scholarly journals A Questionnaire Survey of Personal and Occupational Variables Associated With SARS-COV-2 Infection in Health Care Personnel of the Spanish Central Military Hospital

2021 ◽  
Author(s):  
Mj Ajejas Bazán ◽  
C Fuentes Mora ◽  
L E Ballester Orcal ◽  
M Puerro Vicente ◽  
L Herrero Pérez ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Worker ◽  
Military Hospital ◽  
Military Academy ◽  
Surgical Specialty ◽  
Group Type ◽  
Care Workers ◽  
Care Worker ◽  
E Mail ◽  
Control Study

ABSTRACT Introduction Spain is the country with the highest number of health care workers affected by coronavirus disease 2019 (COVID-19) in the world. The aim of this study was to describe the epidemiology of severe acute respiratory syndrome coronavirus 2 (SARS-COV-2) infection in health care worker (HCW) at the Gómez Ulla Military Hospital (HCDGU). Materials and Methods A case-control study was conducted during the first outbreak of COVID 19 at GUMH. The study was extended to the total number of HCW in the hospital who met the inclusion criteria. Health care worker of the HCDGU were civilian and military personnel that included nursing and medicine students of Spanish Military Academy, medicine specialty residents, and nursing residents of Medical Surgical Specialty in Operations (EMQO). A questionnaire of 33 items was prepared. The questionnaire was sent by e-mail to the entire population of study. With this questionnaire personnel were classified into sick (cases) or healthy. Results and Conclusions One hundred fifty professionals answered the questionnaire. Cases were defined as those who tested positive in the diagnostic tests (n = 28, 20.7%) and no cases were those who tested negative (n = 107, 79.3%). Therefore, the percentage of SARS-CoV-2 in the GUMH was 20.7%. Of the total number of cases, 64.3% were men (P < .05), with a mean age of 47.1 years (SD 13.3), a mean BMI of 25.3 (SD 3.8), and 48.2% being overweight. Of the total cases, 59.3% had “A” blood group type and 69.2% were Rh positive. 50% were physicians, 32.1% were nurses, and 17.9% were auxiliary nurses (P < .05). Cases and controls with vitamin D deficiency and who took supplements had a lower risk of suffering COVID-19, with significant differences. Fever, cough, and diarrhea were found in at least 50% of the samples with significant differences.

scholarly journals Prevalence and Risk Factors Associated With Sars-cov-2 Infection in Healthcare Personnel of the Spanish Central Military Hospital. Results of a Case-control Study

2021 ◽  
Author(s):  
MARIA JULIA AJEJAS BAZAN ◽  
CARLOS FUENTES MORA ◽  
LUCÍA ELENA BALLESTER ORCAL ◽  
JULIA WÄRNBERG ◽  
LUIS HERRERO PÉREZ ◽  
...  
Keyword(s):  
Ad Hoc ◽  
Case Control Study ◽  
Case Control ◽  
Healthcare Personnel ◽  
Military Hospital ◽  
Military Academy ◽  
Surgical Specialty ◽  
Group Type ◽  
Care Workers ◽  
Control Study

Abstract Background. Spain is the country with the highest number of health care workers affected by COVID-19 disease in the world. The aim of this study was to describe the epidemiology of SARS-COV-2 infection in HCW at the Gómez Ulla Military Hospital. Methods. A case-control study was conducted during the first outbreak of COVID 19 at GUMH. The study was extended to the total number of HCW in the hospital who met the inclusion criteria. HCW of the GUMH were civilian and military personnel that included Nursing and Medicine students of Spanish Military Academy, Medicine specialty residents and Nursing residents of Medical Surgical Specialty in Operations (EMQO). An ad hoc questionnaire of 33 items was made up. The questionnaire was sent by e-mail to the entire population of study. With this questionnaire personnel were classified into sick (cases) or healthy (controls). Results and Conclusions. 150 professionals answered the questionnaire. Cases were defined as those who tested positive in the diagnostic tests (n=28, 20.7 %) and controls were those who tested negative (n=107, 79.3 %). Therefore, the prevalence of SARS-CoV-2 in the GUMH was 20.7 %. Of the total number of cases, 64.3 % were men (p<0.05), with a mean age of 47.1 (SD 13.3), with a mean BMI of 25.3 (SD 3.8), 48.2 % were overweighted. Of the total cases, 59.3 % had A blood group type and 69.2 % were Rh positive. 50 % were physicians, 32.1 % were nurses and 17.9 % were auxiliary nurses (p<0.05). Cases and controls with vitamin D deficiency and who took supplements had a lower risk of suffering COVID-19, with significant differences. Fever, cough and diarrhea were found in at least 50% of the sample with significant differences.

