Sağlık çalışanlarında Covid-19 enfeksiyon kaynaklarının belirlenmesi: retrospektif 180 vakanın analizi

Year 2022, , 341 - 349, 31.03.2022

Merve Acun Pınar , Gülden Sarı , Adem Koyuncu , Bilge Üzmezoğlu , Cebrail Şimşek

https://doi.org/10.17826/cumj.1001498

Abstract

Amaç: Bu çalışmada Covid-19 tanısı alan sağlık çalışanlarının; demografik özellikleri, laboratuvar ve radyolojik bulguları, enfeksiyon kaynakları ve temas risklerinin belirlenmesi amaçlanmıştır.
Gereç ve Yöntem: Retrospektif, kesitsel nitelikteki bu çalışma Nisan 2020 ve Ocak 2021 tarihleri arasında çalışan sağlığı birimine başvurarak Covid-19 tanısı alan sağlık çalışanlarında yapıldı. Vakaların Covid-19 enfeksiyonu açısından son 14 gün içerisindeki riskli temasları, Sağlık Bakanlığı Covid-19 rehberine göre temas riskleri, laboratuvar ve radyolojik bulguları incelendi.
Bulgular: Çalışmaya ortalama yaşı 38,9 ± 9,3 (21- 65) olan 180 (116 kadın, 64 erkek) sağlık çalışanı dahil edildi. Vakaların son 14 gün içerisindeki Covid-19 tanılı kişi ile temasları sorgulandığında; 114 (%63,3) kişide işyeri teması olduğu ve bu temasların 78’inin (%68,4) Covid-19 tanılı hasta ile, 36’sının (%31,6) ise Covid-19 tanılı mesai arkadaşı ile olduğu tespit edildi. Vakaların 33’ünde (%18,3) işyeri dışı temas saptanırken, 33 (%18,3) kişide bilinen herhangi bir Covid-19 enfeksiyonlu kişi ile temas öyküsü saptanmadı. İşyeri dışı teması olan vakaların tamamında orta veya yüksek riskli temas öyküsü varken, işyeri teması olanların %61,4’ünde düşük riskli veya riskli değerlendirilmeyen temas mevcuttu.
Sonuç: Sağlık bakım hizmeti veren çalışanlarda Covid-19 enfeksiyonu gelişmesi durumunda, işyeri dışında bir maruziyet saptanmadığında hastalığın mesleksel olarak kabul edilmesi ve bundan doğacak tazminat, rehabilitasyon haklarının sağlanması önemlidir.

Keywords

Covid-19, sağlık çalışanları, temas riskleri, meslek hastalığı

Identification of Covid-19 infection sources in healthcare professionals: a retrospective analysis of 180 cases

Abstract

Purpose: The aim of this study is to determine demographic characteristics, laboratory and radiological findings, sources of infection and contact risks among healthcare workers diagnosed with Covid-19;.
Materials and Methods: This retrospective, cross-sectional study was conducted in healthcare workers who were diagnosed with Covid-19 by applying to the employee health unit between April 2020 and January 2021. The risky contacts of the cases in terms of Covid-19 infection in the last 14 days, contact risks according to the Covid-19 guide of the Ministry of Health, laboratory and radiological findings were examined.
Results: 180 (116 female, 64 male) healthcare workers with a mean age of 38.9±9.3 (21-65) were included in the study. It was determined that 114 (63.3%) people had workplace contact and 78 (68.4%) of these contacts were with a patient with a diagnosis of Covid-19, and 36 (31.6%) with a colleague with a diagnosis of Covid-19. While out-of-work contact was detected in 33 (18.3%) of the cases, there was no history of contact with any known person with Covid-19 infection in 33 (18.3%). All of the cases with out-of-work contact had a history of medium or high-risk contact, while 61.4% of those with workplace contact had low-risk or non-risk contact.
Conclusion: In the event of Covid-19 infection developing in healthcare workers, it is important to accept the disease as occupational and to provide compensation and rehabilitation rights when no exposure outside the workplace is detected.

Keywords

Covid-19, healthcare workers, communicable risks, occupational disease

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