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

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

Öz

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.

Destekleyen Kurum

Herhangi bir kurum ve kişiden maddi destek alınmamıştır.

Kaynakça

  • 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

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

Öz

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.

Kaynakça

  • 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.
Toplam 21 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Özgün Araştırma
Yazarlar

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

Yayımlanma Tarihi 31 Aralık 2022
Gönderilme Tarihi 5 Nisan 2022
Yayımlandığı Sayı Yıl 2022

Kaynak Göster

APA Toktaş, İ., Vakit, İ., Varsak, S., Erdem, Ö., vd. (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. Aralık 2022;24(3):464-470. doi:10.24938/kutfd.1098906
Chicago Toktaş, İzzettin, İbrahim Vakit, Süleyman Varsak, Özgür Erdem, Gülşen Yalçın, ve 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, sy. 3 (Aralık 2022): 464-70. https://doi.org/10.24938/kutfd.1098906.
EndNote Toktaş İ, Vakit İ, Varsak S, Erdem Ö, Yalçın G, Özcan C (01 Aralık 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, ve C. Özcan, “EVALUATION OF THE PREVALENCE AND TRANSMISSION ROUTES OF COVID-19 IN HEALTHCARE PERSONNEL WORKING IN THE HOSPITAL”, Kırıkkale Üni Tıp Derg, c. 24, sy. 3, ss. 464–470, 2022, doi: 10.24938/kutfd.1098906.
ISNAD Toktaş, İzzettin vd. “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 (Aralık 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 vd. “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, c. 24, sy. 3, 2022, ss. 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.

Bu Dergi, Kırıkkale Üniversitesi Tıp Fakültesi Yayınıdır.