监控公司入口的温度:意见还是证据值得?

Diana Costa
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引用次数: 0

摘要

工作场所的温度筛查(使用红外温度计)已被证明是有争议的,在职业卫生服务团队之间产生了讨论,假设这是工人和/或雇主的“要求”。本文拟对诸如战略等证据进行分析。这是一篇描述性文献综述。科学资料检索于2021年7月在PUBMED (Medline)数据库中进行,没有时间限制,检索语言为葡萄牙语或英语,关键词为“温度筛查”和“Covid-19”。皮肤温度,而不是核心温度,可以受到几个因素的影响;红外温度计似乎不足以可靠地检测或排除发烧,发烧并不是所有Covid-19感染者的特征症状。因此,这种不可靠的代理并没有提供证据来支持它作为一种基于证据的措施在工作场所的实施。这种策略似乎把更多的责任交给了营销和安慰剂,而不是证据,帮助员工和雇主感觉更好,但没有多大作用,而且可能会变得更糟,因为它传递了一种虚假的安全感。每个工作场所都可以根据其特定的流行病学背景决定自己的偏好,因此,对于公司应该如何处理这一问题,没有“正确答案”——关于这一主题的证据不完整,大流行带来的挑战正在变化;然而,为了做出更明智的决定,如果我们作为一个国家要实现快速的经济复苏,雇主们将不得不停止在需要资源的措施上下注,但这些措施是安慰剂。关键词:温度筛选;Covid-19;Ocupacional健康。
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Monitorização da Temperatura à entrada das Empresas: vale a opinião ou a evidência?
Introduction / background / objectives Temperature screening (with infrared thermometers) in workplaces has proven to be controversial, creating discussions between Occupational health services teams, assuming as a "requirement" from workers and/ or Employers. This article intends to analyze the evidence of such as strategy. Methodology This is a descriptive literature review. The search for scientific sources was carried out using the PUBMED (Medline) databases during the month of July 2021, without time limitation, in Portuguese or English, with keywords “temperature screening” and “Covid-19”. Content Skin temperature, rather than core temperature, can be influenced by several factors; infrared thermometers does not appear to be reliable enough to detect or exclude fever, and fever is not a characteristic symptom of all infected from Covid-19. Thus, this unreliable proxy does not provide evidence to support its implementation in workplaces as an evidence-based measure. This strategy appears to lend more accountability to marketing and placebo than to evidence, helping workers and Employers feel better, but not doing much and potentially getting worse, by conveying a false sense of security. Conclusions Each workplace can determine its own preferences, depending on its particular epidemiological context, and for this reason there is no “right answer” on how Companies should approach this matter - the evidence on this topic is incomplete and the challenges posed by the pandemic are changing; however, in order to delineate more informed decisions, if we are to achieve, as a country, a fast economic recovery, employers will have to stop betting on measures that require resources, but which are placebos. Keywords: temperature screening; Covid-19; Ocupacional Health.
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