مقاله انگلیسی رایگان در مورد اولین موج COVID-19 در کارکنان بیمارستان مراقبت های عالی – الزویر ۲۰۲۱

elsevier

 

مشخصات مقاله
ترجمه عنوان مقاله اولین موج COVID-19 در اعضای کارکنان بیمارستان های یک بیمارستان مراقبت های عالی در پاریس: مطالعه نظارت و عوامل خطر
عنوان انگلیسی مقاله The first wave of COVID-19 in hospital staff members of a tertiary care hospital in the greater Paris area: A surveillance and risk factors study
انتشار مقاله سال ۲۰۲۱
تعداد صفحات مقاله انگلیسی ۸ صفحه
هزینه دانلود مقاله انگلیسی رایگان میباشد.
پایگاه داده نشریه الزویر
نوع نگارش مقاله
مقاله پژوهشی (Research Article)
مقاله بیس این مقاله بیس میباشد
نمایه (index) Scopus – Master Journals List – JCR – DOAJ – MedLine
نوع مقاله ISI
فرمت مقاله انگلیسی  PDF
ایمپکت فاکتور(IF)
۲٫۸۵۹ در سال ۲۰۲۰
شاخص H_index ۸۹ در سال ۲۰۲۱
شاخص SJR ۱٫۲۷۸ در سال ۲۰۲۰
شناسه ISSN ۱۲۰۱-۹۷۱۲
شاخص Quartile (چارک) Q1 در سال ۲۰۲۰
مدل مفهومی دارد
پرسشنامه ندارد
متغیر ندارد
رفرنس دارد
رشته های مرتبط پزشکی
گرایش های مرتبط ایمونولوژی، اپیدمیولوژی
نوع ارائه مقاله
ژورنال
مجله  مجله بین المللی بیماریهای عفونی – International Journal of Infectious Diseases
دانشگاه Université Paris-Saclay, France
کلمات کلیدی کارگران بهداشت ، تجهیزات حفاظت شخصی ، اقدامات کنترل ، COVID-19 ، SARS-CoV-2
کلمات کلیدی انگلیسی Healthcare workers, Personal protective equipment, Control measures, COVID-19, SARS-CoV-2
شناسه دیجیتال – doi
https://doi.org/10.1016/j.ijid.2021.02.055
کد محصول E15466
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فهرست مطالب مقاله:

Highlights

Abstract

Keywords

Introduction

Methods

Results

Discussion

Funding

Conflicts of interest

Ethics approval

Consent to participate

Consent for publication

Availability of data and material

Code availability

Authors’ contribution

Appendix A

Acknowledgements

Supplementary data

References

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ABSTRACT

Introduction:
Understanding how hospital staff members (HSMs), including healthcare workers, acquired severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) during the first wave can guide the control measures in the current second wave in Europe.

Methods:
From March 5 to May 10, 2020, the Raymond-Poincaré Hospital held a weekday consultation for HSMs for PCR testing. HSMs were requested to complete a questionnaire on their potential exposure to SARS-CoV-2.

Results:
Of 200 HSMs screened, 70 tested positive for SARS-CoV-2. Ninety-nine HSMs completed the questionnaire of whom 28 tested positive for SARS-CoV-2. In the multivariable analysis, age of ۴۴ years (aOR = 5.2, 95% CI [1.4–۲۲٫۵]) and not systematically using a facemask when caring for a patient (aOR = 13.9, 95% CI [1.8–۲۹۳٫۰]) were significantly associated with SARS-CoV-2 infection. Working in a COVID19-dedicated ward (aOR = 0.7, 95% CI [0.2–۳٫۲]) was not significantly associated with infection. Community-related exposure in and outside the hospital, hospital meetings without facemasks (aOR = 21.3, 95% CI [4.5–۱۴۳٫۹]) and private gatherings (aOR = 10, 95% CI [1.3–۹۱٫۰]) were significantly associated with infection.

Conclusions:
Our results support the effectiveness of barrier precautions and highlight in-hospital infections not related to patient care and infections related to exposure in the community. Protecting HSMs against COVID-19 is crucial in fighting the second wave of the epidemic. © ۲۰۲۱ The Author(s). Published by Elsevier Ltd on behalf of International Society for Infectious Diseases. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-ncnd/4.0/).

Introduction

Healthcare workers (HCWs) are deemed to be at high risk of exposure to the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), with a potential risk of transmission to vulnerable patients (Keeley et al., 2020, Galmiche et al., 2020). In Japan, Furuse et al. have shown that 30% of clusters identified in reported Coronavirus Disease 2019 (COVID-19) cases are linked to healthcare facilities (Furuse et al., 2020). Hospitals have initiated infection control measures to protect HCWs, ensure workforce availability, and decrease in-hospital transmission risk. The Assistance Publique–Hôpitaux de Paris (AP-HP) university hospitals group is the largest public hospital system in Europe with 39 centres and 100,000 employees serving 8.3 million patients through a 20 000-bed capacity. In France, when the first patients infected with SARS-CoV-2 arrived from China and Italy in February 2020, AP-HP decided to prioritise testing COVID-19 for individuals suffering from unknown and severe pneumonia and organise a screening consultation for symptomatic HCWs. It was estimated that approximately 500 HCWs had been already infected at the AP-HP before the first lockdown in mid-March 2020. Along with standard precautions, droplet precautions for routine care and using personal protective equipment (PPE) such as wearing a medical mask, medical glasses or a face shield and overcoat, were implemented (Société française d’Hygiène Hospitalière, 2020).

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