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西班牙瓦伦西亚自治区两个卫生局卫生工作者中 SARS-CoV-2 感染的流行率。

Prevalence of SARS-CoV-2 Infection in a Sample of Health Workers in Two Health Departments of the Valencian Community in Spain.

机构信息

Human Resources Service, University Hospital of Vinalopó, 03293 Elche, Spain.

Department of Health Psychology, University of Alicante, 03690 Alicante, Spain.

出版信息

Int J Environ Res Public Health. 2021 Dec 22;19(1):66. doi: 10.3390/ijerph19010066.

Abstract

Health care personnel constitutes the most vulnerable group of professionals, as they are employed in a work context with higher exposure to SARS-CoV-2 infection. This study aims to estimate the prevalence of SARS-CoV-2 infection in health personnel ( = 2858) of two health departments in the Valencian community between March 2020 and April 2021, as well as the sociodemographic and work variables predicting higher infection prevalence in this group. A cross-sectional descriptive study was performed on health workers from the health departments of Torrevieja and Elche-Crevillente of the Valencian Community (Spain). After obtaining the samples, the cases were identified through an active infection diagnostic test (AIDT). The analyzed variables were: sex, age (18-34/35-49/>50 years), professional category, health care, risk service, and AIDT. A total of 2858 staff members were studied. Of them, 55.4% (1582) underwent an AIDT, with 9.7% (277) of positive cases. Infection predominated in the age group of 18 to 34 years, 12.6% (OR = 1.98, 95% CI [1.26, 3.11]); nurses, 12.1% (OR = 1.5, 95% CI [1.00, 2.23]); and at-risk services, 11.4% (OR = 1.3, 95% CI [1.06, 1.81]). A very low positivity rate was identified in the health personnel linked to the health departments analyzed during the 14 months of the study period. Based on our results, prevention strategies could focus more intensively on the most at-risk groups, specifically young nurses who work in at-risk services, mainly in emergency and internal medicine.

摘要

医护人员构成了最脆弱的专业群体,因为他们在工作环境中接触 SARS-CoV-2 感染的风险更高。本研究旨在估计 2020 年 3 月至 2021 年 4 月期间,瓦伦西亚社区两个卫生部门的医护人员(=2858 人)中 SARS-CoV-2 感染的流行率,以及预测该群体更高感染率的社会人口学和工作变量。对瓦伦西亚社区(西班牙)托雷维耶哈和埃尔切-克里韦尔登的卫生部门的卫生工作者进行了横断面描述性研究。获得样本后,通过主动感染诊断检测(AIDT)确定病例。分析的变量包括:性别、年龄(18-34/35-49/>50 岁)、职业类别、医护人员、高危服务和 AIDT。共研究了 2858 名员工。其中,55.4%(1582 人)接受了 AIDT,阳性病例 9.7%(277 人)。感染主要发生在 18 至 34 岁年龄组,占 12.6%(OR=1.98,95%CI[1.26,3.11]);护士占 12.1%(OR=1.5,95%CI[1.00,2.23]);高危服务人员占 11.4%(OR=1.3,95%CI[1.06,1.81])。在研究期间的 14 个月内,与分析的卫生部门相关的卫生人员的阳性率非常低。根据我们的结果,预防策略可以更集中地针对高危人群,特别是在高危服务中工作的年轻护士,主要是在急诊和内科。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f67b/8751085/492fb6bcf1fd/ijerph-19-00066-g001.jpg

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