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医护人员因暴露源感染 COVID-19 情况,及其与社区发病率的相关性。

COVID-19 Infections in Health Care Personnel by Source of Exposure and Correlation With Community Incidence.

机构信息

From the Division of General Internal Medicine (Dr Wight); Division of Public Health, Infectious Diseases and Occupational Medicine (Drs Swift, O'Horo, Hainy, Molella, and Breeher, and Ms Morrow); Occupational Health Services (Drs Swift, Hainy, and Breeher); and Division of Pulmonary and Critical Care Medicine (Dr O'Horo), Mayo Clinic, Rochester, Minn.

出版信息

J Occup Environ Med. 2022 Aug 1;64(8):675-678. doi: 10.1097/JOM.0000000000002562. Epub 2022 Jun 9.

Abstract

OBJECTIVE

The aim of this study was to describe the rate of household, community, occupational, and travel-related COVID-19 infections among health care personnel (HCP).

METHODS

In a retrospective cohort study of 3694 HCP with COVID-19 infections from July 5 to December 19, 2020, we analyzed infection source data and rates, compared with local and state infection rates, and performed a correlation analysis.

RESULTS

Household (27.1%) and community (15.6%) exposures were the most common sources of infection. Occupational exposures accounted for 3.55% of HCP infections. Unattributable infections (no known exposure source) accounted for 53.1% and correlated with community rather than occupational exposure ( R = 0.99 vs 0.78, P < 0.01).

CONCLUSIONS

COVID-19 infections in this large HCP cohort correlated closely with infection rates in the community. The low incidence of occupational infections supports the effectiveness of institutional infection prevention and control measures.

摘要

目的

本研究旨在描述医护人员(HCP)中家庭、社区、职业和旅行相关的 COVID-19 感染率。

方法

在 2020 年 7 月 5 日至 12 月 19 日对 3694 例 COVID-19 感染的 HCP 进行回顾性队列研究,我们分析了感染源数据和感染率,与当地和州的感染率进行了比较,并进行了相关性分析。

结果

家庭(27.1%)和社区(15.6%)暴露是最常见的感染源。职业暴露占 HCP 感染的 3.55%。无法归因的感染(无已知暴露源)占 53.1%,与社区而非职业暴露相关(R=0.99 与 0.78,P<0.01)。

结论

本大规模 HCP 队列中的 COVID-19 感染与社区中的感染率密切相关。职业感染的低发生率支持机构感染预防和控制措施的有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2487/9377487/2bba2f442f7d/joem-64-0675-g001.jpg

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