Chandran Priya, Lilabi M P, Thomas Bina, George Biju, Hafeez Nimin, George Ardra Merin, Cyriac Milu Elizabeth
Department of Community Medicine, Government Medical College, Kozhikode, Kerala, India.
J Family Med Prim Care. 2022 Jan;11(1):245-250. doi: 10.4103/jfmpc.jfmpc_1095_21. Epub 2022 Jan 31.
Health care workers are at the frontline for management and containment of COVID-19 infection which has put them at additional risk of the disease. Infection and subsequent quarantine of contacts among HCW may produce considerable strain on the health care system. It is essential that we study the modes by which HCW may get infected in the work environment.
All HCW testing positive for SARS COV 2 from 1 March 2020 to 31 Jan 2021 were included in the study. Data regarding possible source of infection, details of symptoms along with demographic details were collected.
A total of 390 health-care workers tested positive for SARS CoV-2 in the institution. The mean age of affected health-care workers was 32.82 (±10.6) years (range 20-65 years), and 61.3% were female 33% of the positive HCW were doctors and 19.5% nurses. 29% of the infections occurred during patient care of which majority were from the non-COVID areas of the hospital. Interactions with infected colleagues constituted 27.4% of the infections. Symptomatics constituted 67% and the predominant symptoms included Fever, myalgia and severe headache. 57.2% of those followed up reported persistence of symptoms, commonly fatigue (53%), dyspnea on exertion (48%) and myalgia (18%).
Infection control practices in non-COVID areas of the hospital needs to be stepped up. Adherence to masking and personal protection during clinical interactions and with colleagues needs to be maintained. Physical distancing at workplace and during mealtimes needs to be ensured by the system.
医护人员处于新冠病毒感染管理和控制的前线，这使他们面临该疾病的额外风险。医护人员中的感染以及随后对接触者的隔离可能会给医疗系统带来相当大的压力。研究医护人员在工作环境中可能被感染的方式至关重要。
纳入2020年3月1日至2021年1月31日期间新冠病毒检测呈阳性的所有医护人员。收集有关可能感染源、症状细节以及人口统计学细节的数据。
该机构共有390名医护人员新冠病毒检测呈阳性。受影响医护人员的平均年龄为32.82（±10.6）岁（范围20 - 65岁），61.3%为女性。33%的阳性医护人员为医生，19.5%为护士。29%的感染发生在患者护理期间，其中大多数来自医院的非新冠区域。与受感染同事的接触占感染的27.4%。有症状者占67%，主要症状包括发热、肌痛和严重头痛。57.2%的随访者报告症状持续存在，常见的有疲劳（53%）、运动时呼吸困难（48%）和肌痛（18%）。
医院非新冠区域的感染控制措施需要加强。临床互动期间以及与同事相处时需坚持佩戴口罩和做好个人防护。系统应确保在工作场所和用餐时间保持社交距离。
