Cargando…
Prevalence and risk indicators of first-wave COVID-19 among oral health-care workers: A French epidemiological survey
BACKGROUND: Previous studies have highlighted the increased risk of contracting the COVID-19 for health-care workers and suggest that oral health-care workers may carry the greatest risk. Considering the transmission route of the SARS-CoV-2 infection, a similar increased risk can be hypothesized for...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7877573/ https://www.ncbi.nlm.nih.gov/pubmed/33571264 http://dx.doi.org/10.1371/journal.pone.0246586 |
_version_ | 1783650194374524928 |
---|---|
author | Jungo, Sébastien Moreau, Nathan Mazevet, Marco E. Ejeil, Anne-Laure Biosse Duplan, Martin Salmon, Benjamin Smail-Faugeron, Violaine |
author_facet | Jungo, Sébastien Moreau, Nathan Mazevet, Marco E. Ejeil, Anne-Laure Biosse Duplan, Martin Salmon, Benjamin Smail-Faugeron, Violaine |
author_sort | Jungo, Sébastien |
collection | PubMed |
description | BACKGROUND: Previous studies have highlighted the increased risk of contracting the COVID-19 for health-care workers and suggest that oral health-care workers may carry the greatest risk. Considering the transmission route of the SARS-CoV-2 infection, a similar increased risk can be hypothesized for other respiratory infections. However, no study has specifically assessed the risk of contracting COVID-19 within the dental profession. METHODS: An online survey was conducted within a population of French dental professionals between April 1 and April 29, 2020. Univariable and multivariable logistic regression analyses were performed to explore risk indicators associated with laboratory-confirmed COVID-19 and COVID-19-related clinical phenotypes (i.e. phenotypes present in 15% or more of SARS-CoV-2-positive cases). RESULTS: 4172 dentists and 1868 dental assistants responded to the survey, representing approximately 10% of French oral health-care workers. The prevalence of laboratory-confirmed COVID-19 was 1.9% for dentists and 0.8% for dental assistants. Higher prevalence was found for COVID-19-related clinical phenotypes both in dentists (15.0%) and dental assistants (11.8%). Chronic kidney disease and obesity were associated with increased odds of laboratory-confirmed COVID-19, whereas working in a practice limited to endodontics was associated with decreased odds. Chronic obstructive pulmonary disease, use of public transportation and having a practice limited to periodontology were associated with increased odds of presenting a COVID-19-related clinical phenotype. Moreover, changes in work rhythm or clinical practice were associated with decreased odds of both outcomes. CONCLUSIONS: Although oral health-care professionals were surprisingly not at higher risk of COVID-19 than the general population, specific risk indicators could exist, notably among high aerosol-generating dental subspecialties such as periodontology. Considering the similarities between COVID-19-related clinical phenotypes other viral respiratory infections, lessons can be learned from the COVID-19 pandemic regarding the usefulness of equipping and protecting oral health-care workers, notably during seasonal viral outbreaks, to limit infection spread. IMPACT: Results from this study may provide important insights for relevant health authorities regarding the overall infection status of oral health-care workers in the current pandemic and draw attention to particular at-risk groups, as illustrated in the present study. Protecting oral health-care workers could be an interesting public health strategy to prevent the resurgence of COVID-19 and/or the emergence of new pandemics. |
format | Online Article Text |
id | pubmed-7877573 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-78775732021-02-19 Prevalence and risk indicators of first-wave COVID-19 among oral health-care workers: A French epidemiological survey Jungo, Sébastien Moreau, Nathan Mazevet, Marco E. Ejeil, Anne-Laure Biosse Duplan, Martin Salmon, Benjamin Smail-Faugeron, Violaine PLoS One Research Article BACKGROUND: Previous studies have highlighted the increased risk of contracting the COVID-19 for health-care workers and suggest that oral health-care workers may carry the greatest risk. Considering the transmission route of the SARS-CoV-2 infection, a similar increased risk can be hypothesized for other respiratory infections. However, no study has specifically assessed the risk of contracting COVID-19 within the dental profession. METHODS: