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气溶胶产生医学学科中医护人员的新冠病毒疫苗接种率与新冠病毒感染情况

SARS-CoV-2 Vaccination Rate and SARS-CoV-2 Infection of Health Care Workers in Aerosol-Generating Medical Disciplines.

作者信息

Muzalyova Anna, Ebigbo Alanna, Kahn Maria, Zellmer Stephan, Beyer Albert, Rosendahl Jonas, Zenk Johannes, Al-Nawas Bilal, Frankenberger Roland, Hoffmann Juergen, Arens Christoph, Lammert Frank, Traidl-Hoffmann Claudia, Messmann Helmut, Roemmele Christoph

机构信息

Clinic for Internal Medicine III-Gastroenterology and Infectious Diseases, University Hospital of Augsburg, 86156 Augsburg, Germany.

Medical Practice for Gastroenterology and Gastrointestinal Oncology, 84503 Altoetting, Germany.

出版信息

J Clin Med. 2022 May 12;11(10):2751. doi: 10.3390/jcm11102751.

Abstract

Healthcare workers (HCW) who perform aerosol-generating procedures (AGP) are at high risk of SARS-CoV-2 infection. Data on infection rates and vaccination are limited. A nationwide, cross-sectional study focusing on AGP-related specialties was conducted between 3 May 2021 and 14 June 2021. Vaccination rates among HCW, perception of infection risk, and infection rates were analyzed, focusing on the comparison of gastrointestinal endoscopy (GIE) and other AGP-related specialties (NON-GIE), from the beginning of the pandemic until the time point of the study. Infections rates among HCW developed similarly to the general population during the course of the pandemic, however, with significantly higher infections rates among the GIE specialty. The perceived risk of infection was distributed similarly among HCW in GIE and NON-GIE (91.7%, CI: 88.6−94.4 vs. 85.8%, CI: 82.4−89.0; p < 0.01) with strongest perceived threats posed by AGPs (90.8%) and close patient contact (70.1%). The very high vaccination rate (100−80%) among physicians was reported at 83.5%, being significantly more frequently reported than among nurses (56.4%, p < 0.01). GIE had more often stated very high vaccination rate compared with NON-GIE (76.1% vs. 65.3%, p < 0.01). A significantly higher rate of GIE was reported to have fewer concerns regarding infection risk after vaccination than NON-GIE (92.0% vs. 80.3%, p < 0.01).

摘要

执行产生气溶胶操作(AGP)的医护人员(HCW)感染新冠病毒的风险很高。关于感染率和疫苗接种的数据有限。在2021年5月3日至2021年6月14日期间开展了一项针对AGP相关专业的全国性横断面研究。分析了医护人员的疫苗接种率、对感染风险的认知以及感染率,重点比较了从疫情开始到研究时间点的胃肠镜检查(GIE)和其他AGP相关专业(非GIE)。在疫情期间,医护人员的感染率与普通人群的发展情况相似,然而,GIE专业的感染率明显更高。GIE和非GIE的医护人员对感染风险的认知分布相似(91.7%,CI:88.6−94.4对85.8%,CI:82.4−89.0;p<0.01),其中AGP(90.8%)和密切的患者接触(70.1%)构成的感知威胁最大。报告称医生的疫苗接种率非常高(100−80%),为83.5%,显著高于护士(56.4%,p<0.01)。与非GIE相比,GIE更常报告疫苗接种率非常高(76.1%对65.3%,p<0.

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f33/9144158/6ff91406bcd5/jcm-11-02751-g001.jpg

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