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Healthcare Workers’ Vulnerability to SARS-CoV-2 in Western Romania: A Study on Incidence and Risk Factors for Non-Vaccination and Reinfection
PURPOSE: The COVID-19 pandemic has severely impacted healthcare workers, a professional category at risk of infection in both hospital and community settings. The aim of the study was to compare morbidity among hospital staff and that in general population, as well as the factors predicting non-vacc...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10693272/ https://www.ncbi.nlm.nih.gov/pubmed/38045906 http://dx.doi.org/10.2147/IJGM.S442098 |
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author | Gal-Nădășan, Emanuela-Georgiana Popescu, Irina-Maria Bădițoiu, Luminița Mirela Gal-Nădășan, Norbert Cioca, Flavius Popovici, Emilian Damian Dinu, Anca-Raluca Horhat, Florin George Margan, Mădălin-Marius Vulcănescu, Dan Dumitru Anghel, Andrei Marian, Cătălin Căpraru, Ionuț Dragoș |
author_facet | Gal-Nădășan, Emanuela-Georgiana Popescu, Irina-Maria Bădițoiu, Luminița Mirela Gal-Nădășan, Norbert Cioca, Flavius Popovici, Emilian Damian Dinu, Anca-Raluca Horhat, Florin George Margan, Mădălin-Marius Vulcănescu, Dan Dumitru Anghel, Andrei Marian, Cătălin Căpraru, Ionuț Dragoș |
author_sort | Gal-Nădășan, Emanuela-Georgiana |
collection | PubMed |
description | PURPOSE: The COVID-19 pandemic has severely impacted healthcare workers, a professional category at risk of infection in both hospital and community settings. The aim of the study was to compare morbidity among hospital staff and that in general population, as well as the factors predicting non-vaccination and reinfection. PATIENTS AND METHODS: The present study is a retrospective, cross-sectional study. It was conducted by including all the confirmed COVID-19 infection cases in medical staff members during the period 01.01.2021–31.03.2022 that were reported to the Public Health Authority of Timis County, Timisoara, Western Romania. RESULTS: Direct, strong, statistically significant correlations were found between the incidence of COVID-19 recorded in all categories of medical personnel and the community pandemic trend, with maximum values for auxiliary and medium medical staff (rho = 0.852/0.821, p < 0.001). The high socio-economic level, as well as the advanced medical education level, were predictor factors for anti-SARS-COV-2 vaccination among the personnel. The non-vaccinated status as well as incomplete vaccination or even the 2-dose vaccination represented independent risk factors for reinfection in 2022. Conversely, receiving a higher number of vaccine doses emerged as the primary protective factor. Notably, reduced adherence to the administration of the following doses was observed particularly among medium and auxiliary staff, leading to additional risks of infection with the Omicron variant. CONCLUSION: Despite over 70% vaccination coverage among all studied medical personnel categories, there was low adherence to repeat doses of vaccination, particularly among medium and auxiliary staff. The study highlighted a distinct necessity for enhanced training on preventive behaviours and targeted prevention/control strategies for all professional groups interacting with patients, including caretakers, ambulance workers, receptionists, physiotherapists, and psychologists. |
format | Online Article Text |
id | pubmed-10693272 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Dove |
record_format | MEDLINE/PubMed |
spelling | pubmed-106932722023-12-03 Healthcare Workers’ Vulnerability to SARS-CoV-2 in Western Romania: A Study on Incidence and Risk Factors for Non-Vaccination and Reinfection Gal-Nădășan, Emanuela-Georgiana Popescu, Irina-Maria Bădițoiu, Luminița Mirela Gal-Nădășan, Norbert Cioca, Flavius Popovici, Emilian Damian Dinu, Anca-Raluca Horhat, Florin George Margan, Mădălin-Marius Vulcănescu, Dan Dumitru Anghel, Andrei Marian, Cătălin Căpraru, Ionuț Dragoș Int J Gen Med Original Research PURPOSE: The COVID-19 pandemic has severely impacted healthcare workers, a professional category at risk of infection in both hospital and community settings. The aim of the study was to compare morbidity among hospital staff and that in general population, as well as the factors predicting non-vaccination and reinfection. PATIENTS AND METHODS: The present study is a retrospective, cross-sectional study. It was conducted by including all the confirmed COVID-19 infection cases in medical staff members during the period 01.01.2021–31.03.2022 that were reported to the Public Health Authority of Timis County, Timisoara, Western Romania. RESULTS: Direct, strong, statistically significant correlations were found between the incidence of COVID-19 recorded in all categories of medical personnel and the community pandemic trend, with maximum values for auxiliary and medium medical staff (rho = 0.852/0.821, p < 0.001). The high socio-economic level, as well as the advanced medical education level, were predictor factors for anti-SARS-COV-2 vaccination among the personnel. The non-vaccinated status as well as incomplete vaccination or even the 2-dose vaccination represented independent risk factors for reinfection in 2022. Conversely, receiving a higher number of vaccine doses emerged as the primary protective factor. Notably, reduced adherence to the administration of the following doses was observed particularly among medium and auxiliary staff, leading to additional risks of infection with the Omicron variant. CONCLUSION: Despite over 70% vaccination coverage among all studied medical personnel categories, there was low adherence to repeat doses of vaccination, particularly among medium and auxiliary staff. The study highlighted a distinct necessity for enhanced training on preventive behaviours and targeted prevention/control strategies for all professional groups interacting with patients, including caretakers, ambulance workers, receptionists, physiotherapists, and psychologists. Dove 2023-11-28 /pmc/articles/PMC10693272/ /pubmed/38045906 http://dx.doi.org/10.2147/IJGM.S442098 Text en © 2023 Gal-Nădășan et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). |
spellingShingle | Original Research Gal-Nădășan, Emanuela-Georgiana Popescu, Irina-Maria Bădițoiu, Luminița Mirela Gal-Nădășan, Norbert Cioca, Flavius Popovici, Emilian Damian Dinu, Anca-Raluca Horhat, Florin George Margan, Mădălin-Marius Vulcănescu, Dan Dumitru Anghel, Andrei Marian, Cătălin Căpraru, Ionuț Dragoș Healthcare Workers’ Vulnerability to SARS-CoV-2 in Western Romania: A Study on Incidence and Risk Factors for Non-Vaccination and Reinfection |
title | Healthcare Workers’ Vulnerability to SARS-CoV-2 in Western Romania: A Study on Incidence and Risk Factors for Non-Vaccination and Reinfection |
title_full | Healthcare Workers’ Vulnerability to SARS-CoV-2 in Western Romania: A Study on Incidence and Risk Factors for Non-Vaccination and Reinfection |
title_fullStr | Healthcare Workers’ Vulnerability to SARS-CoV-2 in Western Romania: A Study on Incidence and Risk Factors for Non-Vaccination and Reinfection |
title_full_unstemmed | Healthcare Workers’ Vulnerability to SARS-CoV-2 in Western Romania: A Study on Incidence and Risk Factors for Non-Vaccination and Reinfection |
title_short | Healthcare Workers’ Vulnerability to SARS-CoV-2 in Western Romania: A Study on Incidence and Risk Factors for Non-Vaccination and Reinfection |
title_sort | healthcare workers’ vulnerability to sars-cov-2 in western romania: a study on incidence and risk factors for non-vaccination and reinfection |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10693272/ https://www.ncbi.nlm.nih.gov/pubmed/38045906 http://dx.doi.org/10.2147/IJGM.S442098 |
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