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Awareness and preparedness of healthcare workers against the first wave of the COVID-19 pandemic: A cross-sectional survey across 57 countries.
Huy, Nguyen Tien; Chico, R Matthew; Huan, Vuong Thanh; Shaikhkhalil, Hosam Waleed; Uyen, Vuong Ngoc Thao; Qarawi, Ahmad Taysir Atieh; Alhady, Shamael Thabit Mohammed; Vuong, Nguyen Lam; Truong, Le Van; Luu, Mai Ngoc; Dumre, Shyam Prakash; Imoto, Atsuko; Lee, Peter N; Tam, Dao Ngoc Hien; Ng, Sze Jia; Hashan, Mohammad Rashidul; Matsui, Mitsuaki; Duc, Nguyen Tran Minh; Karimzadeh, Sedighe; Koonrungsesomboon, Nut; Smith, Chris; Cox, Sharon; Moji, Kazuhiko; Hirayama, Kenji; Linh, Le Khac; Abbas, Kirellos Said; Dung, Tran Nu Thuy; Mohammed Ali Al-Ahdal, Tareq; Balogun, Emmanuel Oluwadare; Duy, Nguyen The; Mohamed Eltaras, Mennatullah; Huynh, Trang; Hue, Nguyen Thi Linh; Khue, Bui Diem; Gad, Abdelrahman; Tawfik, Gehad Mohamed; Kubota, Kazumi; Nguyen, Hoang-Minh; Pavlenko, Dmytro; Trang, Vu Thi Thu; Vu, Le Thuong; Hai Yen, Tran; Yen-Xuan, Nguyen Thi; Trang, Luong Thi; Dong, Vinh; Sharma, Akash; Dat, Vu Quoc; Soliman, Mohammed; Abdul Aziz, Jeza; Shah, Jaffer.
  • Huy NT; School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan.
  • Chico RM; Department of Disease Control, Faculty of Infectious & Tropical Diseases, London School of Hygiene & Tropical Medicine, London, United Kingdom.
  • Huan VT; Faculty of Medicine, Pham Ngoc Thach University, Ho Chi Minh City, Vietnam.
  • Shaikhkhalil HW; Faculty of Medicine, Islamic University of Gaza, Gaza Strip, Palestine.
  • Uyen VNT; School of Biotechnology, International University-Vietnam National University, Ho Chi Minh City, Vietnam.
  • Qarawi ATA; Lower Westchester Medical Associates, P.C., Mount Vernon, NY, United States of America.
  • Alhady STM; Faculty of medicine, University of Gezira, Wad Medani, Sudan.
  • Vuong NL; University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.
  • Truong LV; Traditional Medicine Hospital of Ministry of Public Security, Vietnam.
  • Luu MN; Department of Internal Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh, Vietnam.
  • Dumre SP; Department of Immunogenetics, Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan.
  • Imoto A; School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan.
  • Lee PN; P.N. Lee Statistics and Computing Ltd., Sutton, United Kingdom.
  • Tam DNH; Asia Shine Trading & Service CO. LTD., Ho Chi Minh City, Vietnam.
  • Ng SJ; Hospital Enche' Besar Hajjah Khalsom, Johor, Malaysia.
  • Hashan MR; Government of the People's Republic of Bangladesh-Ministry of Health and Family Welfare, Dhaka, Bangladesh.
  • Matsui M; School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan.
  • Duc NTM; University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.
  • Karimzadeh S; School of Medicine, Sabzevar University of Medical Sciences, Sabzevar, Iran.
  • Koonrungsesomboon N; Department of Pharmacology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
  • Smith C; School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan.
  • Cox S; London School of Hygiene & Tropical Medicine, London, United Kingdom.
  • Moji K; London School of Hygiene & Tropical Medicine, London, United Kingdom.
  • Hirayama K; School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan.
  • Linh LK; Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan.
  • Abbas KS; VinUniversity, College of Health Sciences, Hanoi, Vietnam.
  • Dung TNT; Faculty of Medicine, Alexandria University, Alexandria, Egypt.
  • Mohammed Ali Al-Ahdal T; University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.
  • Balogun EO; Department of Public Health, Faculty of Medicine, Jordan University of Science and Technology, Ar-Ramtha, Jordan.
  • Duy NT; Department of Biochemistry and African Center of Excellence on Neglected Tropical Diseases and Forensic Biotechnology, Ahmadu Bello University, Zaria, Nigeria.
  • Mohamed Eltaras M; Department of Gyn. Endocrinology and Reproductive Medicine, University Hospital Giessen and Marburg, Marburg, Germany.
  • Huynh T; Philipps University Marburg, Marburg, Germany.
  • Hue NTL; Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt.
  • Khue BD; University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.
  • Gad A; Nguyen Trai Hospital, Ho Chi Minh, Vietnam.
  • Tawfik GM; University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.
  • Kubota K; Ain Shams University, Cairo, Egypt.
  • Nguyen HM; Faculty of Medicine, Ain Shams University, Cairo, Egypt.
  • Pavlenko D; Yokohama City University, Yokohama, Japan.
  • Trang VTT; University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.
  • Vu LT; Bogomolets National Medical University, Kyiv, Ukraine.
  • Hai Yen T; National Hospital of Traditional Medicine, Hanoi, Vietnam.
  • Yen-Xuan NT; University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.
  • Trang LT; School of Biotechnology, International University-Vietnam National University, Ho Chi Minh City, Vietnam.
  • Dong V; Cambridge University Hospital Foundation Trust, Cambridge, United Kingdom.
  • Sharma A; Danang Oncology Hospital, Danang, Vietnam.
  • Dat VQ; American University of the Caribbean, Cupe Coy, Saint Maarten, United States of America.
  • Soliman M; University College of Medical Sciences & Guru Teg Bahadur Hospital, Dilshad Garden, Delhi, India.
  • Abdul Aziz J; Department of Infectious Diseases, Hanoi Medical University, Hanoi, Vietnam.
  • Shah J; Faculty of Medicine, Zagazig University, Zagazig, Egypt.
PLoS One ; 16(12): e0258348, 2021.
Article in English | MEDLINE | ID: covidwho-1633398
ABSTRACT

