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2020 ; 7
(1
): 24
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Perceived infection transmission routes, infection control practices,
psychosocial changes, and management of COVID-19 infected healthcare workers in a
tertiary acute care hospital in Wuhan: a cross-sectional survey
#MMPMID32393381
Jin YH
; Huang Q
; Wang YY
; Zeng XT
; Luo LS
; Pan ZY
; Yuan YF
; Chen ZM
; Cheng ZS
; Huang X
; Wang N
; Li BH
; Zi H
; Zhao MJ
; Ma LL
; Deng T
; Wang Y
; Wang XH
Mil Med Res
2020[May]; 7
(1
): 24
PMID32393381
show ga
BACKGROUND: Many healthcare workers were infected by coronavirus disease 2019
(COVID-19) early in the epidemic posing a big challenge for epidemic control.
Hence, this study aims to explore perceived infection routes, influencing
factors, psychosocial changes, and management procedures for COVID-19 infected
healthcare workers. METHODS: This is a cross-sectional, single hospital-based
study. We recruited all 105 confirmed COVID-19 healthcare workers in the Zhongnan
Hospital of Wuhan University from February 15 to 29, 2020. All participants
completed a validated questionnaire. Electronic consent was obtained from all
participants. Perceived causes of infection, infection prevention, control
knowledge and behaviour, psychological changes, symptoms and treatment were
measured. RESULTS: Finally, 103 professional staff with COVID-19 finished the
questionnaire and was included (response rate: 98.1%). Of them, 87 cases (84.5%)
thought they were infected in working environment in hospital, one (1.0%) thought
their infection was due to the laboratory environment, and 5 (4.9%) thought they
were infected in daily life or community environment. Swab of throat collection
and physical examination were the procedures perceived as most likely causing
their infection by nurses and doctors respectively. Forty-three (41.8%) thought
their infection was related to protective equipment, utilization of common
equipment (masks and gloves). The top three first symptoms displayed before
diagnosis were fever (41.8%), lethargy (33.0%) and muscle aches (30.1%). After
diagnosis, 88.3% staff experienced psychological stress or emotional changes
during their isolation period, only 11.7% had almost no emotional changes.
Arbidol (Umifenovir; an anti-influza drug; 69.2%) was the drug most commonly used
to target infection in mild and moderate symptoms. CONCLUSION: The main perceived
mode of transmission was not maintaining protection when working at a close
distance and having intimate contact with infected cases. Positive psychological
intervention is necessary.