Ehrenpreis Eli D, Hallmeyer Sigrun, Kruchko David H, Resner Alexea A, Dang Nhan, Shah Natasha, Mayer Nancy, Rivelli Anne
Department of Medicine, Advocate Lutheran General Hospital, Park Ridge, IL 60068, USA.
Rosalind Franklin University of Medicine and Science, North Chicago, IL 60064, USA.
Healthcare (Basel). 2022 Feb 1;10(2):285. doi: 10.3390/healthcare10020285.
Healthcare workers experience a significant risk of exposure to and infection from SARS-CoV-2, COVID-19. Nonetheless, little research has focused on physicians' use of personal protective equipment (PPE), their concerns about becoming infected and their social distancing maneuvers.
All staff physicians at Advocate Lutheran General Hospital were invited to participate. Their COVID-19 IgG antibody level was measured and an online questionnaire was completed. The questionnaire assessed the risk of COVID-19 exposure, PPE usage, concern for contracting COVID-19, the performance of high-risk procedures, work in high-risk settings, and social distancing practices. Testing was performed in September (T0), and December 2020 (T1) at the height of the global pandemic.
A total of 481 (26.7%) of 1800 AGLH physicians were enrolled at T0 and 458 (95% of the original group) at T1. A total of 21 (4.3%) and 39 (8.5%) participants had antibodies at T0 and T1. A total of 63 (13.8%) worked in high-risk settings and 111 (24.2%) performed high-risk procedures. Participants working in high-risk settings had increased exposure to COVID-19 infected patients (OR = 4.464 CI = 2.522-8.459, < 0.001). Participants were highly adherent to the use of PPE and social distancing practices including mask-wearing in public (86%, 82.1%), avoiding crowds (85.1%, 85.6%), six feet distancing (83.8%, 83.4%), and avoiding public transportation (78%, 83.8%). A total of 251 (55.4%) participants expressed moderate to extreme concern about becoming infected with COVID-19.
Among a group of community physicians, consistent PPE use and social distancing practices were common. These practices were associated with a low level of initial acquisition of COVID-19 infections and a relatively low longitudinal risk of infection.
医护人员面临感染严重急性呼吸综合征冠状病毒2（SARS-CoV-2）即新型冠状病毒肺炎（COVID-19）的重大风险。尽管如此，很少有研究关注医生个人防护装备（PPE）的使用情况、他们对感染的担忧以及社交距离措施。
邀请了倡导路德总医院的所有在职医生参与。检测了他们的新型冠状病毒肺炎免疫球蛋白G（IgG）抗体水平，并完成了一份在线问卷。该问卷评估了新型冠状病毒肺炎暴露风险、个人防护装备使用情况、感染新型冠状病毒肺炎的担忧程度、高风险操作的执行情况、在高风险环境中的工作情况以及社交距离措施。检测分别于2020年9月（T0）和全球疫情高峰期即12月（T1）进行。
在1800名倡导路德总医院医生中共有481名（26.7%）在T0时参与研究，T1时有458名（占原始组的95%）。分别有21名（4.3%）和39名（8.5%）参与者在T0和T1时检测出抗体。共有63名（13.8%）在高风险环境中工作，111名（24.2%）执行高风险操作。在高风险环境中工作的参与者接触感染新型冠状病毒肺炎患者的几率更高（比值比=4.464，置信区间=2.522 - 8.459，P<0.001）。参与者高度坚持使用个人防护装备和采取社交距离措施，包括在公共场合佩戴口罩（86%，82.1%）、避免人群聚集（85.1%，85.6%）、保持六英尺距离（83.8%，83.4%）以及避免乘坐公共交通工具（78%，83.8%）。共有251名（55.4%）参与者表示对感染新型冠状病毒肺炎有中度至极度担忧。
在一组社区医生中，持续使用个人防护装备和采取社交距离措施很常见。这些措施与新型冠状病毒肺炎初始感染率较低以及相对较低的长期感染风险相关。
