Anaesthesia healthcare workers' interactions with COVID-19-positive and -suspect patients: A multi-site observational study from Queensland, Australia.

IF 1.1 4区 医学 Q3 ANESTHESIOLOGY Anaesthesia and Intensive Care Pub Date : 2024-11-01 Epub Date: 2024-10-17 DOI:10.1177/0310057X241265723
Adrian Chin, Christine Woods, Anita M Pelecanos, Angela Tognolini, Gunjan Chawla, Sheridan Bell, Ivan L Rapchuk, Jimmy Wang, Victoria A Eley
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Abstract

Occupationally acquired COVID-19 is a hazard for healthcare workers (HCWs). In four hospitals of the Metro North Hospitals and Health Service in Queensland, Australia, we invited HCWs to report the nature of any anaesthesia interactions with COVID-19-positive and COVID-19-suspect patients. This was to assist workforce planning in future pandemics. Data collection consisted of three phases; 1) participating HCWs recorded details of episodes of care (EOCs) with COVID-19-positive or COVID-19-suspect patients; 2) these HCWs were invited to complete a follow-up survey about their own health status regarding COVID-19 infections; 3) electronic health records were used to assess patient demographics, infectious status and outcomes. Between 21 March 2020 and 17 May 2022, 63 anaesthesia HCWs reported 90 EOCs with 67 unique patients. The median (interquartile range (IQR)) age of the HCWs was 40.5 years (34-46); 55% (34/62) were male, 62% (39/63) were consultants and 21% (13/63) were registrars. The median (IQR) age of patients was 39 (28-63) years. Personal protective equipment (PPE) was deemed to be appropriate by the HCWs in (86/88) 98% of the EOCs. Twenty-four HCWs (38%) responded to a follow-up survey. Of 12 HCWs who subsequently tested positive to COVID-19, only four had cared for a COVID-19-positive patient in the two weeks prior to their diagnosis. Most responding HCWs perceived they contracted COVID-19 in the community, experiencing mild illness. We found relatively low COVID-19 case numbers, high PPE use and low transmission of COVID-19 within the hospital setting.

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麻醉医护人员与 COVID-19 阳性和可疑患者的互动:澳大利亚昆士兰州的一项多站点观察研究。
职业性感染 COVID-19 对医护人员(HCWs)来说是一种危害。在澳大利亚昆士兰州北部都会区医院和卫生服务机构的四家医院中,我们邀请医护人员报告与 COVID-19 阳性和 COVID-19 可疑患者的任何麻醉互动的性质。这样做的目的是协助制定未来大流行病的劳动力规划。数据收集包括三个阶段:1)参与的医护人员记录与COVID-19阳性或COVID-19可疑患者的护理事件(EOC)详情;2)邀请这些医护人员完成关于其自身COVID-19感染健康状况的后续调查;3)使用电子健康记录评估患者的人口统计学特征、感染状况和结果。在 2020 年 3 月 21 日至 2022 年 5 月 17 日期间,63 名麻醉科医护人员共报告了 90 例 EOC,涉及 67 名患者。医护人员的年龄中位数(四分位数间距)为 40.5 岁(34-46 岁);55%(34/62)为男性,62%(39/63)为顾问,21%(13/63)为注册医师。患者年龄的中位数(IQR)为 39(28-63)岁。在(86/88)98%的平机会中,医护人员认为个人防护设备(PPE)是适当的。24 名医护人员(38%)接受了后续调查。在随后检测出 COVID-19 阳性的 12 名医务工作者中,只有 4 人在确诊前两周内护理过 COVID-19 阳性的病人。大多数接受调查的医护人员认为他们是在社区感染 COVID-19,病情较轻。我们发现,COVID-19 病例数相对较少,医院环境中个人防护设备的使用率较高,COVID-19 的传播率较低。
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来源期刊
CiteScore
2.70
自引率
13.30%
发文量
150
审稿时长
3 months
期刊介绍: Anaesthesia and Intensive Care is an international journal publishing timely, peer reviewed articles that have educational value and scientific merit for clinicians and researchers associated with anaesthesia, intensive care medicine, and pain medicine.
期刊最新文献
JG Farrell and The Lung: An early description of intensive care delirium in literature. Promoting behavioural change by educating anaesthetists about the environmental impact of inhalational anaesthetic agents: A systematic review. MET call prevention. A cross-sectional study of the relationship between iron deficiency anaemia and chronic pain. Maximising environmental sustainability on the return to in-person conferencing: Report from a 2500-person anaesthesia meeting in Sydney, Australia.
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