scholarly journals A COVID-19 Infection Risk Model for Frontline Health Care Workers

2020 ◽  
Author(s):  
Louie Florendo Dy ◽  
Jomar Fajardo Rabajante
Keyword(s):  
Health Care ◽  
Health Care Worker ◽  
Health Care Workers ◽  
Infection Risk ◽  
The Philippines ◽  
Interaction Time ◽  
Work Shift ◽  
Crowd Density ◽  
Care Workers ◽  
Care Worker

AbstractThe number of confirmed COVID-19 cases admitted in hospitals is continuously increasing in the Philippines. Frontline health care workers are faced with imminent risks of getting infected. In this study, we formulate a theoretical model to calculate the risk of being infected in health care facilities considering the following factors: the average number of encounters with a suspected COVID-19 patient per hour; interaction time for each encounter; work shift duration or exposure time; crowd density, which may depend on the amount of space available in a given location; and availability and effectiveness of protective gears and facilities provided for the frontline health care workers. Based on the simulation results, a set of risk assessment criteria is proposed to classify risks as ‘low’, ‘moderate’, or ‘high’. We recommend the following: (i) decrease the rate of patient encounter per frontline health care worker, e.g., maximum of three encounters per hour in a 12-hour work shift duration; (ii) decrease the interaction time between the frontline health care worker and the patients, e.g., less than 40 minutes for the whole day; (iii) increase the clean and safe space for social distancing, e.g., maximum of 10% crowd density, and if possible, implement compartmentalization of patients; and/or (iv) provide effective protective gears and facilities, e.g., 95% effective, that the frontline health care workers can use during their shift. Moreover, the formulated model can be used for other similar scenarios, such as identifying infection risk in public transportation, school classroom settings, offices, and mass gatherings.

scholarly journals Will Universal Access to Antiretroviral Therapy Ever be Possible? The Health Care Worker Challenge

2010 ◽  
Vol 21 (1) ◽  
pp. e64-e69 ◽  
Author(s):  
André R Maddison ◽  
Walter F Schlech
Keyword(s):  
Health Care ◽  
Antiretroviral Therapy ◽  
Health Care Worker ◽  
Health Care Workers ◽  
Universal Access ◽  
Sub Saharan Africa ◽  
Development Goal ◽  
Care Workers ◽  
Sub Saharan ◽  
Care Worker

The United Nations millennium development goal of providing universal access to antiretroviral therapy (ART) for patients living with HIV/AIDS by 2010 is unachievable. Currently, four million people are receiving ART, of an estimated 13.7 million who need it. A major challenge to achieving this goal is the shortage of health care workers in low-income and low-resource areas of the world. Sub-Saharan African countries have 68% of the world’s burden of illness from AIDS, yet have only 3% of health care workers worldwide. The shortage of health care providers is primarily caused by a national and international ‘brain drain,’ poor distribution of health care workers within countries, and health care worker burnout.Even though the millennium development goal to provide universal access to ART will not be met by 2010, it is imperative to continue to build on the momentum created by these humanitarian goals. The present literature review was written with the purpose of attracting research and policy attention toward evidence from small-scale projects in sub-Saharan Africa, which have been successful at increasing access to ART. Specifically, a primary-care model of ART delivery, which focuses on decentralization of services, task shifting and community involvement will be discussed. To improve the health care worker shortage in sub-Saharan Africa, the conventional model of health care delivery must be replaced with an innovative model that utilizes doctors, nurses and community members more effectively.

scholarly journals Meta Analysis on Knowledge, Attitude, Practice and Perception towards COVID-19 among Health Care Workers

2020 ◽  
Vol 4 (1) ◽  
pp. 133-142
Author(s):  
Saraswati Basnet
Keyword(s):  
Health Care ◽  
Health Care Worker ◽  
Health Care Workers ◽  
Positive Attitude ◽  
Meta Analysis ◽  
Poor Knowledge ◽  
Care Workers ◽  
Knowledge And Practice ◽  
Almost All ◽  
Care Worker

