Sağlık Çalışanlarında Covid-19 Hastalığına Bağlı Risk Faktörlerinin Değerlendirilmesi

Year 2022, , 116 - 123, 30.09.2022

Funda Çoktaş , Fatma Sarı Doğan , Tuba Cimilli , Fatma Şimşek Ceviz

https://doi.org/10.54996/anatolianjem.1097739

Abstract

Amaç: Covid-19 pandemisinin en belirgin mağdurları sağlık çalışanlarıdır. Hastanelerde artan iş yükü ve her gün bir hastalık etkenine maruz kalmak, sağlık çalışanlarının ve toplumun sağlığını tehdit etmektedir. Bu çalışma ile Covid-19 hastalarına sağlık hizmeti sunumu sırasında hastalığa maruz kalan sağlık çalışanlarının enfeksiyon açısından risk faktörlerini ve mevcut enfeksiyon kontrol önlemlerinin etkili olup olmadığını araştırmayı amaçladık.

Gereç ve Yöntemler: İstanbul Fatih Sultan Mehmet Eğitim ve Araştırma Hastanesi'nde çalışan Covid-19 tanılı sağlık çalışanlarına ve enfekte olmayan sağlık çalışanlarına anket ile vaka kontrol çalışması yapılmıştır.

Bulgular: Çalışmaya 127 sağlık çalışanı katıldı. Meslekte ortalama deneyim süresi vaka grubunda daha yüksek bulundu (p = 0.011). Covid-19 hastalarına yüksek riskli maruziyet sonrası profilaktik ilaç alma oranı kontrollere göre vaka grubunda anlamlı olarak daha yüksekti (p=0,001).

Sonuç: Meslekte daha fazla deneyime sahip sağlık çalışanları, Covid-19 enfeksiyonu riski altında görünmektedir ve yüksek riskli korunmasız maruziyet, daha yüksek enfeksiyon oranları ile ilişkili olabilir. Covid-19 hastasıyla yüksek riskli temastan sonra üç günlük profilaktik hidroksiklorokin, hastalığı önlemede etkili değildir.

Keywords

Covid-19, sağlık çalışanları, risk faktörleri, enfeksiyon kontrolü, kişisel koruyucu ekipman

Evaluations of Risk Factors Related to Covid-19 Disease in Healthcare Professionals

Abstract

Aim: The most prominent victims of the Covid-19 pandemic are healthcare workers. The increasing workload in hospitals and daily exposure to a disease factor threaten the health of healthcare professionals and the community. With this study, we aimed to investigate the risk factors in terms of infection of healthcare workers who are exposed to the disease during the health service delivery to Covid-19 patients, and whether current infection control measures are effective.

Materials and Methods: A case-control study was conducted with a questionnaire for healthcare workers diagnosed with Covid-19 and non-infected healthcare workers working in a Fatih Sultan Mehmet Training and Research Hospital in Istanbul in Istanbul.

Results: In the study in which 127 healthcare workers participated, the average duration of experience in the profession was found to be higher in cases compared to controls (p = 0.011). The rate of taking prophylactic drugs after high-risk exposure to Covid-19 patients was significantly higher in the case group compared to controls (p=0,001).

Conclusion: Healthcare workers with more experience in the profession appear to be at greater risk of Covid-19 infection and high-risk unprotected exposure may be associated with higher infection rates. Three days of prophylactic hydroxychloroquine after high-risk contact with a Covid-19 patient is not effective in preventing the disease.

Keywords

Covid-19, healthcare workers, risk factors, infection control, personal protective equipment

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