军队医疗机构人员新冠肺炎感染危险因素评估

V. E. Batov, S. Kuznetsov, S. M. Logatkin
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An assessment was made of the factors that increase the risk of personnel infection, based on the study of materials from epidemiological investigations and the results of a survey.\nResults and Discussion. Research has identified factors that increase the risk of COVID-19. An analysis of the causes of the disease showed that in 60 % of cases, infection of personnel is associated with infection at the workplace (contacts with patients – 53.1 %, contacts personnel – 6.9 %), in 38.7 % of cases the cause was not established, in 1.3 % – contacts with sick relatives were registered. A number of specialists from certain professional groups have a higher incidence rate (traumatologists, surgeons, urologists, specialists who carry out sanitary and epidemiological surveillance). It was found that, regardless of the category of work and specialty, during the pandemic, the staff had contacts with sick patients – 78.2 %, contacts with sick colleagues – 53.7 %. Contacts with sick patients increased the risk of developing the disease (RR 1.26; 95 % CI: 1.02–1.55; p = 0.01). The required degree of personnel protection was not provided in this case, which affected the significance of the factor of violation of the rules for the use of PPE (RR 1.66; 95 % CI: 1.11–2.48; p = 0.006) in the risk of developing disease. At the same time, the involvement of personnel to the work in the “red zone” increased the likelihood of the disease (RR 2.98; 95 % CI: 1.24–7.17; p = 0.005).\nConclusion. 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引用次数: 0

摘要

的相关性。医疗机构工作人员在执业过程中与患者和同事频繁接触,存在罹患包括冠状病毒感染在内的职业病的风险。分析与病原体SARS-CoV-2相关的感染原因是制定旨在最大限度降低感染风险的预防措施的基础。意向——基于职业风险因素卫生评估制定医务人员COVID-19发病率预防的主要方向。方法学对某军事医疗机构职工新型冠状病毒感染病例进行分析。根据流行病学调查资料和调查结果,对增加人员感染风险的因素进行了评估。结果和讨论。研究已经确定了增加COVID-19风险的因素。对该病病因的分析表明,在60%的病例中,人员感染与工作场所的感染有关(与患者接触——53.1%,接触人员——6.9%),在38.7%的病例中,病因不明,在1.3%的病例中,与患病亲属的接触进行了登记。来自某些专业群体的一些专家(创伤科医生、外科医生、泌尿科医生、进行卫生和流行病监测的专家)的发病率较高。结果发现,无论工作类别和专业如何,在大流行期间,工作人员与病人有过接触(78.2%),与生病的同事有过接触(53.7%)。与病人接触会增加患病风险(RR 1.26;95% ci: 1.02-1.55;P = 0.01)。本案例未提供所需的人员保护程度,影响了违反PPE使用规则因素的重要性(RR 1.66;95% ci: 1.11-2.48;P = 0.006)。与此同时,在“红色区域”工作的人员增加了患病的可能性(相对危险度2.98;95% ci: 1.24-7.17;p = 0.005)。所进行的研究可以确定非感染科某些类别的医学专家(创伤科医生、外科医生、泌尿科医生;负责卫生和流行病学监测的专家),并根据他们的分析制定预防措施的方向。
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Assessment of risk factors for COVID-19 infection in personnel of military medical organizations
Relevance. Workers in medical organizations are at risk of developing occupational diseases, including coronavirus infection through frequent contacts with patients and colleagues in the course of their professional activities. Analysis of the causes of infection associated with the pathogen SARS-CoV-2 is the basis for development of preventive measures aimed at minimizing the risk of infection. Intention – development of the main directions for the prevention of COVID-19 morbidity among medical personnel based on a hygienic assessment of occupational risk factors. Methodology. An analysis of cases of a new coronavirus infection among employees of a military medical organization was carried out. An assessment was made of the factors that increase the risk of personnel infection, based on the study of materials from epidemiological investigations and the results of a survey. Results and Discussion. Research has identified factors that increase the risk of COVID-19. An analysis of the causes of the disease showed that in 60 % of cases, infection of personnel is associated with infection at the workplace (contacts with patients – 53.1 %, contacts personnel – 6.9 %), in 38.7 % of cases the cause was not established, in 1.3 % – contacts with sick relatives were registered. A number of specialists from certain professional groups have a higher incidence rate (traumatologists, surgeons, urologists, specialists who carry out sanitary and epidemiological surveillance). It was found that, regardless of the category of work and specialty, during the pandemic, the staff had contacts with sick patients – 78.2 %, contacts with sick colleagues – 53.7 %. Contacts with sick patients increased the risk of developing the disease (RR 1.26; 95 % CI: 1.02–1.55; p = 0.01). The required degree of personnel protection was not provided in this case, which affected the significance of the factor of violation of the rules for the use of PPE (RR 1.66; 95 % CI: 1.11–2.48; p = 0.006) in the risk of developing disease. At the same time, the involvement of personnel to the work in the “red zone” increased the likelihood of the disease (RR 2.98; 95 % CI: 1.24–7.17; p = 0.005). Conclusion. The conducted studies made it possible to establish differences in the level of potential risk for certain categories of medical specialists in non-infectious departments (traumatologists, surgeons, urologists; specialists in charge of sanitary and epidemiological surveillance) and to develop directions for preventive measures based on their analysis.
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