Evaluation of the risk of hospitalization in health care workers ınfected with COVID-19 university hospital experience

Year 2023, , 92 - 97, 30.09.2023

Işıl Deniz Alıravcı , Selçuk Kaya

https://doi.org/10.55665/troiamedj.1262723

Abstract

Objectives: In this study, it was aimed to determine the rates of hospitalized COVID-19 infected healthcare workers(HCW’s) at Canakkale Onsekiz Mart University Hospital, to examine clinical, laboratory, breakthrough infection rate and vaccination data, and to reveal hospital and intensive care risk parameters by comparing them with the literature.
Methods: In this retrospective study, COVID-19 infected HCW’s, whose diagnosis confirmed by real-time polymerase chain reaction and hospitalized at Canakkale Onsekiz Mart University Hospital between April 6, year 2020, and January 1, year 2023, were included. Demographic and clinical data were retrospectively scanned from the hospital information management system and vaccination data were obtained from the surveillance records.
Results: During the study period, 10 (1.3%) of the 760 HCW’s diagnosed with COVID-19 infection were followed up in the ward and two (0.2%) in the intensive care unit. The mean age of all patients was 39.1, hospitalized patients in the ward was 40.6±8.9; hospitalized in the intensive care unit(ICU) was 36.0±2.8 years. Eight of the hospitalized patients (66.6%) did not have any additional disease. Obesity, hypertension, diabetes, and asthma were among the comorbid diseases seen in the patients. 5 (41.6%) of the twelve patient’s blood group was B Rh+. Eight of 12 hospitalized patients were not vaccinated (66.6%).
Conclusion: In our study, a lower rate of hospitalization in the service and ICU (1.3%, 0.2%) was observed in HCW’s, and mortality did not occured. Lymphopenia, LDH, ferritin, and high white blood cell count were determined as weight criteria in the intensive care unit. Considering the distribution of the ratio of inpatients to outpatients by years, it was seen that vaccination reduced hospitalizations.

Keywords

SARS-CoV-2, Breakthrough infection, Vaccine, COVID-19 infected health care workers

COVID-19 ile enfekte sağlık çalışanlarında hastaneye yatış riskinin değerlendirilmesi

Abstract

Amaç: Bu çalışmada Çanakkale Onsekiz Mart Üniversitesi Hastanesinde yatırılarak takip edilen COVID-19 enfeksiyonu tanısı doğrulanmış sağlık çalışanlarının klinik, laboratuar ve aşılanma verilerinin incelenmesi, breakthrough enfeksiyon oranlarının tespit edilmesi, literatürle karşılaştırılarak hastane ve yoğun bakım yatış risk parametrelerinin ortaya konması amaçlanmıştır.
Yöntem: Bu retrospektif çalışmaya 6 Nisan 2020 - 1 Ocak 2023 tarihleri arasında Çanakkale Onsekiz Mart Üniversitesi Hastanesinde yatırılarak takip edilen gerçek-zamanlı polimeraz zincir reaksiyonu (RT-PCR) ile SARS CoV-2 viral nükleik asit testi pozitif olan COVID-19 enfekte sağlık çalışanları dahil edildi. Çalışmaya dahil edilen 12 olgunun demografik, klinik kayıtları ve dosyaları hastane bilgi yönetim sisteminden retrospektif olarak tarandı, aşılanma verileri hastane enfeksiyon kontrol hemşirelerinin tuttuğu sürveyans kayıtlarından alındı.
Bulgular: Pandeminin başından itibaren çalışmanın yapıldığı otuziki aylık süreçte COVID-19 enfeksiyonu tanısı alan 760 sağlık çalışanından, 10’u(1.3%) serviste, ikisi (0.2%) yoğun bakımda yatırılarak takip edilmişti. Hastaların yaş ortalamalarının 39.1 yıl olduğu, serviste yatan hastaların ortalama yaşının 40.6±8.9 yıl olduğu, dokuzunun(%90) kadın iken, yoğun bakımda yatan iki hastanın yaş ortalamasının 36.0±2.8 yıl olup cinsiyetlerinin erkek(%100) olduğu izlendi. Yatan hastaların 8’inin(%66.6) ek hastalığı yoktu. Obezite, hipertansiyon, diyabet, astım hastalarda görülen komorbit hastalıklar arasındaydı. Hastaların kan gruplarına bakıldığında on iki hastadan 5’i (%41.6) B Rh+’ti. Yatan 12 hastanın 8'i aşılanmamıştı (%66.6).
Sonuç: Çalışmamızda literatürden farklı olarak COVID-19 enfekte sağlık çalışanlarında daha düşük bir oranda servis ve yoğun bakım yatışı(1.3%, 0.2%) izlenmiş olup mortalite gerçekleşmemişti.Yoğun bakımdaki ağırlık kriterleri olarak lenfopeni, LDH, ferritin, beyaz küre yüksekliği tespit edilmiştir. Yatan hastaların ayaktanlara oranınının yıllara göre dağılımına bakıldığında aşılamanın hastaneye yatışı azalttığı görülmüştür.

Keywords

SARS-CoV-2, COVID-19 enfekte sağlık çalışanları, Breakthrough enfeksiyon, Aşı

Supporting Institution

çanakkale 18 mart üniversitesi

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