ABSTRACT
Fundamento: Las tasas de contagio ocupacional porSARS-CoV-2 entre profesionales sanitarios en España sonelevadas respecto a otros países. El objetivo del estudio fuedescribir y analizar los factores de riesgo asociados a estatransmisión. Material y métodos: Estudio transversal con muestreo noprobabilístico en bola de nieve de profesionales sanitarios(medicina, enfermería, fisioterapia, cuidados auxiliares) dediferentes niveles asistenciales (atención primaria, hospitalaria, sociosanitaria u otra), en contacto o no con pacientescon COVID-19 en junio de 2020 en España. Se elaboró unaencuesta electrónica de 81 preguntas estructurada en cuatro bloques: variables sociodemográficas, conocimientossobre COVID-19, disponibilidad y uso de equipos de protección individual (EPI), y medidas de protección del entornoy formación recibida. Resultados: Respondieron 855 sanitarios, 81,5% mujeres,edad media 44años (28-68). El 93,4% conocía los principalessíntomas pero el 40,4% no identificó la vía transmisión por gotas y contacto. El 67,5% atendieron a pacientes con COVID-19sin EPI adecuado y el 29,1% usó el mismo EPI de manera continuada más de 4 horas. El 25,6% no había recibido formaciónsobre colocación y retirada del EPI y el 61,2% no pudo practicar previamente el proceso. El 19,4% sufrió infección porcoronavirus, más frecuente en profesionales que no habíanrecibido formación específica (25,8 vs 17,2%, p = 0,009). Conclusión: Como estrategias de prevención de contagiose deben implementar la formación, redactar protocolos yprogramas de cribado, supervisar las situaciones de mayorriesgo, asegurar la disponibilidad de material, y aumentarel compromiso de las instituciones sanitarias para apoyaral personal sanitario.(AU)
Background: Occupational infection rates for SARS-CoV-2among health professionals in Spain are high in comparison to other countries. The objective of the study was todescribe and analyze the risk factors associated with thistransmission. Methods: Cross-sectional study with non-probabilisticsnowball sampling of health professionals (medicine, nursing, physiotherapy, auxiliary care) of different levels ofcare (primary care, hospital, nursing homes, etc.), whowere in contact or not with patients with COVID-19, inJune 2020 in Spain. We prepared an electronic survey of81 questions structured in four blocks: sociodemographicvariables, knowledge about COVID-19, availability and useof personal protective equipment (PPE), and environmentalprotection measures and training received. Results: 855 health workers responded, 81.5% women and themean age was 44 years (28-68). 93.4% knew the main symptoms but 40.4% did not identify the route of transmission viadroplets and contact. 67.5% of them cared for COVID-19 patients without adequate PPE and 29.1% wore the same PPEcontinuously for more than 4 hours. 25.6% of workers had notreceived any type of training in donning and removing thePPE and 61.2% of them were unable to previously practicethe process. The frequency of coronavirus infection amonghealth professionals was 19.4%, which is higher in thoseprofessionals who had not received specific training (25.8 vs17.2%, p = 0.009). Conclusion: Training, drafting protocols and screening programs, supervising the situations of greatest risk, ensuringthe availability of material and increasing the commitmentof health institutions to support health personnel should beimplemented as contagion prevention strategies.(AU)
Subject(s)
Humans , Male , Female , Adult , Middle Aged , Pandemics , Coronavirus Infections/epidemiology , Severe acute respiratory syndrome-related coronavirus , Health Personnel , Risk Factors , Occupational Risks , Personal Protective Equipment , Occupational Exposure , Spain , Cross-Sectional StudiesABSTRACT
BACKGROUND: Occupational infection rates for SARS-CoV-2 among health professionals in Spain are high in comparison to other countries. The objective of the study was to describe and analyze the risk factors associated with this transmission. METHODS: Cross-sectional study with non-probabilistic snowball sampling of health professionals (medicine, nursing, physiotherapy, auxiliary care) of different levels of care (primary care, hospital, nursing homes, etc.), who were in contact or not with patients with COVID-19, in June 2020 in Spain. We prepared an electronic survey of 81 questions structured in four blocks: sociodemographic variables, knowledge about COVID-19, availability and use of personal protective equipment (PPE), and environmental protection measures and training received. RESULTS: 855 health workers responded, 81.5% women and the mean age was 44 years (28-68). 93.4% knew the main symptoms but 40.4% did not identify the route of transmission via droplets and contact. 67.5% of them cared for COVID-19 patients without adequate PPE and 29.1% wore the same PPE continuously for more than 4 hours. 25.6% of workers had not received any type of training in donning and removing the PPE and 61.2% of them were unable to previously practice the process. The frequency of coronavirus infection among health professionals was 19.4%, which is higher in those professionals who had not received specific training (25.8 vs 17.2%, p=0.009). CONCLUSION: Training, drafting protocols and screening programs, supervising the situations of greatest risk, ensuring the availability of material and increasing the commitment of health institutions to support health personnel should be implemented as contagion prevention strategies.
