医生感染新冠病毒的比率为16.7%。这一统计数据高于纽约州和美国疾病控制与预防中心(CDC)发表的研究中的感染率。
结论 发送给麻醉医生的这份调查问卷有助于了解新冠疫情对这一一线医护人员亚组的影响,以及遵守感染防控标准和个人防护装备的作用的重要性。