ABSTRACT
Objetivo: Identificar las características sociodemográficas, clínicas y epidemiológicas asociadas a la presencia de infección por el virus SARS-CoV-2 en médicos de familia que desempeñan su actividad laboral en atención primaria (AP) o en urgencias de hospital. Diseño: Estudio observacional analítico de casos y controles. Emplazamiento: Atención primaria. Participantes: Un total de 969 médicos de AP, urgencias hospitalarias y otros centros extrahospitalarios que dispusieran de RT-PCR para la detección del virus SARS-CoV-2. De estos, 133 participaron como casos (PCR positiva) y 836 como controles (PCR negativa).Intervenciones: No. Mediciones principales: Variables sociodemográficas y laborales, contacto con enfermo de COVID-19, síntomas presentes durante el proceso, primer síntoma manifestado, enfermedades crónicas previas y consumo de tabaco. Resultados: Del total de la muestra el 13,7% (IC 95%: 11,6-16,0), eran casos infectados con el SARS-CoV-2. Los síntomas declarados más frecuentemente por los infectados fueron sensación de fatiga/cansancio (69,2%; IC 95%: 60,9-77,4%), tos (56,4%; IC 95%: 47,6-65,2%) y cefalea (55,6%; IC 95%: 46,8-64,4%). Mediante regresión logística, las variables asociadas de manera independiente con la infección por virus SARS-CoV-2 en médicos de familia fueron: contacto previo con enfermo COVID-19 (OR: 2,3; IC 95%: 1,2-4,2), presentar fatiga/cansancio (OR: 2,2; IC 95%: 1,2-3,9), alteración del olfato (4,6; IC 95%: 1,7-12,5), alteración del gusto (OR: 32,0; IC 95%: 9,6-106,8), tos (OR: 3,0; IC 95%: 1,7-5,3) y fiebre (OR: 6,1; IC 95%: 3,2-11,4). Conclusiones: Los síntomas relacionados de forma independiente con la infección por el virus SARS-CoV-2 en médicos de familia fueron la fatiga, la fiebre, la tos y la alteración del gusto y del olfato. La presencia de estos síntomas podría facilitar el diagnóstico de sospecha de enfermedad COVID-19 y la selección más precoz de aquellos que precisan pruebas de confirmación.(AU)
Objective: To identify the sociodemographic, clinical and epidemiological characteristics associated with the presence of infection by the SARS-CoV-2 virus in family physicians who carry out their work in Primary Care (PC) or in Hospital Emergencies. Desing: Observational analytical case-control study. Site: Primary care. Participants: 969 Primare Care Physicians, Hospital Emergency physicians and other extrahospitalry centers that had PCR for the detection of the SARS-CoV-2. Of these, 133 participated as cases (PCR positive) and 836 as controls (PCR negative). Interventions: No. Main measurements: Sociodemographic and work, contact with a COVID-19 patient, symptoms present during the process, first manifested symptom, previous chronic pathologies, and tobacco use. Results: 13.7% (95% CI: 11.6-16.0) were cases infected with SARS-CoV-2. The most frequently declared symptoms by those infected were a feeling of fatigue/tiredness (69.2%; 95% CI: 60.9-77.4%), cough (56.4%; 95% CI: 47.6-65.2%) and headache (55.6%; 95% CI: 46.8-64.4%).Using logistic regression, the variables independently associated with SARS-CoV-2 virus infection in Family Physicians were: previous contact with a COVID-19 patient (OR: 2.3; 95% CI: 1.2-4.2), present fatigue / tiredness (OR: 2.2; 95% CI: 1.2-3.9), smell alteration (4.6; 95% CI: 1.7-12.5), taste alteration (OR: 32.0; 95% CI: 9.6-106.8), cough (OR: 3.0; 95% CI: 1.7-5.3) and fever (OR: 6.1; 95% CI: 3.2-11.4). Conclusions: Symptoms independently related to SARS-CoV-2 virus infection in Family Physicians were fatigue, fever, cough, and altered taste and smell. The presence of these symptoms could facilitate the diagnosis of suspected COVID-19 disease and the earlier selection of those that require confirmatory tests.(AU)
Subject(s)
Humans , Male , Female , Middle Aged , Physicians, Family , Severe acute respiratory syndrome-related coronavirus , Betacoronavirus , Coronavirus Infections/epidemiology , Symptom Assessment , Comorbidity , Occupational Diseases/diagnosis , Occupational Diseases/epidemiology , Occupational Diseases/etiology , Primary Health CareABSTRACT