 Corona virus that causes illness ranging from the common cold to more severe diseases, is a newly discovered ribonucleic acid corona virus named 2019-nCoV.SARS-CoV-2. The aim of the meta-analysis is to evaluate the knowledge, attitude, practice and perception towards Covid-19 among health care worker (HCWs) by performing a systematic Meta analysis of related published literature. The Meta analysis was done only on involved sample of at least 327 to 1357 and total 4005 subjects and diverse research design were eligible among the 8 full-text articles. A formal extraction protocol was the PRISMA-P. Most of the HCWs were nurses, doctors and paramedic and females (54.9%). Nearly half (44.4%) were nurses, 36.8% were doctors and only 18.8% were pharmacists & technician. Most of (87.1%) of the health care workers had good knowledge, almost all had positive attitude, 87.4% had positive practice and almost all had positive perception in terms of perception of Covid-19. Similarly less than one forth (12.9%) of health care worker had poor knowledge, less than one forth (12.5%) had poor practice respectively. The studies concluded that almost all of the HCWs had good knowledge, good practice, positive attitude and perception towards covid-19. A few HCWs had poor knowledge and practice, so training program could improve knowledge and practice.

scholarly journals Combating the pandemic of COVID-19 in India: health care worker perspective

2020 ◽  
Vol 7 (7) ◽  
pp. 2797
Author(s):  
Barsha Gadapani Pathak ◽  
Rukman M. Manapurath
Keyword(s):  
Health Care ◽  
Health System ◽  
Health Care System ◽  
Health Care Worker ◽  
Health Care Workers ◽  
Epidemic Model ◽  
Ventilatory Support ◽  
Front Line ◽  
Care Workers ◽  
Care Worker

As the pandemic of COVID-19 intensifies there is a huge burden on the health care system of each country. As predicted by epidemic model, India with 1.3 billion population and only 0.76 doctors per thousand people will have 1 million people affected by COVID-19 needing ventilatory support. This situation focusses on the substantial thrust on health care workers in India while dealing with the pandemic and protection of the health care workers from COVID-19 infection is significant as they are the key-groups in health system to procure win-battle status against COVID-19. Henceforth, after meticulously comparing various countries’ strategies to protect their HCWs this brief study is being prepared and few recommendations has been suggested which may enable the protection of HCWs in India. Un-interrupted supply of appropriate PPE, phenomenon of presenteeism among HCWs, burn-outs among HCWs, front-line department protocol for protection of HCWs, need of constant psycho-analysis among HCWs, stigma in society for HCWs, prophylaxis for HCWs against COVID-19 and HCWs’ family concerns are some of the issues which are being highlighted in this paper.

scholarly journals Patient-collected tongue, nasal, and mid-turbinate swabs for SARS-CoV-2 yield equivalent sensitivity to health care worker collected nasopharyngeal swabs

2020 ◽  
Author(s):  
YP Tu ◽  
R Jennings ◽  
B Hart ◽  
GA Cangelosi ◽  
RC Wood ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Worker ◽  
Correlation Coefficients ◽  
High Sensitivity ◽  
Urgent Care ◽  
Upper Respiratory Infection ◽  
Care Workers ◽  
Risk Of Exposure ◽  
Care Worker ◽  
Positive Results

ABSTRACTBackgroundCurrent testing for SARS-CoV-2 requires health care workers to collect a nasopharyngeal (NP) sample from a patient. NP sampling requires the use of personal protective equipment that are in limited supply, is uncomfortable for the patient, and reduces clinical efficiency. This study explored the equivalency of patient-collected tongue, anterior nares (nasal), and mid-turbinate (MT) samples to health care worker-collected NP samples for detecting SARS-CoV-2.MethodsPatients presenting to five urgent care facilities with symptoms indicative of an upper respiratory infection provided self-collected samples from three anatomic sites along with a health care worker-collected NP sample. Using NP as the comparator, sensitivities and one-sided 95% confidence intervals for the tongue, nasal, and MT samples for detection of SARS-CoV-2 were calculated.ResultsThe sensitivity for detecting SARS-CoV-2 in patient-collected tongue, nasal, and mid-turbinate samples was 89.8% (95% CI: 80.2 -100.0), 94.0 (95% CI: 84.6-100.0) and 96.2 (95% CI: 87.7-100.0), respectively. Among samples yielding positive results, cycle threshold (Ct) values (a measure of viral load) had correlation coefficients of 0.48, 0.78, and 0.86 between the NP samples and the tongue, nasal, and MT samples, respectively.ConclusionsPatient-collected nasal and MT samples demonstrated high sensitivity for SARS-CoV-2 detection using health care worker-collected NP samples as the comparator. Among patients testing positive with NP samples, nasal and MT Ct values demonstrated high correlations with those Ct values of the NP samples. Patient-collected nasal or MT sampling may improve efficiency for COVID-19 testing while reducing the risk of exposure of the health workforce.

