Hastanede Çalışan Sağlık Personelinde COVID-19 Görülme Sıklığı ve Bulaş Yollarının Değerlendirilmesi
Abstract
Amaç: Bu çalışma, hastanede çalışan sağlık personelinde COVID-19 sıklığını belirlemek, kontrol önlemlerine uyum ve bulaş yollarını değerlendirilmek amacıyla yapılmıştır.
Gereç ve Yöntemler: Bu araştırmaya 2 Nisan-30 Eylül 2020 tarihleri arasında, hastanede çalışan ve COVID-19 testi pozitif çıkan çalışanlar dahil edildi. 1100 kişinin çalıştığı hastanede 80 kişide COVID-19 testi pozitif olduğu saptanmıştır. COVID-19 PCR testi pozitif olup, ancak testi negatifleştikten sonra görevine dönen 66 sağlık çalışanına yüz yüze anket uygulanmıştır.
Bulgular: Hastane çalışanlarında COVID-19 görülme sıklığı %7.3 (80/1100) olarak hesaplanmıştır. Çalışma, COVID-19 olduğu tespit edilen 66 sağlık çalışanı kapsamaktadır. Çalışanların yaş ortalaması 39.1 ± 8.3 (Min-Max: 23-57) olup, %71.2'si (n=47) erkektir. COVID-19 en çok hemşirelerde tespit edildi. COVID-19 en fazla acil serviste (%12.1) ve poliklinik alanında (%12.1) çalışanlarda tespit edildi. COVID-19 pozitif çalışanların %30.3'ünün (n=20) hastanedeki enfekte iş arkadaşlarıyla temasta bulunduğu, %19.7'sinin (n=13) ise enfekte hane halkı üyeleriyle temas ettiği belirlendi. Çalışanların %78.7’si COVID-19 için belirlenmiş alanlarda hiç çalışmamıştır. Çalışanlar hastane içerisinde çalışırken maske (%94) ve el hijyeni (%92) kuralına uyumları yüksek bulunurken, 1.5 metrelik sosyal mesafe (%59) kuralına uyumları düşük bulundu.
Sonuç: Pandeminin ilk altı ayı gibi kısa bir sürede hastane çalışanlarının %7.3’ü COVID-19 ile enfekte olmuştur. Çalışanların sosyal mesafe kuralına uyumları düşük bulunmuştur. Enfekte çalışanların %78.7’sinin COVID-19 için belirlenmiş servislerde hiç çalışmadığı tespit edildi. Bu durum COVID-19 dışı alanların göz ardı edilmemesi gerektiğini göstermektedir.
Keywords
Supporting Institution
Herhangi bir kurum ve kişiden maddi destek alınmamıştır.
References
- Sağlık Bakanlığı. Covid-19 (SARS-CoV-2 Enfeksiyonu) Genel Bilgiler, Epidemioloji ve Tanı. Bilim Kurulu Çalışması. Accessed date: 03 January 2021:https://covid19.saglik.gov.tr/.
- Chou R, Dana T, Buckley DI, Selph S, Fu R, Totten AM. Epidemiology of and risk factors for coronavirus ınfection in health care workers: A living rapid review. Ann Intern Med. 2020;173(2):120-36. doi: 10.7326/M20-1632.
- Sağlık Bakanlığı. Covid-19 (SARS-CoV-2 Enfeksiyonu) Temaslı Takibi, Salgın Yönetimi, Evde Hasta İzlemi ve Filyasyon. Bilim Kurulu Çalışması. Accessed date: 03 January 2021: https://covid19.saglik.gov.tr/.
- Singhal T. A review of coronavirus disease-2019 (COVID-19). Indian J Pediatr 2020;87(4):281-6.
- Gökçek MB, Aslaner H, Çetin A, Yıldız S, Benli AR. Medical surveillance: Filiation. Jour Turk Fam Phy 2021;12(1):40-9.
- Gómez-Ochoa SA, Franco OH, Rojas LZ, Raguindin PF, Roa-Díaz, ZM, Wyssmann BM et al. COVID-19 in health-care workers: A living systematic review and meta-analysis of prevalence, risk factors, clinical characteristics, and outcomes. American journal of epidemiology. 2021;190(1):161-175.
- Çalışkan-Pala S, Metintas S. COVID-19 pandemisinde sağlık çalışanları. ESTÜDAM Halk Sağlığı Dergisi. 2020;5:156-68.
- Sahu AK, Amrithanand VT, Mathew R, Aggarwal P, Nayer J, Bhoi S. COVID-19 in health care workers - A systematic review and meta-analysis. Am J Emerg Med. 2020;38(9):1727-31.
