دورية أكاديمية
أعرض في EDS

Front-Line vs Second-Line Healthcare Workers: Susceptibility Prediction to COVID-19 Infection in a Tertiary Care Teaching Institute.

التفاصيل البيبلوغرافية
العنوان: Front-Line vs Second-Line Healthcare Workers: Susceptibility Prediction to COVID-19 Infection in a Tertiary Care Teaching Institute.
المؤلفون: Sarkar MK; General Medicine, All India Institute of Medical Sciences, Deoghar, Deoghar, IND., Arun Babu T; Pediatrics, All India Institute of Medical Sciences, Mangalagiri, Mangalagiri, IND., Dey S; Dentistry, All India Institute of Medical Sciences, Deoghar, Deoghar, IND., Upparakadiyala R; General Medicine, All India Institute of Medical Sciences, Mangalagiri, Mangalagiri, IND., Lingaiah P; Orthopaedics, All India Institute of Medical Sciences, Mangalagiri, Mangalagiri, IND., Venugopal V; Community and Family Medicine, All India Institute of Medical Sciences, Deoghar, Deoghar, IND.
المصدر: Cureus [Cureus] 2023 Apr 21; Vol. 15 (4), pp. e37915. Date of Electronic Publication: 2023 Apr 21 (Print Publication: 2023).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Cureus, Inc Country of Publication: United States NLM ID: 101596737 Publication Model: eCollection Cited Medium: Print ISSN: 2168-8184 (Print) Linking ISSN: 21688184 NLM ISO Abbreviation: Cureus Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Palo Alto, CA : Cureus, Inc.
مستخلص: Background Since the beginning of the novel coronavirus disease in Wuhan city of China in 2019 and its spreading worldwide and taking the form of a pandemic, many healthcare workers (HCWs) were affected by coronavirus disease 2019 (COVID-19) infection. Though we have used many types of personal protective equipment (PPE) kits while taking care of COVID-19 patients, we have seen COVID-19 susceptibility in different working areas were different. The pattern of infection in different working areas depended on HCWs following COVID-19 appropriate behavior. Therefore, we planned to estimate the susceptibility of front-line HCWs and second-line HCWs to getting COVID-19 infection. Aim To determine the risk of COVID-19 in front-line healthcare workers as compared to second-line healthcare workers. Method and materials We planned a retrospective cross-sectional analysis of COVID-19-positive healthcare workers from our institute within six months. Their nature of duty was analyzed and they were divided into two groups: 1) Front-line HCWs were defined as those who were working or who have worked in screening areas of the outpatient department (OPD) or COVID-19 isolation wards within the prior 14 days and provided direct care to patients with confirmed or suspected COVID-19. 2) Second-line HCWs were those who were working in the general OPD or non-COVID-19 areas of our hospital and did not have contact with COVID-19-positive patients. Results A total of 59 HCWs became COVID-19 positive during the study period, 23 as front-line and 36 as second-line HCWs. The mean (SD) duration of work as a front-line worker was 51 and as a second-line worker was 84.4 hours. Fever, cough, body ache, loss of taste, loose stools, palpitation, throat pain, vertigo, vomiting, lung disease, generalized weakness, breathing difficulty, loss of smell, headache, and running nose were present in 21 (35.6%), 15 (25.4%), 9 (15.3%), 10 (16.9%), 3 (5.1%), 5 (8.5%), 5 (8.5%), 1 (1.7%), 4 (6.8%), 2 (3.4%), 11 (18.6%), 4 (6.8%), 9 (15.3%), 6 (10.2%) and 3 (5.1%), respectively. To predict the risk of getting COVID-19 infection in HCWs, binary logistic regression with COVID-19 diagnosis as the output variable was modeled with hours of working in COVID-19 wards as front-line and second-line workers as independent variables. The results showed that there was a 1.18 times increased risk of acquiring the disease for every one-hour excess of working as a front-line worker, whereas, for second-line workers, it was slightly lower, with a 1.11 times increased risk for developing COVID-19 disease with every one hour increase in duty hours. Both these associations were statistically significant (p=0.001 for front-line and 0.006 for second-line HCWs). Conclusion COVID-19 has taught us the importance of COVID-19 appropriate behavior in preventing the spread of respiratory organisms. Our study has shown that both the front-line and second-line HCWs are at increased risk of getting the infection and proper use of a PPE kit or mask can decrease the spread of such respiratory pathogens.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2023, Sarkar et al.)
References: Lancet. 2020 May 2;395(10234):1418-1420. (PMID: 32305073)
Am J Epidemiol. 2021 Jan 4;190(1):161-175. (PMID: 32870978)
J Community Health. 2020 Aug;45(4):675-683. (PMID: 32440724)
MMWR Morb Mortal Wkly Rep. 2020 Apr 17;69(15):477-481. (PMID: 32298247)
J Hosp Infect. 2020 May 22;:. (PMID: 32450193)
Lancet. 2016 Sep 3;388(10048):994-1001. (PMID: 27402381)
J R Coll Physicians Edinb. 2021 Jun;51(2):199-207. (PMID: 34131685)
Int J Surg. 2020 Jul;79:156-161. (PMID: 32447002)
Lancet. 2020 Mar 21;395(10228):922. (PMID: 32199474)
Cochrane Database Syst Rev. 2020 May 15;5:CD011621. (PMID: 32412096)
Lancet Public Health. 2020 Sep;5(9):e475-e483. (PMID: 32745512)
Euro Surveill. 2020 Mar;25(12):. (PMID: 32234119)
JAMA. 2009 Jan 7;301(1):36-8. (PMID: 19126810)
JAMA Netw Open. 2020 Jul 1;3(7):e2013807. (PMID: 32716517)
JAMA. 2020 May 26;323(20):2087-2089. (PMID: 32301962)
BMJ. 2020 Apr 3;369:m1367. (PMID: 32245847)
Intensive Care Med. 2020 May;46(5):854-887. (PMID: 32222812)
Anaesthesia. 2020 Jul;75(7):920-927. (PMID: 32246849)
Ann Intern Med. 2021 Feb;174(2):286-287. (PMID: 33587872)
Med Leg J. 2020 Jul;88(2):65-66. (PMID: 32441196)
N Engl J Med. 2020 Mar 19;382(12):1177-1179. (PMID: 32074444)
JAMA Netw Open. 2020 May 1;3(5):e209666. (PMID: 32437575)
J Crit Care. 2020 Oct;59:70-75. (PMID: 32570052)
Int J Clin Pract. 2020 Oct;74(10):e13578. (PMID: 32511834)
Lancet Glob Health. 2020 May;8(5):e641-e642. (PMID: 32199072)
Influenza Other Respir Viruses. 2020 Jul;14(4):474-475. (PMID: 32246886)
BMC Public Health. 2021 Jan 9;21(1):104. (PMID: 33422039)
فهرسة مساهمة: Keywords: covid appropriate behaviour; covid susceptibility; covid-19; front-line healthcare worker; sars-cov-2 (severe acute respiratory syndrome coronavirus-2); second-line healthcare worker
تواريخ الأحداث: Date Created: 20230523 Latest Revision: 20230525
رمز التحديث: 20230525
مُعرف محوري في PubMed: PMC10200018
DOI: 10.7759/cureus.37915
PMID: 37220464
قاعدة البيانات: MEDLINE
الوصف
تدمد:2168-8184
DOI:10.7759/cureus.37915