Student Research Committee, School of Public Health, Qazvin University of Medical Sciences, Qazvin, Iran.
School of Medicine, Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Science, Qazvin, Iran.
BMC Health Serv Res. 2023 Feb 15;23(1):155. doi: 10.1186/s12913-023-09160-w.
Healthcare workers perform various clinical procedures for COVID-19 patients facing an elevated risk of exposure to SARS-COV-2.This study aimed to assess the healthcare workers' exposure to COVID-19 in Qazvin, Iran in 2020.
We conducted this descriptive-analytical study among all healthcare workers on the frontline of exposure to COVID-19 in Qazvin province. We entered the participants into the study using a multi-stage stratified random sampling method. We utilized a questionnaire, "Health workers exposure risk assessment and management in the context of COVID-19 disease", designed by the World Health Organization (WHO) to collect data. We analyzed data using descriptive and analytical methods with SPSS software version 24.
The results showed that all participants in the study had occupational exposure to the COVID-19 virus. So of 243 healthcare workers, 186 (76.5%) were at low risk and 57 (23.5%) at high risk of COVID-19 virus infection. Also, from the six domains mentioned in the questionnaire, health workers exposure risk assessment and management in the context of COVID-19 disease, the mean score of the domain of the type of healthcare worker interaction with a confirmed COVID-19 patient, the domain of health worker activities performed on a confirmed COVID-19 patient, the domain of the adherence to infection prevention and control (IPC) during health care interactions, and the domain of the adherence to IPC when performing aerosol-generating procedures in the high-risk group were more than the low-risk group.
Despite strict WHO guidelines, many healthcare workers are exposed at contracting COVID-19. Therefore, healthcare managers, planners, and policymakers can revise the policies, provide appropriate and timely personal protective equipment, and plan for ongoing training for staff on the principles of infection prevention and control.
医护人员为面临 SARS-CoV-2 高暴露风险的 COVID-19 患者执行各种临床操作。本研究旨在评估 2020 年伊朗卡泽伦省医护人员接触 COVID-19 的情况。
我们对卡泽伦省所有接触 COVID-19 的一线医护人员进行了这项描述性分析研究。我们采用多阶段分层随机抽样方法将参与者纳入研究。我们使用世界卫生组织（WHO）设计的问卷“COVID-19 疾病背景下卫生工作者的暴露风险评估和管理”来收集数据。我们使用 SPSS 软件版本 24 进行描述性和分析性数据分析。
研究结果显示，所有研究参与者均有职业性接触 COVID-19 病毒。在 243 名医护人员中，186 人（76.5%）感染 COVID-19 病毒的风险较低，57 人（23.5%）风险较高。此外，在问卷中提到的六个领域中，COVID-19 病毒感染者的卫生保健工作者暴露风险评估和管理，卫生保健工作者与确诊 COVID-19 患者互动类型领域、卫生保健工作者对确诊 COVID-19 患者执行的活动领域、卫生保健工作者在与患者互动过程中遵守感染预防和控制（IPC）原则的领域，以及在高风险人群中进行产生气溶胶的程序时遵守 IPC 原则的领域的平均得分均高于低风险组。
尽管有严格的世界卫生组织指南，但许多医护人员仍有感染 COVID-19 的风险。因此，医疗保健管理人员、规划人员和政策制定者可以修订政策，提供适当和及时的个人防护设备，并计划对员工进行感染预防和控制原则的持续培训。
