巴基斯坦一家教学医院医护人员中的新冠病毒病及其对医疗系统的影响：一项横断面观察性研究
COVID-19 among health care workers and their impact on the health care system in a teaching hospital in Pakistan: A cross sectional observational study.
作者信息
Haq Faiz Ul, Rahman Saeed Ur, Imran Muhammad, Romman Muhammad, Shah Asaf, Aslam Zeenaf, Ullah Farman, Madadi Shekiba, Dino Steinmetz Carl Hermann, Cuschieri Sarah
机构信息
Department of Microbiology University of Health Sciences Lahore Pakistan.
Department of Nursing University of Health Sciences Lahore Pakistan.
出版信息
Health Sci Rep. 2022 Dec 2;6(1):e975. doi: 10.1002/hsr2.975. eCollection 2023 Jan.
BACKGROUND AND AIMS
Health care workers (HCWs) are thought to be high-risk population for acquiring coronavirus disease (COVID-19). The COVID-19 emergence has had a profound effect on healthcare system. We sought to investigate the COVID-19 among HCWs and their effects on the healthcare system.
METHODS
A cross sectional observational study was conducted at Timergara teaching hospital. The study included HCWs with positive real time polymerase chain reaction (Q-PCR) for severe acute respiratory syndrome coronavirus (SARS-CoV-2). The study duration was from April to September, 2020. The demographic profile of each recruited subject was collected through structured interview. The patient's admissions to hospital were collected for the 5 months before (October 2019-February 2020) and 5 months after lockdown (March-July 2020).
RESULTS
A total of 72 out of 689 (10%) HCWs were tested positive for SARS-CoV-2, of whom 83% were front-liners. The majority were male (72%), with comorbidities (14%) and no mortality. The structured interview of all participants showed that the healthcare setting was the major possible source of infection (97%). The patient admissions into the hospital were reduced by 42% during lockdown than prelockdown period. The patients admission was significantly decreased in the medical ward during lockdown (60% decrease; < 0.01) with slightly similar trends in other departments.
CONCLUSION
In conclusion, we found increased risk of COVID-19 for front-line HCWs. Lack of mortality was the favorable outcome. Lack of replacing the infected HCWs possibly explained the marked decrease in hospital admissions, and potential inadequate healthcare delivery during the lockdown. Understanding SARS-CoV-2 among HCWs and their impact on health-care system will be crucial for countries under COVID-19 crises or in case of future pandemic to deliver proper health services.
背景与目的
医护人员被认为是感染冠状病毒病（COVID-19）的高危人群。COVID-19的出现对医疗系统产生了深远影响。我们旨在调查医护人员中的COVID-19情况及其对医疗系统的影响。
方法
在蒂默加拉教学医院进行了一项横断面观察性研究。该研究纳入了严重急性呼吸综合征冠状病毒（SARS-CoV-2）实时聚合酶链反应（Q-PCR）检测呈阳性的医护人员。研究持续时间为2020年4月至9月。通过结构化访谈收集每位招募受试者的人口统计学资料。收集患者在封锁前5个月（2019年10月至2020年2月）和封锁后5个月（2020年3月至7月）的住院情况。
结果
689名医护人员中共有72人（10%）SARS-CoV-2检测呈阳性，其中83%为一线医护人员。大多数为男性（72%），有合并症的占14%，无死亡病例。对所有参与者的结构化访谈显示，医疗机构是主要的可能感染源（97%）。封锁期间患者入院人数比封锁前减少了42%。封锁期间内科病房的患者入院人数显著减少（减少60%；P<0.01），其他科室也有类似趋势。
结论
总之，我们发现一线医护人员感染COVID-19的风险增加。无死亡病例是一个有利结果。缺乏对感染医护人员的替代可能解释了住院人数的显著下降以及封锁期间潜在的医疗服务不足。了解医护人员中的SARS-CoV-2情况及其对医疗系统的影响，对于处于COVID-19危机中的国家或未来发生大流行时提供适当的医疗服务至关重要。
Zotero 插件