- Dzinamarira T, Murewanhema G, Mhango M, Iradukunda PG, Chitungo I, Mashora M et al. COVID-19 prevalence among healthcare workers. A systematic review and meta-analysis. Int J Environ Res Public Health. 2021;19(1):146.
- The Novel Coronavirus Pneumonia Emergency Response Epidemiology Team. The epidemiological characteristics of an outbreak of 2019 novel coronavirus diseases (COVID-19) - China, 2020[J]. China CDC Weekly. 2020;2(8):113-22.
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- Alsohime F, Temsah MH, Al-Nemri AM, Somily AM, Al-Subaie S. COVID-19 infection prevalence in pediatric population: Etiology, clinical presentation, and outcome. J Infect Public Health. 2020;13(12):1791-96.
- Bandyopadhyay S, Baticulon RE, Kadhum M, Alser M, Ojuka DK, Badereddin Y et al. Infection and mortality of healthcare workers worldwide from COVID-19: A systematic review. BMJ Glob Health. 2020;5(12):e003097.
- Zheng C, Hafezi-Bakhtiari N, Cooper V, Davidson H, Habibi M, Riley P et al. Characteristics and transmission dynamics of COVID-19 in healthcare workers at a London teaching hospital. J Hosp Infect. 2020;106(2):325-9.
- Sağlık Bakanlığı. COVID-19 Bilgilendirme Platformu. Accessed date: 01 March 2021: https://covid19.saglik.gov.tr/TR-66935/genel-koronavirus-tablosu.html.
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- Burke RM, Midgley CM, Dratch A, Fenstersheib M, Haupt T, Holshue M et al. Active monitoring of persons exposed to patients with confirmed COVID-19 - United States, January-February 2020. MMWR Morb Mortal Wkly Rep. 2020;69(9):245-6.
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EVALUATION OF THE PREVALENCE AND TRANSMISSION ROUTES OF COVID-19 IN HEALTHCARE PERSONNEL WORKING IN THE HOSPITAL
Abstract
Objective: This study was conducted to evaluate the prevalence and transmission routes of COVID-19 in healthcare personnel working in the hospital and the compliance with control measures.
Material and Methods: In this study, hospital employees who were tested positive for COVID-19 between April 2 and September 30, 2020, were included. Out of the 1100 employees in the hospital, 80 were tested positive for COVID-19. A face-to-face survey was conducted with 66 healthcare workers that had COVID-19 positive PCR test results but returned to work only after their test results became negative.
Results: The prevalence of COVID-19 among the hospital employees was calculated as 7.3% (80/1100). In the study, 66 healthcare workers who were found to be positive for COVID-19, were included. The mean age of the employees was found to be 39.1 ± 8.3 (Min-Max: 23-57) and 71.2% of them were male. COVID-19 was detected most in nurses, emergency room workers (12.1%) and polyclinic workers (12.1%). It was determined that 30.3% (n=20) of COVID-19 positive employees had contact with infected colleagues in the hospital and 19.7% (n=13) had contact with infected household members. 78.7% of the employees had never worked in areas designated for COVID-19. Among employees, the level of compliance with measures of wearing a mask (94%) and ensuring hand hygiene (92%) was found high, while the level of compliance with 1.5-meters social distance (59%) was found low.
Conclusion: In a short period of time like the first six months of the pandemic, 7.3% of the hospital workers were infected with COVID-19.
Among employees, the level of compliance with the social distance rule was found low. It was determined that 78.7% of the infected employees had never worked in units designated for COVID-19. This shows that areas that are not designated for COVID-19 should not be ignored.
Keywords
References
- Sağlık Bakanlığı. Covid-19 (SARS-CoV-2 Enfeksiyonu) Genel Bilgiler, Epidemioloji ve Tanı. Bilim Kurulu Çalışması. Accessed date: 03 January 2021:https://covid19.saglik.gov.tr/.
- Chou R, Dana T, Buckley DI, Selph S, Fu R, Totten AM. Epidemiology of and risk factors for coronavirus ınfection in health care workers: A living rapid review. Ann Intern Med. 2020;173(2):120-36. doi: 10.7326/M20-1632.
- Sağlık Bakanlığı. Covid-19 (SARS-CoV-2 Enfeksiyonu) Temaslı Takibi, Salgın Yönetimi, Evde Hasta İzlemi ve Filyasyon. Bilim Kurulu Çalışması. Accessed date: 03 January 2021: https://covid19.saglik.gov.tr/.
