VACCINATION STATUS AND CLINICAL FEATURES OF HEALTHCARE WORKERS WITH COVID-19 IN A TRAINING AND RESEARCH HOSPITAL

Yıl 2023, , 206 - 219, 31.05.2023

Saliha Kazcı , Arzu Mirza , Meltem Çöl , Caner Baysan , Çağanay Soysal , Elif Yilmaz , Barış Örs , Gönül Tanır

https://doi.org/10.35232/estudamhsd.1274240

Öz

It is widely known that a large number of healthcare workers around the world were infected with and lost their lives due to SARS-CoV-2. The study aims to define the sociodemographic characteristics, working conditions, clinical characteristics, and vaccination status of healthcare workers with COVID-19 and to determine the factors affecting clinical characteristics. This cross-sectional study was conducted in a training and research hospital with 681 healthcare workers who had COVID-19 infection between March 11, 2020-March 31, 2022. Participant data was collected under observation using a survey method. Data analysis was performed using the SPSS 25.0 program, Pearson chi square and Fisher's Exact test for categorical variables, Student-t test, and Mann Whitney U test for continuous variables. The average age of the participants was 33.8; 75.6% were women, 20.3% were doctors, and 41.9% were nurses, midwives, and medical officers/technicians. It was reported that the hospital setting was the source of transmission in 44.7% of the cases. The most common symptoms reported were fatigue (77.5%), joint pain (70%), muscle pain (62.1%), and coughing (55.7%). Age, gender, history of chronic disease, and completion of vaccination program significantly affected the symptoms. Long COVID was detected in 28.2% of the participants, and the most persistent symptoms were loss of sense of smell, coughing, and fatigue. Long COVID was detected at a higher rate in women, those with chronic disease, and those who were unvaccinated or did not complete the primary vaccination protocol. While adverse effects were reported in 50.5% of the 2039 vaccine doses administered in total, the most common side effect was pain at the injection site (26%). There were no serious side effects reported. It has been determined that the hospital environment plays a significant role in COVID-19 transmission among healthcare workers, as well as the clinical characteristics, effective factors, and vaccination status of this population. Based on these results, it is recommended that healthcare workers continue to practice caution against transmission and that careful clinical follow-ups of patients with risk are performed.

Anahtar Kelimeler

COVID-19, healthcare workers, clinic, vaccination

BİR EĞİTİM VE ARAŞTIRMA HASTANESİNDE COVID-19 GEÇİREN SAĞLIK ÇALIŞANLARINDA AŞILANMA DURUMU VE KLİNİK ÖZELLİKLER

Öz

Dünya çapında çok sayıda sağlık çalışanının SARS-CoV-2 ile enfekte olduğu ve yaşamını kaybettiği bilinmektedir. Çalışmada, COVID-19 geçirmiş sağlık çalışanlarının sosyodemografik özelliklerini, çalışma koşullarını, klinik özelliklerini, aşılanma durumunu tanımlamak ve klinik özelliklere etkili faktörleri saptamak amaçlandı. Araştırma kesitsel tipte olup bir eğitim ve araştırma hastanesinde 11 Mart 2020-31 Mart 2022 tarihleri arasında COVID-19 enfeksiyonu geçirmiş 681 sağlık çalışanı ile gerçekleştirildi. Katılımcı bilgileri gözlem altında anket yöntemi ile toplandı. Verilerin analizi SPSS 25.0 programında, kategorik değişkenlerde Pearson ki-kare ve Fisher’in Exact testi, sürekli değişkenlerde Student-t testi ve Mann Whitney U testi kullanılarak yapıldı. Katılımcıların yaş ortalaması 33,8, %75,6’sı kadın, %20,3’ü doktor, %41,9’u hemşire, ebe, sağlık memuru/teknikerdi. Bulaş kaynağı olarak vakaların %44,7’sinde hastane olduğu bildirildi. En sık görülen semptomlar halsizlik (%77,5), eklem ağrısı (%70), kas ağrısı (%62,1), öksürük (%55,7) olarak bulundu. Yaş, cinsiyet, kronik hastalık varlığı, aşı şemasını tamamlamış olma durumu, semptomları anlamlı ölçüde etkiledi. Uzamış COVID katılımcıların %28,2’sinde saptandı ve en çok devam eden semptomlar koku kaybı, öksürük, halsizlik oldu. Kadınlarda, kronik hastalığı olanlarda ve aşısız veya primer şemayı tamamlamamış olanlarda uzamış COVID daha yüksek oranda saptandı. Toplam 2039 doz aşıdan %50,5’inde yan etki bildirilirken, en sık gelişen yan etki enjeksiyon bölgesinde ağrı (%26) idi. Ciddi yan etki bildirilmedi. COVID-19 geçiren sağlık çalışanlarında hastane ortamının bulaşta önemli olduğu ve bu gruptaki klinik özellikler, etkili faktörler ve aşılanma durumu belirlenmiştir. Bu sonuçlara dayanarak, sağlık çalışanlarında korunmaya devam edilmesi ve riskli kişilerin klinik takiplerinin dikkatle yapılması önerilir

Anahtar Kelimeler

COVID-19, sağlık çalışanı, klinik, Aşılanma

Kaynakça

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