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Infection and mortality of healthcare workers worldwide from COVID-19: a systematic review.
Bandyopadhyay, Soham; Baticulon, Ronnie E; Kadhum, Murtaza; Alser, Muath; Ojuka, Daniel K; Badereddin, Yara; Kamath, Archith; Parepalli, Sai Arathi; Brown, Grace; Iharchane, Sara; Gandino, Sofia; Markovic-Obiago, Zara; Scott, Samuel; Manirambona, Emery; Machhada, Asif; Aggarwal, Aditi; Benazaize, Lydia; Ibrahim, Mina; Kim, David; Tol, Isabel; Taylor, Elliott H; Knighton, Alexandra; Bbaale, Dorothy; Jasim, Duha; Alghoul, Heba; Reddy, Henna; Abuelgasim, Hibatullah; Saini, Kirandeep; Sigler, Alicia; Abuelgasim, Leenah; Moran-Romero, Mario; Kumarendran, Mary; Jamie, Najlaa Abu; Ali, Omaima; Sudarshan, Raghav; Dean, Riley; Kissyova, Rumi; Kelzang, Sonam; Roche, Sophie; Ahsan, Tazin; Mohamed, Yethrib; Dube, Andile Maqhawe; Gwini, Grace Paida; Gwokyala, Rashidah; Brown, Robin; Papon, Mohammad Rabiul Karim Khan; Li, Zoe; Ruzats, Salvador Sun; Charuvila, Somy; Peter, Noel.
  • Bandyopadhyay S; Oxford University Global Surgery Group, Nuffield Department of Surgical Sciences, University of Oxford, Oxford, Oxfordshire, UK.
  • Baticulon RE; Philippine General Hospital, University of the Philippines Manila College of Medicine, Manila, Metro Manila, The Philippines.
  • Kadhum M; Oxford University Global Surgery Group, Nuffield Department of Surgical Sciences, University of Oxford, Oxford, Oxfordshire, UK.
  • Alser M; Kasr Al Ainy School of Medicine, Cairo University Kasr Alainy Faculty of Medicine, Cairo, Egypt.
  • Ojuka DK; Department of Surgery, University of Nairobi College of Health Sciences, Nairobi, Kenya.
  • Badereddin Y; Faculty of Pharmacy, Al Azhar University-Gaza, Gaza, State of Palestine.
  • Kamath A; Oxford University Global Surgery Group, Nuffield Department of Surgical Sciences, University of Oxford, Oxford, Oxfordshire, UK.
  • Parepalli SA; Oxford University Global Surgery Group, Nuffield Department of Surgical Sciences, University of Oxford, Oxford, Oxfordshire, UK.
  • Brown G; Oxford University Global Surgery Group, Nuffield Department of Surgical Sciences, University of Oxford, Oxford, Oxfordshire, UK.
  • Iharchane S; Dipartimento di medicina clinica e sperimentale, University of Insubria, Varese, Lombardia, Italy.
  • Gandino S; Dipartimento di medicina clinica e sperimentale, University of Insubria, Varese, Lombardia, Italy.
  • Markovic-Obiago Z; Oxford University Global Surgery Group, Nuffield Department of Surgical Sciences, University of Oxford, Oxford, Oxfordshire, UK.
  • Scott S; Oxford University Global Surgery Group, Nuffield Department of Surgical Sciences, University of Oxford, Oxford, Oxfordshire, UK.
  • Manirambona E; University of Rwanda College of Medicine and Health Sciences, Kigali, Rwanda.
  • Machhada A; North Bristol NHS Trust, Westbury on Trym, Bristol, UK.
  • Aggarwal A; Oxford University Global Surgery Group, Nuffield Department of Surgical Sciences, University of Oxford, Oxford, Oxfordshire, UK.
  • Benazaize L; Oxford University Global Surgery Group, Nuffield Department of Surgical Sciences, University of Oxford, Oxford, Oxfordshire, UK.
  • Ibrahim M; North Bristol NHS Trust, Westbury on Trym, Bristol, UK.
  • Kim D; Oxford University Global Surgery Group, Nuffield Department of Surgical Sciences, University of Oxford, Oxford, Oxfordshire, UK.
  • Tol I; Oxford University Global Surgery Group, Nuffield Department of Surgical Sciences, University of Oxford, Oxford, Oxfordshire, UK.
  • Taylor EH; Oxford University Global Surgery Group, Nuffield Department of Surgical Sciences, University of Oxford, Oxford, Oxfordshire, UK.
  • Knighton A; Oxford University Global Surgery Group, Nuffield Department of Surgical Sciences, University of Oxford, Oxford, Oxfordshire, UK.
  • Bbaale D; Mbarara University of Science and Technology, Mbarara, Mbarara, Uganda.
  • Jasim D; Oxford University Global Surgery Group, Nuffield Department of Surgical Sciences, University of Oxford, Oxford, Oxfordshire, UK.
  • Alghoul H; Islamic University of Gaza, Gaza, State of Palestine.
  • Reddy H; Oxford University Global Surgery Group, Nuffield Department of Surgical Sciences, University of Oxford, Oxford, Oxfordshire, UK.
  • Abuelgasim H; Oxford University Global Surgery Group, Nuffield Department of Surgical Sciences, University of Oxford, Oxford, Oxfordshire, UK.
  • Saini K; Oxford University Global Surgery Group, Nuffield Department of Surgical Sciences, University of Oxford, Oxford, Oxfordshire, UK.
  • Sigler A; Shriners Ambulatory Clinic, Tijuana, Mexico.
  • Abuelgasim L; Oxford University Global Surgery Group, Nuffield Department of Surgical Sciences, University of Oxford, Oxford, Oxfordshire, UK.
  • Moran-Romero M; Department of Plastic Surgery, Hospital General Dr. Manuel Gea Gonzalez, National Autonomous University of Mexico, Mexico City, Mexico.
  • Kumarendran M; Oxford University Global Surgery Group, Nuffield Department of Surgical Sciences, University of Oxford, Oxford, Oxfordshire, UK.
  • Jamie NA; Palestinian Ministry of Health, Gaza, State of Palestine.
  • Ali O; Oxford University Global Surgery Group, Nuffield Department of Surgical Sciences, University of Oxford, Oxford, Oxfordshire, UK.
  • Sudarshan R; Oxford University Global Surgery Group, Nuffield Department of Surgical Sciences, University of Oxford, Oxford, Oxfordshire, UK.
  • Dean R; University of California San Diego, La Jolla, California, USA.
  • Kissyova R; North Bristol NHS Trust, Westbury on Trym, Bristol, UK.
  • Kelzang S; Gelephu Central Regional Referral Hospital, Gelephu, Bhutan.
  • Roche S; Oxford University Global Surgery Group, Nuffield Department of Surgical Sciences, University of Oxford, Oxford, Oxfordshire, UK.
  • Ahsan T; Sheikh Hasina National Institute of Burn and Plastic Surgery, Dhaka, Bangladesh.
  • Mohamed Y; Oxford University Global Surgery Group, Nuffield Department of Surgical Sciences, University of Oxford, Oxford, Oxfordshire, UK.
  • Dube AM; National University of Science and Technology Faculty of Medicine, Bulawayo, Zimbabwe.
  • Gwini GP; National University of Science and Technology Faculty of Medicine, Bulawayo, Zimbabwe.
  • Gwokyala R; Gulu University Faculty of Medicine, Gulu, Uganda.
  • Brown R; Oxford Brookes University, Oxford, Oxfordshire, UK.
  • Papon MRKK; Oxford University Global Surgery Group, Nuffield Department of Surgical Sciences, University of Oxford, Oxford, Oxfordshire, UK.
  • Li Z; Sheikh Hasina National Institute of Burn and Plastic Surgery, Dhaka, Bangladesh.
  • Ruzats SS; Swansea Bay University Health Board, Port Talbot, Neath Port Talbot, UK.
  • Charuvila S; University of Huddersfield, Huddersfield, Kirklees, UK.
  • Peter N; Oxford University Global Surgery Group, Nuffield Department of Surgical Sciences, University of Oxford, Oxford, Oxfordshire, UK.
BMJ Glob Health ; 5(12)2020 12.
Article in English | MEDLINE | ID: covidwho-961035
ABSTRACT