- Singhal T. A review of coronavirus disease-2019 (COVID-19). Indian J Pediatr 2020;87(4):281-6.
- Gökçek MB, Aslaner H, Çetin A, Yıldız S, Benli AR. Medical surveillance: Filiation. Jour Turk Fam Phy 2021;12(1):40-9.
- Gómez-Ochoa SA, Franco OH, Rojas LZ, Raguindin PF, Roa-Díaz, ZM, Wyssmann BM et al. COVID-19 in health-care workers: A living systematic review and meta-analysis of prevalence, risk factors, clinical characteristics, and outcomes. American journal of epidemiology. 2021;190(1):161-175.
- Çalışkan-Pala S, Metintas S. COVID-19 pandemisinde sağlık çalışanları. ESTÜDAM Halk Sağlığı Dergisi. 2020;5:156-68.
- Sahu AK, Amrithanand VT, Mathew R, Aggarwal P, Nayer J, Bhoi S. COVID-19 in health care workers - A systematic review and meta-analysis. Am J Emerg Med. 2020;38(9):1727-31.
- Dzinamarira T, Murewanhema G, Mhango M, Iradukunda PG, Chitungo I, Mashora M et al. COVID-19 prevalence among healthcare workers. A systematic review and meta-analysis. Int J Environ Res Public Health. 2021;19(1):146.
- The Novel Coronavirus Pneumonia Emergency Response Epidemiology Team. The epidemiological characteristics of an outbreak of 2019 novel coronavirus diseases (COVID-19) - China, 2020[J]. China CDC Weekly. 2020;2(8):113-22.
- Sağlık Bakanlığı. Bakan Koca, koronavirüse ilişkin son durumu değerlendirdi. Accessed date: 01 March 2021: https://www.saglik.gov.tr/TR,68676/bakan-koca-koronaviruse-iliskin-son-durumu-degerlendirdi.html.
- Alsohime F, Temsah MH, Al-Nemri AM, Somily AM, Al-Subaie S. COVID-19 infection prevalence in pediatric population: Etiology, clinical presentation, and outcome. J Infect Public Health. 2020;13(12):1791-96.
- Bandyopadhyay S, Baticulon RE, Kadhum M, Alser M, Ojuka DK, Badereddin Y et al. Infection and mortality of healthcare workers worldwide from COVID-19: A systematic review. BMJ Glob Health. 2020;5(12):e003097.
- Zheng C, Hafezi-Bakhtiari N, Cooper V, Davidson H, Habibi M, Riley P et al. Characteristics and transmission dynamics of COVID-19 in healthcare workers at a London teaching hospital. J Hosp Infect. 2020;106(2):325-9.
- Sağlık Bakanlığı. COVID-19 Bilgilendirme Platformu. Accessed date: 01 March 2021: https://covid19.saglik.gov.tr/TR-66935/genel-koronavirus-tablosu.html.
- COVID-19 pandemisi’nde meslek hastalığı tanı kılavuzu. Accessed date: 02 December 2021: https://korona.hasuder.org.tr/wp-content/uploads/Mesleksel-COVID_19_Tan%C4%B1_Rehberi_2020.pdf.
- Burke RM, Midgley CM, Dratch A, Fenstersheib M, Haupt T, Holshue M et al. Active monitoring of persons exposed to patients with confirmed COVID-19 - United States, January-February 2020. MMWR Morb Mortal Wkly Rep. 2020;69(9):245-6.
- Işsever H, Işsever T, Oztan G. Epidemiology of COVID-19. Sağlık Bilimlerinde İleri Araştırmalar Dergisi. 2020;3(Suppl.1):1-13.
- Bayhan GI, Bedir-Demirbag T. Personnel protective equipment for healthcare professionals during COVID-19 pandemic. Turkish J Pediatr Dis. 2020;14(suppl):15-7.
- World Health Organization. What to do to keep yourself and others safe from COVID-19. Accessed date: 09 March 2021: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public.
- Departman of Health (Austrailan Govenment). Protect yourself and others from COVID-19. Accessed date: 19 May 2022: https://www.health.gov.au/health-alerts/covid-19/protect-yourself-and-others.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Özgün Araştırma |
| Authors | |
| Publication Date | December 31, 2022 |
| Submission Date | April 5, 2022 |
| Published in Issue | Year 2022 Volume: 24 Issue: 3 |
Cite
Bu Dergi, Kırıkkale Üniversitesi Tıp Fakültesi Yayınıdır.