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Hastanede Çalışan Sağlık Personelinde COVID-19 Görülme Sıklığı ve Bulaş Yollarının Değerlendirilmesi

Year 2022, , 464 - 470, 31.12.2022
https://doi.org/10.24938/kutfd.1098906

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.

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.
  • 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.

EVALUATION OF THE PREVALENCE AND TRANSMISSION ROUTES OF COVID-19 IN HEALTHCARE PERSONNEL WORKING IN THE HOSPITAL

Year 2022, , 464 - 470, 31.12.2022
https://doi.org/10.24938/kutfd.1098906

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.

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.
There are 21 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Özgün Araştırma
Authors

İzzettin Toktaş 0000-0002-3616-9399

İbrahim Vakit 0000-0002-9346-5127

Süleyman Varsak 0000-0003-0912-159X

Özgür Erdem 0000-0002-6377-4631

Gülşen Yalçın 0000-0002-5938-2619

Celal Özcan 0000-0002-5090-7677

Publication Date December 31, 2022
Submission Date April 5, 2022
Published in Issue Year 2022

Cite

APA Toktaş, İ., Vakit, İ., Varsak, S., Erdem, Ö., et al. (2022). EVALUATION OF THE PREVALENCE AND TRANSMISSION ROUTES OF COVID-19 IN HEALTHCARE PERSONNEL WORKING IN THE HOSPITAL. The Journal of Kırıkkale University Faculty of Medicine, 24(3), 464-470. https://doi.org/10.24938/kutfd.1098906
AMA Toktaş İ, Vakit İ, Varsak S, Erdem Ö, Yalçın G, Özcan C. EVALUATION OF THE PREVALENCE AND TRANSMISSION ROUTES OF COVID-19 IN HEALTHCARE PERSONNEL WORKING IN THE HOSPITAL. Kırıkkale Üni Tıp Derg. December 2022;24(3):464-470. doi:10.24938/kutfd.1098906
Chicago Toktaş, İzzettin, İbrahim Vakit, Süleyman Varsak, Özgür Erdem, Gülşen Yalçın, and Celal Özcan. “EVALUATION OF THE PREVALENCE AND TRANSMISSION ROUTES OF COVID-19 IN HEALTHCARE PERSONNEL WORKING IN THE HOSPITAL”. The Journal of Kırıkkale University Faculty of Medicine 24, no. 3 (December 2022): 464-70. https://doi.org/10.24938/kutfd.1098906.
EndNote Toktaş İ, Vakit İ, Varsak S, Erdem Ö, Yalçın G, Özcan C (December 1, 2022) EVALUATION OF THE PREVALENCE AND TRANSMISSION ROUTES OF COVID-19 IN HEALTHCARE PERSONNEL WORKING IN THE HOSPITAL. The Journal of Kırıkkale University Faculty of Medicine 24 3 464–470.
IEEE İ. Toktaş, İ. Vakit, S. Varsak, Ö. Erdem, G. Yalçın, and C. Özcan, “EVALUATION OF THE PREVALENCE AND TRANSMISSION ROUTES OF COVID-19 IN HEALTHCARE PERSONNEL WORKING IN THE HOSPITAL”, Kırıkkale Üni Tıp Derg, vol. 24, no. 3, pp. 464–470, 2022, doi: 10.24938/kutfd.1098906.
ISNAD Toktaş, İzzettin et al. “EVALUATION OF THE PREVALENCE AND TRANSMISSION ROUTES OF COVID-19 IN HEALTHCARE PERSONNEL WORKING IN THE HOSPITAL”. The Journal of Kırıkkale University Faculty of Medicine 24/3 (December 2022), 464-470. https://doi.org/10.24938/kutfd.1098906.
JAMA Toktaş İ, Vakit İ, Varsak S, Erdem Ö, Yalçın G, Özcan C. EVALUATION OF THE PREVALENCE AND TRANSMISSION ROUTES OF COVID-19 IN HEALTHCARE PERSONNEL WORKING IN THE HOSPITAL. Kırıkkale Üni Tıp Derg. 2022;24:464–470.
MLA Toktaş, İzzettin et al. “EVALUATION OF THE PREVALENCE AND TRANSMISSION ROUTES OF COVID-19 IN HEALTHCARE PERSONNEL WORKING IN THE HOSPITAL”. The Journal of Kırıkkale University Faculty of Medicine, vol. 24, no. 3, 2022, pp. 464-70, doi:10.24938/kutfd.1098906.
Vancouver Toktaş İ, Vakit İ, Varsak S, Erdem Ö, Yalçın G, Özcan C. EVALUATION OF THE PREVALENCE AND TRANSMISSION ROUTES OF COVID-19 IN HEALTHCARE PERSONNEL WORKING IN THE HOSPITAL. Kırıkkale Üni Tıp Derg. 2022;24(3):464-70.

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