Bianchi F P, Stefanizzi P, Migliore G, Melpignano L, Daleno A, Vimercati L, Marra M, Working Group C R, Tafuri S
Department of Biomedical Science and Human Oncology, Aldo Moro University of Bari, Bari, Italy.
Hospital Direction, Bari Policlinico General Hospital, Bari, Italy.
Ann Ig. 2023 Jan-Feb;35(1):39-48. doi: 10.7416/ai.2022.2519. Epub 2022 Apr 19.
Healthcare workers on duty at the hospital are at high risk of COVID-19 infection. However, despite the introduction of risk-lowering practices in the hospital setting, there have been many cases of SARS-COV-2 infection among Health Care Workers. Fast and efficient contact tracing and Sars-CoV-2 PCR-based testing of the close contacts of Health Care Workers with confirmed infections are essential steps to limit nosocomial outbreaks.
This cross-sectional study was conducted at Bari Policlinico General University-Hospital (Apulia, Italy) and describes the management of a cluster of SARS-COV-2 infections in three Operative Units. The contact tracing activities and the measures implemented to control the outbreak are described.
Among the 186 Health Care Workers active in the cluster setting, there were 9 (4.8%) confirmed cases, including the index case. Due to the outbreak, three Operative Units were closed to limit virus circulation. Health Care Workers with confirmed infections tested negative after a mean of 28.0±6.6 days (range: 13-37) and none required hospitalization.
Protection of the health of Health Care Workers during the COVID-19 pandemic should be a public health priority. However, despite recent recommendations and the implementation of protective measures, SARS-COV-2 infections of Health Care Workers remain at a high rate, indicative of the continued high risk of cluster onset in the nosocomial setting.
在医院值班的医护人员感染新冠病毒的风险很高。然而，尽管医院采取了降低风险的措施，但医护人员中仍出现了多例新冠病毒感染病例。对确诊感染的医护人员的密切接触者进行快速有效的接触者追踪和基于新冠病毒核酸检测是限制医院感染爆发的关键步骤。
这项横断面研究在意大利普利亚大区巴里综合大学医院进行，描述了三个手术科室中一组新冠病毒感染的管理情况。介绍了接触者追踪活动以及为控制疫情而采取的措施。
在该组活跃的186名医护人员中，包括首例病例在内，有9例（4.8%）确诊病例。由于疫情爆发，三个手术科室关闭以限制病毒传播。确诊感染的医护人员平均在28.0±6.6天（范围：13 - 37天）后检测呈阴性，无人需要住院治疗。
在新冠疫情期间保护医护人员的健康应是公共卫生的优先事项。然而，尽管最近有相关建议并实施了保护措施，但医护人员的新冠病毒感染率仍然很高，这表明医院环境中聚集性发病的风险持续居高不下。