scholarly journals Persistence and baseline determinants of seropositivity in health care workers up to nine months after COVID-19

2021 ◽  
Author(s):  
Carlota Dobaño ◽  
Anna Ramirez ◽  
Selena Alonso ◽  
Josep Vidal-Alaball ◽  
Gemma Ruiz-Olalla ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Worker ◽  
Health Care Workers ◽  
Antibody Responses ◽  
Primary Health Care Worker ◽  
Primary Health ◽  
Care Workers ◽  
Antibody Levels ◽  
Care Worker

Abstract We determined the duration and baseline determinants of antibody responses to SARS-CoV-2 up to nine months after COVID-19 symptoms onset in 173 primary health care worker patients from Spain. Seropositivity to SARS-CoV-2 spike and RBD antigens was 92.49% (60.69% IgM, 76.3% IgA, 90.17% IgG), with four suspected reinfection cases. Antibody levels significantly correlated with fever, hospitalization, anosmia/hypogeusia, allergies, smoking and occupation, and persisted 149-270 days in this cohort of patients

scholarly journals A Digitally Competent Health Workforce: Scoping Review of Educational Frameworks

10.2196/22706 ◽  
2020 ◽  
Vol 22 (11) ◽  
pp. e22706
Author(s):  
Nuraini Nazeha ◽  
Deepali Pavagadhi ◽  
Bhone Myint Kyaw ◽  
Josip Car ◽  
Geronimo Jimenez ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Worker ◽  
Health Care Workers ◽  
Digital Health ◽  
Health Training ◽  
Health Technologies ◽  
Competency Frameworks ◽  
Care Workers ◽  
Competency Domains ◽  
Care Worker

Background Digital health technologies can be key to improving health outcomes, provided health care workers are adequately trained to use these technologies. There have been efforts to identify digital competencies for different health care worker groups; however, an overview of these efforts has yet to be consolidated and analyzed. Objective The review aims to identify and study existing digital health competency frameworks for health care workers and provide recommendations for future digital health training initiatives and framework development. Methods A literature search was performed to collate digital health competency frameworks published from 2000. A total of 6 databases including gray literature sources such as OpenGrey, ResearchGate, Google Scholar, Google, and websites of relevant associations were searched in November 2019. Screening and data extraction were performed in parallel by the reviewers. The included evidence is narratively described in terms of characteristics, evolution, and structural composition of frameworks. A thematic analysis was also performed to identify common themes across the included frameworks. Results In total, 30 frameworks were included in this review, a majority of which aimed at nurses, originated from high-income countries, were published since 2016, and were developed via literature reviews, followed by expert consultations. The thematic analysis uncovered 28 digital health competency domains across the included frameworks. The most prevalent domains pertained to basic information technology literacy, health information management, digital communication, ethical, legal, or regulatory requirements, and data privacy and security. The Health Information Technology Competencies framework was found to be the most comprehensive framework, as it presented 21 out of the 28 identified domains, had the highest number of competencies, and targeted a wide variety of health care workers. Conclusions Digital health training initiatives should focus on competencies relevant to a particular health care worker group, role, level of seniority, and setting. The findings from this review can inform and guide digital health training initiatives. The most prevalent competency domains identified represent essential interprofessional competencies to be incorporated into health care workers’ training. Digital health frameworks should be regularly updated with novel digital health technologies, be applicable to low- and middle-income countries, and include overlooked health care worker groups such as allied health professionals.

Sign in / Sign up

Export Citation Format

Share Document