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[新型冠状病毒肺炎医护人员的头晕与听力损失]

[Dizziness and hearing loss in healthcare workers with COVID-19].

作者信息

Ghada Bahri, Hanene Ben Said, Chemingui Siwar, Ziedi Hiba, Mechergui Najla, Ladhari Nizar

机构信息

Service de Pathologie Professionnelle et de Médecine du Travail, Hôpital Charles Nicolle, Tunis, Tunisie.

出版信息

Pan Afr Med J. 2024 Jun 25;48:65. doi: 10.11604/pamj.2024.48.65.31375. eCollection 2024.

Abstract

Coronavirus disease 2019 (COVID-19) affects the respiratory system. Studying the clinical characteristics of this infection has revealed its tropism to the nervous system, which is responsible for neurological and sensory damage, in particular, dizziness and hearing loss. To determine the frequency and characteristics of the neurological impairment represented by dizziness and hearing loss in healthcare professionals (HCP) with COVID-19. Cross-sectional descriptive study conducted among HCP at Charles Nicolle Hospital (CNH) in Tunis affected by COVID-19 during the period from September 2020 to December 2020. Data collection was carried out by regular telephone follow-up of COVID-19 symptoms in these HCPs during the period of sanitary isolation. A total of 482 HCPs with COVID-19 were collected. The average age of the population was 41 ± 10 years, of which 111 were men (23%) and 371 were women (77%). The main neurological manifestations were: headache (71.2%), anosmia (60%), dizziness (21.8%), and hearing loss (1.5%). Patients with vertigo were significantly older (P=0.035), female (P=0.003), obese (P=0.014), suffering from more comorbidities (P=0.004), and having greater professional seniority (P=0.009). Dizziness was significantly associated with fever (P=0.001), abdominal pain (P=0.001), and desaturation (P=0.039). Neurological symptoms including dizziness and hearing loss may be the only sign with which a case of COVID-19 could be recognized. Raising awareness of such a presentation of COVID-19 patients is crucial during this pandemic period to prevent infectious spread, especially in hospitals.

摘要

2019冠状病毒病(COVID-19)会影响呼吸系统。对这种感染的临床特征进行研究后发现,它对神经系统具有嗜性,而神经系统会导致神经和感觉损伤,尤其是头晕和听力损失。旨在确定感染COVID-19的医护人员(HCP)中以头晕和听力损失为表现的神经功能障碍的发生率和特征。于2020年9月至2020年12月期间,在突尼斯的查尔斯·尼科勒医院(CNH)对感染COVID-19的医护人员开展了一项横断面描述性研究。在这些医护人员进行隔离期间,通过定期电话随访他们的COVID-19症状来收集数据。共收集到482例感染COVID-19的医护人员。研究人群的平均年龄为41±10岁,其中男性111例(23%),女性371例(77%)。主要的神经表现为:头痛(71.2%)、嗅觉丧失(60%)、头晕(21.8%)和听力损失(1.5%)。眩晕患者年龄显著更大(P=0.035)、女性居多(P=0.003)、肥胖者更多(P=0.014)、合并症更多(P=0.004)且职业资历更老(P=0.009)。头晕与发热(P=0.001)、腹痛(P=0.001)和血氧饱和度下降(P=0.039)显著相关。包括头晕和听力损失在内的神经症状可能是识别COVID-19病例的唯一迹象。在这一疫情期间,提高对COVID-19患者这种表现的认识对于预防感染传播至关重要,尤其是在医院环境中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f21/11444073/d56c3fbea7f1/PAMJ-48-65-g001.jpg

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