OBJECTIVES:

To estimate COVID-19 infections and deaths in healthcare workers (HCWs) from a global perspective during the early phases of the pandemic.

DESIGN:

Systematic review.

METHODS:

Two parallel searches of academic bibliographic databases and grey literature were undertaken until 8 May 2020. Governments were also contacted for further information where possible. There were no restrictions on language, information sources used, publication status and types of sources of evidence. The AACODS checklist or the National Institutes of Health study quality assessment tools were used to appraise each source of evidence. OUTCOME

MEASURES:

Publication characteristics, country-specific data points, COVID-19-specific data, demographics of affected HCWs and public health measures employed.

RESULTS:

A total of 152 888 infections and 1413 deaths were reported. Infections were mainly in women (71.6%, n=14 058) and nurses (38.6%, n=10 706), but deaths were mainly in men (70.8%, n=550) and doctors (51.4%, n=525). Limited data suggested that general practitioners and mental health nurses were the highest risk specialities for deaths. There were 37.2 deaths reported per 100 infections for HCWs aged over 70 years. Europe had the highest absolute numbers of reported infections (119 628) and deaths (712), but the Eastern Mediterranean region had the highest number of reported deaths per 100 infections (5.7).

CONCLUSIONS:

COVID-19 infections and deaths among HCWs follow that of the general population around the world. The reasons for gender and specialty differences require further exploration, as do the low rates reported in Africa and India. Although physicians working in certain specialities may be considered high risk due to exposure to oronasal secretions, the risk to other specialities must not be underestimated. Elderly HCWs may require assigning to less risky settings such as telemedicine or administrative positions. Our pragmatic approach provides general trends, and highlights the need for universal guidelines for testing and reporting of infections in HCWs.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Health Personnel / COVID-19 Type of study: Prognostic study / Reviews / Systematic review/Meta Analysis Limits: Humans Language: English Year: 2020 Document Type: Article Affiliation country: Bmjgh-2020-003097

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Health Personnel / COVID-19 Type of study: Prognostic study / Reviews / Systematic review/Meta Analysis Limits: Humans Language: English Year: 2020 Document Type: Article Affiliation country: Bmjgh-2020-003097