An online survey was conducted within a population of French dental professionals between April 1 and April 29, 2020. Univariable and multivariable logistic regression analyses were performed to explore risk indicators associated with laboratory-confirmed COVID-19 and COVID-19-related clinical phenotypes (i.e. phenotypes present in 15% or more of SARS-CoV-2-positive cases). RESULTS: 4172 dentists and 1868 dental assistants responded to the survey, representing approximately 10% of French oral health-care workers. The prevalence of laboratory-confirmed COVID-19 was 1.9% for dentists and 0.8% for dental assistants. Higher prevalence was found for COVID-19-related clinical phenotypes both in dentists (15.0%) and dental assistants (11.8%). Chronic kidney disease and obesity were associated with increased odds of laboratory-confirmed COVID-19, whereas working in a practice limited to endodontics was associated with decreased odds. Chronic obstructive pulmonary disease, use of public transportation and having a practice limited to periodontology were associated with increased odds of presenting a COVID-19-related clinical phenotype. Moreover, changes in work rhythm or clinical practice were associated with decreased odds of both outcomes. CONCLUSIONS: Although oral health-care professionals were surprisingly not at higher risk of COVID-19 than the general population, specific risk indicators could exist, notably among high aerosol-generating dental subspecialties such as periodontology. Considering the similarities between COVID-19-related clinical phenotypes other viral respiratory infections, lessons can be learned from the COVID-19 pandemic regarding the usefulness of equipping and protecting oral health-care workers, notably during seasonal viral outbreaks, to limit infection spread. IMPACT: Results from this study may provide important insights for relevant health authorities regarding the overall infection status of oral health-care workers in the current pandemic and draw attention to particular at-risk groups, as illustrated in the present study. Protecting oral health-care workers could be an interesting public health strategy to prevent the resurgence of COVID-19 and/or the emergence of new pandemics. Public Library of Science 2021-02-11 /pmc/articles/PMC7877573/ /pubmed/33571264 http://dx.doi.org/10.1371/journal.pone.0246586 Text en © 2021 Jungo et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Jungo, Sébastien Moreau, Nathan Mazevet, Marco E. Ejeil, Anne-Laure Biosse Duplan, Martin Salmon, Benjamin Smail-Faugeron, Violaine Prevalence and risk indicators of first-wave COVID-19 among oral health-care workers: A French epidemiological survey |
title | Prevalence and risk indicators of first-wave COVID-19 among oral health-care workers: A French epidemiological survey |
title_full | Prevalence and risk indicators of first-wave COVID-19 among oral health-care workers: A French epidemiological survey |
title_fullStr | Prevalence and risk indicators of first-wave COVID-19 among oral health-care workers: A French epidemiological survey |
title_full_unstemmed | Prevalence and risk indicators of first-wave COVID-19 among oral health-care workers: A French epidemiological survey |
title_short | Prevalence and risk indicators of first-wave COVID-19 among oral health-care workers: A French epidemiological survey |
title_sort | prevalence and risk indicators of first-wave covid-19 among oral health-care workers: a french epidemiological survey |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7877573/ https://www.ncbi.nlm.nih.gov/pubmed/33571264 http://dx.doi.org/10.1371/journal.pone.0246586 |
work_keys_str_mv | AT jungosebastien prevalenceandriskindicatorsoffirstwavecovid19amongoralhealthcareworkersafrenchepidemiologicalsurvey AT moreaunathan prevalenceandriskindicatorsoffirstwavecovid19amongoralhealthcareworkersafrenchepidemiologicalsurvey AT mazevetmarcoe prevalenceandriskindicatorsoffirstwavecovid19amongoralhealthcareworkersafrenchepidemiologicalsurvey AT ejeilannelaure prevalenceandriskindicatorsoffirstwavecovid19amongoralhealthcareworkersafrenchepidemiologicalsurvey AT biosseduplanmartin prevalenceandriskindicatorsoffirstwavecovid19amongoralhealthcareworkersafrenchepidemiologicalsurvey AT salmonbenjamin prevalenceandriskindicatorsoffirstwavecovid19amongoralhealthcareworkersafrenchepidemiologicalsurvey AT smailfaugeronviolaine prevalenceandriskindicatorsoffirstwavecovid19amongoralhealthcareworkersafrenchepidemiologicalsurvey |