Trejo Roxana, Díaz-Torres Sofía Teresa, Franco Juvenal, Aguirre Sánchez Janet, Jácome José Antonio, Saleme Elisa, Talavera Juan O
Centro Médico ABC Ciudad de México México Centro Médico ABC, Ciudad de México, México.
Rev Panam Salud Publica. 2023 Aug 10;47:e114. doi: 10.26633/RPSP.2023.114. eCollection 2023.
To assess the occupational factors associated with the occurrence of COVID-19 in health personnel who were exposed to different magnitudes of risk and who followed the United Nations crisis management policy for COVID-19.
Cross-sectional survey conducted between April and May 2021. The low-risk group (LRG) were considered to be those who had minimal contact with patients; the medium-risk group (MRG) had contact with non-COVID-19 patients and did not perform instrumental airway intervention; and the high-risk group (HRG) were those who cared for COVID-19 patients and performed instrumental intervention with aerosol generation. Diagnosed COVID-19 disease and the presence of positive IgG antibodies for SARS-CoV-2 measured with Elecsys anti-SARS-CoV-2 were considered as outcomes.
Outcome recorded in 43.8% of the LRG, versus 46.7% in the MRG (odds ratio [OR]: 1.125; 95% confidence interval [CI 95% ]: 0.896-1.414; = 0.311), and 48.6% in the HRG (OR: 1,214; CI 95%: 0.964-1.530; = 0.10).
Belonging to the high-risk group and the medium-risk group, based on the degree of exposure to confirmed COVID-19 patients in the work area, was not associated with a higher occurrence of disease or seroconversion.
评估在接触不同风险程度并遵循联合国COVID-19危机管理政策的卫生人员中，与COVID-19发生相关的职业因素。
于2021年4月至5月进行横断面调查。低风险组（LRG）被认为是与患者接触极少的人员；中风险组（MRG）与非COVID-19患者接触且不进行气道器械干预；高风险组（HRG）是那些护理COVID-19患者并进行产生气溶胶的器械干预的人员。将确诊的COVID-19疾病以及使用Elecsys抗SARS-CoV-2检测出的SARS-CoV-2阳性IgG抗体的存在视为结果。
低风险组中有43.8%记录到结果，中风险组为46.7%（优势比[OR]：1.125；95%置信区间[CI 95%]：0.896 - 1.414；P = 0.311），高风险组为48.6%（OR：1.214；CI 95%：0.964 - 1.530；P = 0.10）。
根据在工作区域接触确诊COVID-19患者的程度，属于高风险组和中风险组与疾病或血清转化的较高发生率无关。
