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Characteristics and predicting factors of Corona Virus Disease-2019 (COVID-19) among healthcare providers in a developing country.
El-Sokkary, Rehab H; El-Kholy, Amani; Mohy Eldin, Sally; Khater, Walaa Shawky; Gad, Doaa Mostafa; Bahgat, Shereen; Negm, Essam Edin M; El Kholy, Jehan Ali; Mowafy, Sherif; Mahmoud, Eman; Mortada, Eman M.
  • El-Sokkary RH; Medical Microbiology and Immunology Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
  • El-Kholy A; Clinical Pathology Department, Faculty of Medicine, Cairo University, Cairo, Egypt.
  • Mohy Eldin S; Ministry of Health and Population, Cairo, Egypt.
  • Khater WS; Medical Microbiology and Immunology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
  • Gad DM; Chest Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
  • Bahgat S; Family Medicine Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
  • Negm EEM; Anesthesia & Surgical Intensive Care Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
  • El Kholy JA; Anesthesia & Surgical Intensive Care Department, Faculty of Medicine, Cairo University, Cairo, Egypt.
  • Mowafy S; Infection Prevention and Control Department, Dar Al Fouad Hospital, Nasr City, Cairo, Egypt.
  • Mahmoud E; Anesthesia & Surgical Intensive Care Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
  • Mortada EM; Microbiology and Immunology Department, National Liver Institute, Menoufeya University, Shibin el Kom, Egypt.
PLoS One ; 16(1): e0245672, 2021.
Article in English | MEDLINE | ID: covidwho-1067421
ABSTRACT
A limited number of publications have identified risk factors for Corona Virus Disease 2019 (COVID-19) among Healthcare Providers (HCPs). We aimed to assess the clinical and epidemiological characteristics and the predicting factors related to COVID-19 among HCPs in Egypt. A comparative cross-sectional study was conducted among HCPs via an online questionnaire. Out of 440 responses, a total of 385 complete responses were analyzed. The responders' mean age was 37.5±9.4 years, 215 (55.8%) of the participants were males. They included 77 (20%) confirmed COVID-19 cases; most of them had mild (58.6%) or moderate symptoms (30%), and (9.1%) were asymptomatic. Almost all sustained infection while on duty (97.4%). The sources of infection were either infected patients (39%), colleagues (22.1%), household contacts (5.2%) or uncertain (33.8%). The sources were symptomatic in only 62.3% of cases. Asymptomatic or pre-symptomatic sources accounted for 37.7% of the cases. Exposure occurred during healthcare provision in 66.3% of the cases. The presence of co-morbidities (OR = 2.53, CI 1.47-4.38, P = 0.001), working more than 8 hours per day in isolation hospital (OR = 3.09, CI 1.02-9.35, P = 0.046), training on hand hygiene (OR = 2.31, CI 1.05-5.08, P = 0.038) and adherence to IPC measures (OR = 2.11, CI 1.16-3.81, P = 0.014) were the significant predictors of COVID-19. In conclusion, COVID-19 occurred in 20% of responders. Silent spread from asymptomatic or presymptomatic patients, and infected colleagues in hospital settings is an alarming sign. Proactive infection prevention and control measures are highly encouraged on both strategic and operational levels. Reconsideration of surveillance strategy and work-related regulations in healthcare settings are warranted.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Infection Control / Health Personnel / COVID-19 Type of study: Observational study / Prognostic study / Randomized controlled trials Limits: Adult / Female / Humans / Male Country/Region as subject: Africa Language: English Journal: PLoS One Journal subject: Science / Medicine Year: 2021 Document Type: Article Affiliation country: Journal.pone.0245672

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Infection Control / Health Personnel / COVID-19 Type of study: Observational study / Prognostic study / Randomized controlled trials Limits: Adult / Female / Humans / Male Country/Region as subject: Africa Language: English Journal: PLoS One Journal subject: Science / Medicine Year: 2021 Document Type: Article Affiliation country: Journal.pone.0245672