医院工作人员感染COVID-19:决定论、流行病学特征

Azon-Kouanou Angèle, A. Anthelme, Wanvoégbè Armand Finagnon, Missiho Mahoutin Sèmassa Ghislain, Sokadjo Yves Morel, F. Géoffroy, Assogba Houénoudé Mickaël Arnaud, Mukwege Binji Lisa, Murhula Katabana Delphin, O. Richard, Dansou Eugénie, Z. Marcel, Houngbé Fabien
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首批SARS-CoV-2病例于2020年3月初在贝宁被诊断出来。已采取措施控制其传播,包括屏障措施。本研究的目的是确定这些措施在医院工作人员中自我应用的有效性。方法:采用2020年7月1日至2021年1月1日对2019冠状病毒病污染危险因素进行病例对照研究。包括在研究期间在CNHU-HKM分诊中心接受COVID-19 PCR检测的所有CNHU-HKM工作人员。数据是通过向受访者提供的调查表格收集的。采用r4.1.0软件进行数据分析。结果:共纳入141例患者。平均年龄35.5(±11.1)岁。性别比(M/F)为1.87。丰族和米娜族是最具代表性的(74.5%)。50岁以上的工人更容易接触到COVID-19 (OR=4.83)。与行政人员相比,与患者接触的护士(占研究人群的87.2%)有更高的污染风险(OR=3.6)。FFP2口罩是一个保护因素(OR=0.35),氯喹长期化学预防也是一个保护因素(OR=0.44)。结论:卫生保健工作者是COVID-19感染的高危人群。屏障措施和氯喹化学预防在控制大流行病的传播方面确实是强制性的。
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COVID-19 Contamination in Hospital Staff: Determinism, Epidemiological Features
The first cases of SARS-CoV-2 were diagnosed in BENIN in early March 2020. Measures have been instituted to control its spread, including barrier measures. The objective of this study is to determine the effectiveness of self-application of these measures among hospital staff at CNHU-HKM. Methods: This is a case-control study conducted from July 1, 2020 to January 1, 2021 on the risk factors of COVID-19 contamination. Included were any CNHU-HKM staff who underwent PCR testing for COVID-19 at the CNHU-HKM triage center during the study period. Data were collected using a survey form administered to respondents. Data analysis was performed with R 4.1.0 software. Results: A total of 141 patients were included in the study. The mean age was 35.5 (±11.1) years. The sex ratio (M/F) was 1.87. Fon and Mina ethnic groups were the most represented (74.5%). Workers older than 50 years were more likely to be exposed to COVID-19 (OR=4.83). Nurses in contact with patients (87.2% of the study population) had a higher risk of contamination (OR=3.6), compared to administrative staff. The FFP2 mask was a protective factor (OR=0.35) as well as long-term chemoprophylaxis with chloroquine (OR=0.44). Conclusion: Health care workers are at high risk of contamination by COVID-19. Barrier measures and chloroquine chemoprophylaxis are indeed mandatory in controlling the spread of the pandemic.
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