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新型冠状病毒肺炎和孟加拉国卫生专业人员:感染状况、疫苗接种及其直接健康后果。

COVID-19 and Bangladeshi health professionals: Infection status, vaccination and its immediate health consequences.

机构信息

Department of Public Health, Northern University Bangladesh, Dhaka, Bangladesh.

出版信息

PLoS One. 2022 Nov 15;17(11):e0277022. doi: 10.1371/journal.pone.0277022. eCollection 2022.

Abstract

Healthcare professionals play a pivotal role in protecting and saving the lives of general people. As health workers are more likely to be infected with COVID-19, it is inevitable to safeguard them through vaccination in advance to continue healthcare services. Hence the study aimed to explore the infection and vaccination status along with immediate health consequences among these frontiers. This was a cross-sectional, web-delivered study conducted among the 300 healthcare frontiers working at COVID-19 dedicated hospitals in eight divisions of Bangladesh. The study questionnaire encompasses infection, vaccination status with dose information, and demographical and organizational information among the respondents. A multivariate logistic regression model and Chi-square test was used for the analytical exploration. Adjusted and Unadjusted Odds Ratio with a 95% confidence interval was calculated for the specified setting indicators. The study revealed that 49% of all respondents tested positive whereas 98% of them were found vaccinated of which mostly (52.3%) had their 2nddoses and 68.7% faced immediate health consequences for having the vaccination. As predictor for COVID-19 infection status, young and senior adult group (30-39 years: AOR = 2.01/0.03; 95% CI: 1.08-3.76; >50 years: AOR = 4.36/0.01; 95% CI: 1.65-11.55) and respondents who received Sinopharm as their vaccine found to have more significant positive infection history. The predictors regarding experiencing immediate health effects after vaccination, surprisingly female (AOR = 3.31/0.01; 95% CI: 1.82-6.04) health professionals of the capital city (AOR = 1.91/0.03; 95% CI: 1.06-3.46) were observed to have health consequences on vaccination. As the older female group (>50 years) in the nursing profession was found more infected with COVID-19 and a significant number of health professionals especially the age group (30-39 years) in the nursing profession experienced immediate health effects of COVID-19 vaccination, implementation of specific strategies and policies are needed to ensure the safety precaution and effective vaccination among the health professionals of Bangladesh.

摘要

医疗保健专业人员在保护和拯救普通民众的生命方面发挥着关键作用。由于卫生工作者更容易感染 COVID-19,因此通过提前接种疫苗来保护他们以继续提供医疗保健服务是不可避免的。因此,本研究旨在探索这些前线人员的感染和疫苗接种状况以及直接的健康后果。这是一项横断面、网络调查研究,在孟加拉国八个地区的 300 名专门从事 COVID-19 工作的医疗保健前线人员中进行。研究问卷包括感染、疫苗接种状况以及与受访者相关的剂量信息、人口统计学和组织信息。使用多变量逻辑回归模型和卡方检验进行分析性探索。针对特定的设定指标,计算了调整和未调整的优势比和 95%置信区间。研究表明,所有受访者中有 49%检测呈阳性,而他们中的 98%已接种疫苗,其中大多数(52.3%)接种了第二针,68.7%因接种疫苗而出现直接健康后果。作为 COVID-19 感染状况的预测因子,年轻和老年成人组(30-39 岁:AOR = 2.01/0.03;95%CI:1.08-3.76;>50 岁:AOR = 4.36/0.01;95%CI:1.65-11.55)和接种国药疫苗的受访者发现有更显著的阳性感染史。关于接种疫苗后立即出现健康影响的预测因素,令人惊讶的是,女性(AOR = 3.31/0.01;95%CI:1.82-6.04)和首都城市的卫生专业人员(AOR = 1.91/0.03;95%CI:1.06-3.46)更有可能出现健康后果。由于护理行业的老年女性(>50 岁)组感染 COVID-19 的比例较高,而且相当数量的卫生专业人员,特别是护理行业的年龄组(30-39 岁),在接种 COVID-19 疫苗后立即出现健康影响,因此需要实施具体的战略和政策,以确保孟加拉国卫生专业人员的安全防范和有效接种。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d528/9665383/c01f1505d09a/pone.0277022.g001.jpg

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