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新冠病毒感染者医护人员未经证实的治疗方法与延迟返工之间的关系。

Correlation between unproven therapies and delayed return-to-work for COVID-19-infected healthcare workers.

机构信息

APHM, Service de Médecine et Santé au Travail, Marseille, France.

Aix-Marseille Université, CEReSS, Marseille, France.

出版信息

Arch Environ Occup Health. 2024;79(1):45-56. doi: 10.1080/19338244.2024.2353264. Epub 2024 May 20.

Abstract

The objective of this study is to investigate factors influencing the time to return to work (RTW) of HealthCare Workers (HCW) infected with COVID-19 during the initial wave of the pandemic in a southern French university hospital. Data collection of 170 HCW (between March 16 to June 1, 2020) included demographic and professional information, clinical profiles, comorbidities, medical management, therapies and RT-PCR results. The mean time to RTW was 15.6 days. Multivariate analyses revealed that the time to RTW was shorter among laboratory and emergency workers, while it was longer for HCW aged 40 to 49 years, at higher risk of severe illness, with a delayed negative SARS-CoV-2 PCR or those treated with azithromycin and/or hydroxychloroquine. This study highlights diverse factors affecting HCW RTW post-COVID-19 infection, underscoring the importance of exercising caution in administering unproven therapies to HCW during the early stages of a novel infectious pandemic.

摘要

本研究旨在调查法国南部某大学医院在 COVID-19 大流行初期感染 COVID-19 的医护人员(HCW)重返工作岗位(RTW)的时间的影响因素。数据收集了 170 名 HCW(2020 年 3 月 16 日至 6 月 1 日),包括人口统计学和职业信息、临床特征、合并症、医疗管理、治疗方法和 RT-PCR 结果。重返工作岗位的平均时间为 15.6 天。多变量分析显示,实验室和急诊工作人员的 RTW 时间更短,而年龄在 40 至 49 岁、患重病风险较高、SARS-CoV-2 PCR 检测结果延迟阴性或接受阿奇霉素和/或羟氯喹治疗的 HCW 的 RTW 时间更长。本研究强调了影响 COVID-19 后 HCW RTW 的多种因素,这凸显了在新型传染病大流行的早期阶段,对 HCW 使用未经证实的治疗方法时应谨慎行事的重要性。

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