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监狱医护人员中 COVID-19 感染的发生率及预测因素。

Incidence and Predictors of COVID-19 Infection in Prison Healthcare Workers.

机构信息

From the Rutgers, The State University of New Jersey, School of Public Health, Environmental and Occupational Health and Justice, Piscataway, New Jersey (J.C., H.K., I.G.U.); Rutgers, The State University of New Jersey, Environmental and Occupational Health Sciences Institute, Piscataway, New Jersey (J.C., K.B., A.L., A.D.R., H.K., I.G.U., J.M.G.); Department of Biostatistics and Epidemiology, Rutgers, The State University of New Jersey, School of Public Health, Piscataway, New Jersey (K.G., J.M.G.); Biostatistics and Epidemiology Services Center, Rutgers School of Public Health, Rutgers University, Piscataway, NJ (K.G.); and Rutgers, The State University of New Jersey, University Correctional Health Care, Trenton, New Jersey (M.B., L.D., A.B.).

出版信息

J Occup Environ Med. 2023 Jul 1;65(7):573-579. doi: 10.1097/JOM.0000000000002836. Epub 2023 Mar 7.

DOI:10.1097/JOM.0000000000002836
PMID:36882811
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10329989/
Abstract

OBJECTIVE

The aim of the study is to assess the predictors of SARS-CoV-2 infection among correctional healthcare workers (HCWs).

METHODS

We conducted a retrospective chart review to describe the demographic and workplace characteristics of New Jersey correctional HCWs between March 15, 2020, and August 31, 2020, using univariate and multivariable analysis.

RESULTS

Among 822 HCWs, patient-facing staff had the highest incidence of infection (7.2%). Associated risk factors include being Black and working in a maximum-security prison. There were few statistically significant findings due to small total numbers ( n = 47) that tested positive.

CONCLUSIONS

Correctional HCWs' challenging work environment creates unique risk factors for infection with the SARS-CoV-2 virus. Administrative measures taken by the department of corrections may have a significant role in curbing the spread of infection. The findings can help focus preventive measures for reducing the spread of COVID-19 in this unique population.

摘要

目的

本研究旨在评估惩教医疗保健工作者(HCWs)感染 SARS-CoV-2 的预测因素。

方法

我们对 2020 年 3 月 15 日至 2020 年 8 月 31 日期间新泽西惩教 HCWs 的人口统计学和工作场所特征进行了回顾性图表审查,使用单变量和多变量分析。

结果

在 822 名 HCWs 中,面向患者的工作人员感染率最高(7.2%)。相关危险因素包括为黑人以及在高度安全监狱工作。由于检测呈阳性的总人数(n=47)较少,因此很少有统计学意义的发现。

结论

惩教 HCWs 充满挑战的工作环境为感染 SARS-CoV-2 病毒创造了独特的危险因素。惩教部门采取的行政措施可能在遏制感染传播方面发挥重要作用。这些发现有助于集中预防措施,以减少这一独特人群中 COVID-19 的传播。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77c3/10332506/85fc7674da48/joem-65-573-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77c3/10332506/85fc7674da48/joem-65-573-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77c3/10332506/85fc7674da48/joem-65-573-g001.jpg

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Could widespread use of antiviral treatment curb the COVID-19 pandemic? A modeling study.抗病毒治疗的广泛应用能否遏制 COVID-19 大流行?一项建模研究。
BMC Infect Dis. 2022 Aug 9;22(1):683. doi: 10.1186/s12879-022-07639-1.
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Ann Intern Med. 2021 Jan;174(1):69-79. doi: 10.7326/M20-5008. Epub 2020 Sep 17.
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NCCHC Survey Yields Insights Into COVID-19 in U.S. Correctional Facilities.美国惩教机构新冠疫情全国委员会调查提供对美国惩教设施中新冠疫情的洞察。
J Correct Health Care. 2020 Jul;26(3):204-206. doi: 10.1177/1078345820947694. Epub 2020 Aug 13.
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COVID-19 Cases and Deaths in Federal and State Prisons.联邦和州监狱中的 COVID-19 病例和死亡人数。
JAMA. 2020 Aug 11;324(6):602-603. doi: 10.1001/jama.2020.12528.
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COVID-19 in Correctional and Detention Facilities - United States, February-April 2020.惩教和拘留设施中的 COVID-19 疫情-美国,2020 年 2 月至 4 月。
MMWR Morb Mortal Wkly Rep. 2020 May 15;69(19):587-590. doi: 10.15585/mmwr.mm6919e1.