Bani Hani Amjad, Alaridah Nader, Abu Abeeleh Mahmoud, Shatarat Amjad, Rayyan Rama, Kamal Amer, Alhafez Laila, Odeh Rasha, Al-Taher Raed Nael
University of Jordan, School of Medicine, The Department of General Surgery; Queen Rania st, Amman, Zip code: 11942, Jordan.
University of Jordan, School of Medicine, The Department of Microbiology; Queen Rania st, Amman, Zip code: 11942, Jordan.
Ann Med Surg (Lond). 2021 Oct;70:102775. doi: 10.1016/j.amsu.2021.102775. Epub 2021 Sep 16.
The coronavirus disease-2019 (COVID-19) pandemic with increasing morbidity and mortality has impacted the lives of the global population, including medical education. With the return of on-site medical education in Jordan, it is important to know whether this would pose any risk of COVID-19 infection in medical students.
To investigate COVID-19 infection infection rates among medical students and whether there is difference between preclinical and clinical students' infection rate.
The study is a cross-sectional study, designed to (1) determine the incidence of COVID-19 in clinical and preclinical medical students (2) determine if there is a difference in infection rates between clinical and preclinical students. The study was situated at the University of Jordan and its affiliated hospitals. Data were collected from the 4 of December 2020 till the 17th of February 2021through a structured web-based questionnaire.
A total of 1,830 responses were retrieved. Thirty-nine percent were males, and (61.5%) were females. Overall, 237(13%) of students reported testing positive for COVID-19 infection by PCR, of which 123 were clinical students (15.2%) and 114 were pre-clinical students (11.2%), representing a relative risk of 1.36 of COVID-19 infection among clinical students compared to pre-clinical students. This difference is statistically significant ( = 0.010). Rates of COVID-19 in females 13%; CI 7.5,18.4), were very close to those of males (12.9%; 95% CI 6.0,19.8). Positive COVID-19 cases peaked in November and October forming 36.3% and 32.9% of the cases, respectively.
The incidence of positive COVID-19 tests was found to be higher among clinical students as compared to pre-clinical students. Commitment to general health safety precautions did not appear to be protective enough for clinical students. It is fundamental that additional strategies, including access to vaccines, are set, and deficiencies in current protections are identified to maintain students' safety and well-being.
2019年冠状病毒病（COVID-19）大流行导致发病率和死亡率不断上升，影响了全球人口的生活，包括医学教育。随着约旦恢复现场医学教育，了解这是否会给医学生带来COVID-19感染风险很重要。
调查医学生中COVID-19感染率，以及临床医学生和基础医学生的感染率是否存在差异。
本研究为横断面研究，旨在（1）确定临床医学生和基础医学生中COVID-19的发病率；（2）确定临床医学生和基础医学生的感染率是否存在差异。该研究在约旦大学及其附属医院进行。通过基于网络的结构化问卷收集了2020年12月4日至2021年2月17日的数据。
共收到1830份回复。其中39%为男性，61.5%为女性。总体而言，237名（13%）学生报告通过聚合酶链反应（PCR）检测出COVID-19感染呈阳性，其中123名是临床医学生（15.2%），114名是基础医学生（11.2%），这表明临床医学生感染COVID-19的相对风险是基础医学生的1.36倍。这种差异具有统计学意义（P = 0.010）。女性的COVID-19感染率为13%（95%置信区间7.5,18.4），与男性的感染率（12.9%；95%置信区间6.0,19.8）非常接近。COVID-19阳性病例在11月和10月达到峰值，分别占病例总数的36.3%和32.9%。
研究发现，临床医学生中COVID-19检测呈阳性的发生率高于基础医学生。对一般健康安全预防措施的遵守似乎对临床医学生的保护作用不够。制定包括接种疫苗在内的额外策略，并找出当前防护措施中的不足，以保障学生的安全和健康至关重要。
