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The COVID-19 Impact in Hospital Healthcare Workers: Development of an Occupational Health Risk Management Program

As with the SARS-CoV-1 outbreak in 2003–2004 and the MERS outbreak in 2012, there were early reports of frequent transmission to healthcare workers (HCW) in the SARS-CoV-2 pandemic. Our hospital center identified its first COVID-19 confirmed case on March 9, 2020, in a 6-day hospitalized patient. Th...

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Autores principales: Mendonça-Galaio, Luís, Sacadura-Leite, Ema, Raposo, João, França, Diana, Correia, Ana, Lobo, Rodrigo, Soares, Jorge, Almeida, Clara, Shapovalova, Olena, Serranheira, Florentino, Sousa-Uva, António
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8247828/
http://dx.doi.org/10.1159/000515327
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author Mendonça-Galaio, Luís
Sacadura-Leite, Ema
Raposo, João
França, Diana
Correia, Ana
Lobo, Rodrigo
Soares, Jorge
Almeida, Clara
Shapovalova, Olena
Serranheira, Florentino
Sousa-Uva, António
author_facet Mendonça-Galaio, Luís
Sacadura-Leite, Ema
Raposo, João
França, Diana
Correia, Ana
Lobo, Rodrigo
Soares, Jorge
Almeida, Clara
Shapovalova, Olena
Serranheira, Florentino
Sousa-Uva, António
author_sort Mendonça-Galaio, Luís
collection PubMed
description As with the SARS-CoV-1 outbreak in 2003–2004 and the MERS outbreak in 2012, there were early reports of frequent transmission to healthcare workers (HCW) in the SARS-CoV-2 pandemic. Our hospital center identified its first COVID-19 confirmed case on March 9, 2020, in a 6-day hospitalized patient. The first confirmed COVID-19 case in a HCW happened 3 days later, in a nurse with a probable epidemiological link related to the first confirmed patient. Our study's first objective is to describe and characterize the impact of the first 3 months of the SARS-CoV-2 pandemic on the Centro Hospitalar Universitário Lisboa Norte (CHULN). Our second objective is to report the performance of the CHULN Occupational Health Department (OHD) and the impact of the pandemic on CHULN HCW and its adaptation across national, regional, and institutional epidemiological evolution. Over the first 3 months, 2,152 HCW were screened (which represent 29.8% of the total HCW population), grouped in 100 separate identifiable clusters, each one ranging from 2 to 98 HCW. The most prevalent profession screened were nurses (n = 800; 37.2%) followed by doctors (n = 634; 29.5%). The main source of potential infection and cluster generating screening procedures was co-worker related (n = 1,216; 56.5%). A patient source or a combined patient co-worker source was only accountable for 559 (26%) and 43 (2%) of cases, respectively. Our preliminary results demonstrate a lower infection rate among HCW than the ones commonly found in the literature. The main source of infection seemed to be co-worker related rather than patient related. New preventive strategies would have to be implemented in order to control SARS-CoV-2 spread.
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spelling pubmed-82478282021-07-08 The COVID-19 Impact in Hospital Healthcare Workers: Development of an Occupational Health Risk Management Program Mendonça-Galaio, Luís Sacadura-Leite, Ema Raposo, João França, Diana Correia, Ana Lobo, Rodrigo Soares, Jorge Almeida, Clara Shapovalova, Olena Serranheira, Florentino Sousa-Uva, António Portuguese Journal of Public Health Brief Report As with the SARS-CoV-1 outbreak in 2003–2004 and the MERS outbreak in 2012, there were early reports of frequent transmission to healthcare workers (HCW) in the SARS-CoV-2 pandemic. Our hospital center identified its first COVID-19 confirmed case on March 9, 2020, in a 6-day hospitalized patient. The first confirmed COVID-19 case in a HCW happened 3 days later, in a nurse with a probable epidemiological link related to the first confirmed patient. Our study's first objective is to describe and characterize the impact of the first 3 months of the SARS-CoV-2 pandemic on the Centro Hospitalar Universitário Lisboa Norte (CHULN). Our second objective is to report the performance of the CHULN Occupational Health Department (OHD) and the impact of the pandemic on CHULN HCW and its adaptation across national, regional, and institutional epidemiological evolution. Over the first 3 months, 2,152 HCW were screened (which represent 29.8% of the total HCW population), grouped in 100 separate identifiable clusters, each one ranging from 2 to 98 HCW. The most prevalent profession screened were nurses (n = 800; 37.2%) followed by doctors (n = 634; 29.5%). The main source of potential infection and cluster generating screening procedures was co-worker related (n = 1,216; 56.5%). A patient source or a combined patient co-worker source was only accountable for 559 (26%) and 43 (2%) of cases, respectively. Our preliminary results demonstrate a lower infection rate among HCW than the ones commonly found in the literature. The main source of infection seemed to be co-worker related rather than patient related. New preventive strategies would have to be implemented in order to control SARS-CoV-2 spread. S. Karger AG 2021-05-10 /pmc/articles/PMC8247828/ http://dx.doi.org/10.1159/000515327 Text en Copyright © 2021 by S. Karger AG, Basel https://creativecommons.org/licenses/by-nc/4.0/This article is licensed under the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC). Usage and distribution for commercial purposes requires written permission. Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug. Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.
spellingShingle Brief Report
Mendonça-Galaio, Luís
Sacadura-Leite, Ema
Raposo, João
França, Diana
Correia, Ana
Lobo, Rodrigo
Soares, Jorge
Almeida, Clara
Shapovalova, Olena
Serranheira, Florentino
Sousa-Uva, António
The COVID-19 Impact in Hospital Healthcare Workers: Development of an Occupational Health Risk Management Program
title The COVID-19 Impact in Hospital Healthcare Workers: Development of an Occupational Health Risk Management Program
title_full The COVID-19 Impact in Hospital Healthcare Workers: Development of an Occupational Health Risk Management Program
title_fullStr The COVID-19 Impact in Hospital Healthcare Workers: Development of an Occupational Health Risk Management Program
title_full_unstemmed The COVID-19 Impact in Hospital Healthcare Workers: Development of an Occupational Health Risk Management Program
title_short The COVID-19 Impact in Hospital Healthcare Workers: Development of an Occupational Health Risk Management Program
title_sort covid-19 impact in hospital healthcare workers: development of an occupational health risk management program
topic Brief Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8247828/
http://dx.doi.org/10.1159/000515327
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