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Risk factors of SARS-CoV-2 infection in healthcare workers: a retrospective study of a nosocomial outbreak.
Wang, Xuan; Jiang, Xiaobing; Huang, Qimin; Wang, Han; Gurarie, David; Ndeffo-Mbah, Martial; Fan, Fei; Fu, Peng; Horn, Mary Ann; Mondal, Anirban; King, Charles; Xu, Shuai; Zhao, Hongyang; Bai, Yansen.
  • Wang X; Department of Neurosurgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.
  • Jiang X; Department of Neurosurgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.
  • Huang Q; Department of Mathematics, Applied Mathematics and Statistics, Case Western Reserve University, Cleveland, OH, 44106, USA.
  • Wang H; Department of Biochemistry, Case Western Reserve University, Cleveland, OH, 44106, USA.
  • Gurarie D; Department of Mathematics, Applied Mathematics and Statistics, Case Western Reserve University, Cleveland, OH, 44106, USA.
  • Ndeffo-Mbah M; Center for Global Health and Diseases, School of Medicine, Case Western Reserve University, Cleveland, OH, 44106, USA.
  • Fan F; Department of Veterinary and Integrative Biosciences, College of Veterinary and Biomedical Sciences, Texas A&M University, College Station, TX, 77840, USA.
  • Fu P; School of Public Health, Texas A&M University, College Station, TX, 77840, USA.
  • Horn MA; Department of Neurosurgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.
  • Mondal A; Department of Neurosurgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.
  • King C; Department of Mathematics, Applied Mathematics and Statistics, Case Western Reserve University, Cleveland, OH, 44106, USA.
  • Xu S; Department of Mathematics, Applied Mathematics and Statistics, Case Western Reserve University, Cleveland, OH, 44106, USA.
  • Zhao H; Center for Global Health and Diseases, School of Medicine, Case Western Reserve University, Cleveland, OH, 44106, USA.
  • Bai Y; Computer and Data Science Department, Case Western Reserve University, Cleveland, OH, 44106, USA.
Sleep Med X ; 2: 100028, 2020 Dec.
Article in English | MEDLINE | ID: covidwho-857168
Semantic information from SemMedBD (by NLM)
1. COVID-19 PROCESS_OF Health Personnel
Subject
COVID-19
Predicate
PROCESS_OF
Object
Health Personnel
2. Infected PROCESS_OF Patients
Subject
Infected
Predicate
PROCESS_OF
Object
Patients
3. Cross Infection PROCESS_OF Health Personnel
Subject
Cross Infection
Predicate
PROCESS_OF
Object
Health Personnel
4. Hospitals LOCATION_OF Data Collection
Subject
Hospitals
Predicate
LOCATION_OF
Object
Data Collection
5. Infected PROCESS_OF Health Personnel
Subject
Infected
Predicate
PROCESS_OF
Object
Health Personnel
6. Infected NEG_PROCESS_OF Nurses
Subject
Infected
Predicate
NEG_PROCESS_OF
Object
Nurses
7. COVID-19 PROCESS_OF Health Personnel
Subject
COVID-19
Predicate
PROCESS_OF
Object
Health Personnel
8. Infected PROCESS_OF Patients
Subject
Infected
Predicate
PROCESS_OF
Object
Patients
9. Cross Infection PROCESS_OF Health Personnel
Subject
Cross Infection
Predicate
PROCESS_OF
Object
Health Personnel
10. Hospitals LOCATION_OF Data Collection
Subject
Hospitals
Predicate
LOCATION_OF
Object
Data Collection
11. Infected PROCESS_OF Health Personnel
Subject
Infected
Predicate
PROCESS_OF
Object
Health Personnel
12. Infected NEG_PROCESS_OF Nurses
Subject
Infected
Predicate
NEG_PROCESS_OF
Object
Nurses
ABSTRACT

Background:

Healthcare workers (HCWs) are at the forefront of fighting against the COVID-19 pandemic. However, they are at high risk of acquiring the pathogen from infected patients and transmitting to other HCWs. We aimed to investigate risk factors for nosocomial COVID-19 infection among HCWs in a non-COVID-19 hospital yard.

Methods:

Retrospective data collection on demographics, lifestyles, contact status with infected subjects for 118 HCWs (including 12 COVID-19 HCWs) at Union Hospital of Wuhan, China. Sleep quality and working pressure were evaluated by the Pittsburgh Sleep Quality Index (PSQI) and The Nurse Stress Index (NSI), respectively. The follow-up duration was from Dec 25, 2019, to Feb 15, 2020.

Results:

A high proportion of COVID-19 HCWs had engaged in night shift-work (75.0% vs. 40.6%) and felt working under pressure (66.7% vs. 32.1%) than uninfected HCWs. SARS-CoV-2 infected HCWs had significantly higher scores of PSQI and NSI than uninfected HCWs (P < 0.001). Specifically, scores of 5 factors (sleep quality, sleep time, sleep efficiency, sleep disorder, and daytime dysfunction) in PSQI were higher among infected HCWs. For NSI, its 5 subscales (nursing profession and work, workload and time allocation, working environment and resources, patient care, management and interpersonal relations) were all higher in infected than uninfected nurse. Furthermore, total scores of PSQI (HR = 2.97, 95%CI = 1.86-4.76; P <0.001) and NSI (HR = 4.67, 95%CI = 1.42-15.45; P = 0.011) were both positively associated with the risk of SARS-CoV-2 infection.

Conclusion:

Our analysis shows that poor sleep quality and higher working pressure may increase the risk of nosocomial SARS-CoV-2 infection among HCWs.
Keywords

Full text: Available Collection: International databases Database: MEDLINE Document Type: Article Type of study: Etiology study / Observational study / Risk factors Language: English Journal: Sleep Med X Clinical aspect: Etiology / Prognosis Year: 2020

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Full text: Available Collection: International databases Database: MEDLINE Document Type: Article Type of study: Etiology study / Observational study / Risk factors Language: English Journal: Sleep Med X Clinical aspect: Etiology / Prognosis Year: 2020
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