BACKGROUND:

Since the COVID-19 pandemic began, there have been concerns related to the preparedness of healthcare workers (HCWs). This study aimed to describe the level of awareness and preparedness of hospital HCWs at the time of the first wave.

METHODS:

This multinational, multicenter, cross-sectional survey was conducted among hospital HCWs from February to May 2020. We used a hierarchical logistic regression multivariate analysis to adjust the influence of variables based on awareness and preparedness. We then used association rule mining to identify relationships between HCW confidence in handling suspected COVID-19 patients and prior COVID-19 case-management training.

RESULTS:

We surveyed 24,653 HCWs from 371 hospitals across 57 countries and received 17,302 responses from 70.2% HCWs overall. The median COVID-19 preparedness score was 11.0 (interquartile range [IQR] = 6.0-14.0) and the median awareness score was 29.6 (IQR = 26.6-32.6). HCWs at COVID-19 designated facilities with previous outbreak experience, or HCWs who were trained for dealing with the SARS-CoV-2 outbreak, had significantly higher levels of preparedness and awareness (p<0.001). Association rule mining suggests that nurses and doctors who had a 'great-extent-of-confidence' in handling suspected COVID-19 patients had participated in COVID-19 training courses. Male participants (mean difference = 0.34; 95% CI = 0.22, 0.46; p<0.001) and nurses (mean difference = 0.67; 95% CI = 0.53, 0.81; p<0.001) had higher preparedness scores compared to women participants and doctors.

INTERPRETATION:

There was an unsurprising high level of awareness and preparedness among HCWs who participated in COVID-19 training courses. However, disparity existed along the lines of gender and type of HCW. It is unknown whether the difference in COVID-19 preparedness that we detected early in the pandemic may have translated into disproportionate SARS-CoV-2 burden of disease by gender or HCW type.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Personnel, Hospital / Health Knowledge, Attitudes, Practice / COVID-19 Type of study: Observational study / Prognostic study / Randomized controlled trials Limits: Adult / Female / Humans / Male Language: English Journal: PLoS One Journal subject: Science / Medicine Year: 2021 Document Type: Article Affiliation country: Journal.pone.0258348

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Personnel, Hospital / Health Knowledge, Attitudes, Practice / COVID-19 Type of study: Observational study / Prognostic study / Randomized controlled trials Limits: Adult / Female / Humans / Male Language: English Journal: PLoS One Journal subject: Science / Medicine Year: 2021 Document Type: Article Affiliation country: Journal.pone.0258348