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澳大利亚墨尔本一家大型四级医院的每日 COVID-19 员工声明——局限性和经验教训。

Daily COVID-19 employee attestations at a large quaternary hospital in Melbourne, Australia - Limitations and lessons learnt.

机构信息

Infection Prevention and Surveillance Service, Royal Melbourne Hospital, Melbourne, Victoria, Australia; Victorian Infectious Diseases Service, Royal Melbourne Hospital, Melbourne, Victoria, Australia; Department of Infectious Diseases, University of Melbourne at the Peter Doherty Institute for Infection and Immunity, Melbourne, Victoria, Australia.

Infection Prevention and Surveillance Service, Royal Melbourne Hospital, Melbourne, Victoria, Australia.

出版信息

Infect Dis Health. 2024 Aug;29(3):180-183. doi: 10.1016/j.idh.2024.04.003. Epub 2024 Apr 27.

Abstract

BACKGROUND

As one of the many measures to limit the potentially infectious persons entering healthcare settings, the Victorian Department of Health (DH) introduced a daily attestation between 2020 and 2022. Upon entry to a health service, employees were required to confirm they were free from symptoms related to COVID-19 and did not have contact with a confirmed COVID-19 case in the previous 7-14 days.

METHODS

We performed a retrospective analysis of employee attestations and SARS-CoV-2 tests performed between 1/6/2021 and 14/2/2022 at the main campus of the Royal Melbourne Hospital.

RESULTS

We found the proportion of SARS-CoV-2 positive employees identified through workplace attestation was low (1.3%). Most SARS-CoV-2 positive employees analysed in this study (94%) were asymptomatic.

DISCUSSION

Although the proportion of SARS-CoV-2 positive employees identified was low, attestations may have deterred unwell employees from presenting to work. Proactively monitoring employee attestations, such as measuring and reporting the number of symptomatic attestations, may make this a more useful tool.

摘要

背景

作为限制潜在感染人员进入医疗机构的众多措施之一,维多利亚州卫生部 (DH) 在 2020 年至 2022 年期间引入了每日声明制度。进入卫生服务机构时,员工必须确认他们没有与 COVID-19 相关的症状,并且在过去 7-14 天内没有与确诊的 COVID-19 病例接触。

方法

我们对 2021 年 6 月 1 日至 2022 年 2 月 14 日在皇家墨尔本医院主校区进行的员工声明和 SARS-CoV-2 检测进行了回顾性分析。

结果

我们发现通过工作场所声明确定的 SARS-CoV-2 阳性员工比例较低(1.3%)。本研究中分析的大多数 SARS-CoV-2 阳性员工(94%)无症状。

讨论

尽管确定的 SARS-CoV-2 阳性员工比例较低,但声明可能阻止了不适的员工上班。主动监测员工声明,例如测量和报告有症状的声明数量,可能会使这一工具更有用。

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