ABSTRACT
OBJECTIVE: Health and non-health workers (HNH-W) in a hospital are more exposed to SARS-CoV-2 infection than the general population. We studied the prevalence of this infection in these workers of Segovia´s Hospital after the first epidemic wave. METHODS: Monocentric, observational, cross-sectional study, carried out between April 29 and May 14, 2020. The infection was diagnosed by capillary immunochromatography test for IgG and / or IgM antibodies, or PCR. Work, health, and exposure variables were studied. RESULTS: A total of 1,335 HNH-W participated in the study out of a total of 1,667 (80.1%), 79.3% women, with a mean age of 47.3 years, and 47.1 for men. The prevalence of infected was 21.95%, 24.7% asymptomatic. Age presented a significant OR of 1.02/year. Exposure outside of work increased the prevalence by 16.8%. The continued use of Personal Protective Equipment (PPE) and the administration of nebulizations presented an OR of 0.54 and 0.46 respectively. The symptoms associated with the highest prevalence were anosmia (OR 9.31), ageusia (OR 3.05), and fever (OR 1.94). Today, about 75% of HNH-W were infected in the first wave. CONCLUSIONS: The prevalence is higher among healthcare workers than the population they serve. Age is associated with a higher prevalence of infection. Almost a quarter of those infected were asymptomatic. The continuous use of PPE was associated with a lower prevalence, for that the administration of nebulisations could be safe. The symptoms with the greatest association were fever, anosmia, and ageusia.
Subject(s)
COVID-19 , Pandemics , COVID-19/epidemiology , Cross-Sectional Studies , Female , Health Personnel , Hospitals, General , Humans , Male , Middle Aged , Prevalence , SARS-CoV-2ABSTRACT
CASE REPORT: We present a 71 year-old woman with good control of her eye disease who developed a severe Graves' ophthalmopathy after retrobulbar anesthesia for cataract surgery. DISCUSSION: Local pressure in the retrobulbar compartment can cause the development of a severe ophthalmopathy in a patient with Graves' ophthalmopathy.
Subject(s)
Anesthesia/adverse effects , Graves Disease/etiology , Aged , Anesthesia/methods , Disease Progression , Eye , Female , HumansABSTRACT
Caso clínico: Se describe el caso de una paciente de 71 años con oftalmopatía tiroidea estable que desarrolló una forma grave de Graves después de una anestesia retrobulbar para cirugía de catarata. Discusión: En un paciente con oftalmopatía de Graves, la presión local en el compartimento retrobulbar puede agravar la oftalmopatía(AU)
Case report: We present a 71 year-old woman with good control of her eye disease who developed a severe Graves' ophthalmopathy after retrobulbar anesthesia for cataract surgery. Discussion: Local pressure in the retrobulbar compartment can cause the development of a severe ophthalmopathy in a patient with Graves' ophthalmopathy(AU)
Subject(s)
Humans , Female , Aged , Anesthetics/adverse effects , Orbital Diseases/chemically induced , Graves Disease/complications , Autoantibodies/therapeutic use , Cataract Extraction/adverse effects , Vision Disorders/etiologyABSTRACT
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