Epidemiological and Clinical Profile of Healthcare Providers Affected With Covid-19 at Civil Hospital; Medicity Campus; Ahmedabad; Gujarat

Kartikeya G  Parmar; Dhaval V  Parekh; Jinal  Nogas; Bhagyalaxmi ,  Aroor; Devang  Raval; Rajesh  Solanki

doi:10.5455/njcm.20210217071758

Authors

Kartikeya G Parmar B.J. Medical College, Ahmedabad
Dhaval V Parekh B.J. Medical College, Ahmedabad
Jinal Nogas B.J. Medical College, Ahmedabad
Bhagyalaxmi , Aroor B.J. Medical College, Ahmedabad
Devang Raval B.J. Medical College, Ahmedabad
Rajesh Solanki B.J. Medical College, Ahmedabad

DOI:

https://doi.org/10.5455/njcm.20210217071758

Keywords:

SARS-Co-V2, healthcare provider, decision-making

Abstract

Background: SARS-CoV-2 has spread globally at a rapid pace, causing significant morbidity and mortality. Healthcare providers are especially vulnerable to infection with important implications. There might be adverse effects on their health, they could transmit the infection to vulnerable patients, family contacts and other staff if not quickly isolated and high rates of infection could cause problems due to health system manpower shortage.

Methodology: A cross-sectional study was conducted where a preformed semi-structured questionnaire was sent using Google forms. A total of 311 healthcare providers were sent the form out of which 161 responded. Analysis was done using Microsoft Excel 2019 and Google Forms.

Result: 75.16% healthcare providers always wore PPE, 11.18% wore it as per duty requirements and 13.66% used mask and sanitizer in non Covid duty areas. They were infected even with use of protective measures. 14.91% reported having co morbidities. Hypertension 8.7% followed by Diabetes 4.96% was the commonest. A significant association was present between sex and work profile of respondents with hospital admission.

Conclusion: Our study data can be used for making appropriate management strategies. Training should be provided in infection prevention control practices. Duty schedule should be designed so as to evenly distribute duties.

References

Khurana A, Kaushal GP, Verma V, Sharma K, Kohli M. Prevalence and clinical correlates of COVID-19 outbreak among healthcare workers in a tertiary level hospital. MedRxiv. 2020 Jan 1.

Covid data. Available at https://www.Covid19india.org/. Last accessed on 10-12-2020.

Suárez-García I, de Aramayona López MM, Vicente AS, Abascal PL. SARS-CoV-2 infection among healthcare workers in a hospital in Madrid, Spain. Journal of Hospital Infection. 2020 Oct 1;106(2):357-63.

Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J, Wang B, Xiang H, Cheng Z, Xiong Y, Zhao Y. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus–infected pneumonia in Wuhan, China. Jama. 2020 Mar 17;323(11):1061-9.

Wu Z, McGoogan JM. Characteristics of and important lessons from the coronavirus disease 2019 (COVID-19) outbreak in China: summary of a report of 72 314 cases from the Chinese Center for Disease Control and Prevention. Jama. 2020 Apr 7;323(13):1239-42.

Luo Y, Trevathan E, Qian Z, Li Y, Li J, Xiao W, Tu N, Zeng Z, Mo P, Xiong Y, Ye G. Asymptomatic SARS-CoV-2 infection in household contacts of a healthcare provider, Wuhan, China. Emerging infectious diseases. 2020 Aug;26(8):1930.

Wee LE, Sim XY, Conceicao EP, Aung MK, Goh JQ, Yeo DW, Gan WH, Chua YY, Wijaya L, Tan TT, Tan BH. Containment of COVID-19 cases among healthcare workers: The role of surveillance, early detection, and outbreak management. Infection Control & Hospital Epidemiology. 2020 May 11:1-7.

Schwartz KL, Achonu C, Buchan SA, Brown KA, Lee B, Whelan M, Wu JH, Garber G. Epidemiology, clinical characteristics, household transmission, and lethality of severe acute respiratory syndrome coronavirus-2 infection among healthcare workers in Ontario, Canada. PloS one. 2020 Dec 28;15(12):e0244477.

Google forms. Available at https://www.google.com /forms /about/. Last accessed on 5-1-2021

Ong SW, Tan YK, Chia PY, Lee TH, Ng OT, Wong MS, Marimuthu K. Air, surface environmental, and personal protective equipment contamination by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) from a symptomatic patient. Jama. 2020 Apr 28;323(16):1610-2.

Liu Y, Yan LM, Wan L, Xiang TX, Le A, Liu JM, Peiris M, Poon LL, Zhang W. Viral dynamics in mild and severe cases of COVID-19. The Lancet Infectious Diseases. 2020 Jun 1;20(6):656-7.

Guan WJ, Ni ZY, Hu Y, Liang WH, Ou CQ, He JX, Liu L, Shan H, Lei CL, Hui DS, Du B. Clinical characteristics of coronavirus disease 2019 in China. New England journal of medicine. 2020 Apr 30;382(18):1708-20.

ICMR. National Taskforce for COVID-19. Advisory on the use of hydroxy-chloroquine as prophylaxis for SARS-CoV-2 infection. 2020. [Internet]. Available from: https://www. mohfw.gov.in/pdf/AdvisoryontheuseofHydroxychloroquinasprophylaxisforSARSCoV2infection.pdf Last accessed on 5-1-2021

Lancet T. COVID-19: protecting health-care workers. Lancet (London, England). 2020 Mar 21;395(10228):922.

Ran L, Chen X, Wang Y, Wu W, