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

Year 2022, Volume: 47 Issue: 1, 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

References

• 1. World Health Organization. WHO Coronavirus (COVID-19) Dashboard. https://covid19.who.int (accessed Feb 2022).
• 2. Türk Tabipler Birliği. Kaybettiğimiz sağlık çalışanları. https://siyahkurdele.com (accessed Feb 2022).
• 3. World Health Organization. The impact of covid-19 on health and care workers: a closer look at deaths. https://apps.who.int/iris/handle/10665/345300 (accessed Feb 2022).
• 4. World Health Organization. COVID-19: Occupational health and safety for health workers, Interim guiadance. https://www.who.int/publications/i/item/WHO-2019-nCoV-HCW_advice-2021.1 (accessed Feb 2022).
• 5. 6331 sayılı İş Sağlığı ve Güvenliği Kanunu. (2012). T.C. Resmî Gazete, 28339, 20 Haziran 2012.
• 6. Moen BE. Covıd-19 should be recognized as an occupational disease world- wide. Occup Med (Lond) 2020;70:299.
• 7. Koh D. Occupational risks for COVID-19 infection. Occup Med (Lond) 2020;70:3-5.
• 8. Sandal A, Yildiz AN. Covid-19 as a recognized work-related disease: the current situation worldwide. Saf Health Work. 2021;12:136-8.
• 9. Halk Sağlığı Genel Müdürlüğü. COVID-19 (SARS-CoV-2 enfeksiyonu) Rehberi. Ankara, Halk Sağlığı Genel Müdürlüğü, 2021.
• 10. Lindesmith L, Moe C, Marionneau S, Ruvoen N, Jiang X, Lindblad L et al. Human susceptibility and resistance to norwalk virus infection. Nat Med. 2003;9:548-53.
• 11. Batool Z, Durrani SH, Tariq S. Association of ABO and Rh blood group types to hepatitis b, hepatitis c, hiv and syphilis ınfection, a five year' experience in healthy blood donors in a tertiary care hospital. J Ayub Med Coll Abbottabad. 2017;29:90-2.
• 12. Araç E, Solmaz I. Evaluation of blood groups in patients with anti TPO positive. Asian Journal of Medical Sciences. 2019;10:67-70.
• 13. Pelzer U, Klein F, Bahra M, Sinn M, Dörken B, Neuhaus P et al. Blood group determinates incidence for pancreatic cancer in Germany. Front Physiol. 2013;4:118.
• 14. Cheng Y, Cheng G, Chui CH, Lau FY, Chan PK, Ng MH et al. ABO blood group and susceptibility to severe acute respiratory syndrome. JAMA. 2005;293:1450-1.
• 15. Arac E. Association between the rh blood group and the covid-19 susceptibility. International Journal of Hematology and Oncology. 2020;30:81-6.
• 16. Wu B-B, Gu D-Z, Yu J-N, Yang J, Shen W-Q. Association between ABO blood groups and COVID-19 infection, severity and demise: A systematic review and meta-analysis. Infect Genet Evol. 2020;84:104485.
• 17. Eren C. İstanbul ilinde ABO ve Rh kan grupları dağılımının analizi. Dicle Tıp Dergisi. 2019;46:241-6.
• 18. Bhatraju PK, Ghassemieh BJ, Nichols M, Kim R, Jerome KR, Nalla AK et al. Covid-19 in critically ill patients in the Seattle Region-Case Series. N Engl J Med. 2020;382:2012-22.
• 19. Song JY, Yun JG, Noh JY, Cheong HJ, Kim WJ. Covid-19 in South Korea-challenges of subclinical manifestations. N Engl J Med. 2020;382:1858-9.
• 20. Lan FY, Filler R, Mathew S, Buley J, Iliaki E, Bruno-Murto LA et al. COVID-19 symptoms predictive of healthcare workers’ SARS-CoV-2 PCR results. PloS One. 2020;15:e0235460.
• 21. Ben-Shmuel A, Brosh-Nissimov T, Glinert I, Bar-David E, Sittner A, Poni R et al. Detection and infectivity potential of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) environmental contamination in isolation units and quarantine facilities. Clin Microbiol Infect. 2020;26:1658-62.
• 22. Sierpiński R, Pinkas J, Jankowski M, Juszczyk G, Topór-Mądry R, Szumowski Ł. Occupational risks for SARS-CoV-2 infection: the Polish experience. Int J Occup Med Environ Health. 2020;33:781-9.
• 23. Dini G, Montecucco A, Rahmani A, Barletta C, Pellegrini L, Debarbieri N et al. Clinical and epidemiological characteristics of COVID-19 during the early phase of the SARS-CoV-2 pandemic: a cross-sectional study among medical school physicians and residents employed in a regional reference teaching hospital in Northern Italy. Int J Occup Med Environ Health. 2021;34:189-201.
• 24. Eren E, Celik I, Yildiz M, Topaloglu US, Kilinc-Toker A, Arman-Firat E et al. Evaluation of health care workers with Covıd-19. Klimik. 2020;33:230-4.
• 25. Zhang ZL, Hou YL, Li DT, Li FZ. Laboratory findings of COVID-19: a systematic review and meta-analysis. Scand J Clin Lab Invest. 2020;80:441-7.
• 26. Bao C, Liu X, Zhang H, Li Y, Liu J. Coronavirus disease 2019 (COVID-19) CT findings: a systematic review and meta-analysis. J Am Coll Radiol. 2020;17:701-9.