OBJECTIVE: To identify the sociodemographic, clinical and epidemiological characteristics associated with the presence of infection by the SARS-CoV-2 virus in family physicians who carry out their work in Primary Care (PC) or in Hospital Emergencies. DESING: Observational analytical case-control study. SITE: Primary care. PARTICIPANTS: 969 Primare Care Physicians, Hospital Emergency physicians and other extrahospitalry centers that had PCR for the detection of the SARS-CoV-2. Of these, 133 participated as cases (PCR positive) and 836 as controls (PCR negative). INTERVENTIONS: No. MAIN MEASUREMENTS: Sociodemographic and work, contact with a COVID-19 patient, symptoms present during the process, first manifested symptom, previous chronic pathologies, and tobacco use. RESULTS: 13.7% (95% CI: 11.6-16.0) were cases infected with SARS-CoV-2. The most frequently declared symptoms by those infected were a feeling of fatigue/tiredness (69.2%; 95% CI: 60.9-77.4%), cough (56.4%; 95% CI: 47.6-65.2%) and headache (55.6%; 95% CI: 46.8-64.4%).Using logistic regression, the variables independently associated with SARS-CoV-2 virus infection in Family Physicians were: previous contact with a COVID-19 patient (OR: 2.3; 95% CI: 1.2-4.2), present fatigue / tiredness (OR: 2.2; 95% CI: 1.2-3.9), smell alteration (4.6; 95% CI: 1.7-12.5), taste alteration (OR: 32.0; 95% CI: 9.6-106.8), cough (OR: 3.0; 95% CI: 1.7-5.3) and fever (OR: 6.1; 95% CI: 3.2-11.4). CONCLUSIONS: Symptoms independently related to SARS-CoV-2 virus infection in Family Physicians were fatigue, fever, cough, and altered taste and smell. The presence of these symptoms could facilitate the diagnosis of suspected COVID-19 disease and the earlier selection of those that require confirmatory tests.
Subject(s)
COVID-19/diagnosis , COVID-19/epidemiology , Occupational Diseases/diagnosis , Occupational Diseases/epidemiology , Physicians, Family , Primary Health Care , Adult , COVID-19/etiology , COVID-19 Testing , Case-Control Studies , Female , Humans , Logistic Models , Male , Middle Aged , Occupational Diseases/etiology , Spain/epidemiologyABSTRACT
Los niños y adolescentes con cáncer se enfrentan a una serie de cambios en su dinámica familiar, actividad social, experimentan síntomas físicos y psicoemocionales como consecuencia de la enfermedad y el tratamiento. La comprensión de la prevalencia y características de los síntomas en niños con cáncer se ha visto obstaculizada por la falta de herramientas de evaluación validadas en esta población. Para los enfermeros de la práctica en oncología pediátrica es determinante reconocer y manejar los síntomas, en tanto que tienen contacto directo con su sujeto de cuidado. Objetivo: Adaptar culturalmente y validar la escala de evaluación de síntomas Memorial para adolescentes entre 10- 18 años de edad en pediatría oncológica en el contexto colombiano en el año 2018. Método: Estudio de validación de escalas que se desarrolló en dos fases; la primera fue la adaptación cultural del MSAS 10-18 al contexto colombiano en donde participaron adolescentes sanos y la segunda fase de validación facial y de contenido con participantes expertos en el fenómeno, adolescentes con cáncer entre las edades descritas. Resultados: Se obtuvo versión adaptada de la Memorial Symptom Assessment Scale 10-18 al contexto colombiano para escenarios de oncología pediátrica, con una comprensibilidad global de los ítems mayores al 85% y un índice de validez de contenido de 0.71.
Children and adolescents with cancer face a series of changes in their family dynamics, social activity, they experience physical and psycho-emotional symptoms as a result of the disease and treatment. Understanding the prevalence and characteristics of symptoms in children with cancer has been hampered by the lack of validated assessment tools in this population. For nurses practice in pediatric oncology, it is crucial to recognize and manage the symptoms, as long as they have direct contact with the patients. Objective: To adapt culturally and validate the Memorial symptom assessment scale for children between 10-18 years of age in pediatric oncology in the Colombian context in 2018. Method: Study of validation scale that was developed in two phases; the first was the cultural adaptation of MSAS 10-18 to the Colombian context and the second phase of facial and content validation with expert in the phenomenon and adolescents with cancer between the ages described. Results: An adapted version of the Memorial Symptom Assessment Scale 10-18 was obtained in the Colombian context for pediatric oncology with a global comprehensibility of the items greater than 85% and a content validity index of 0.71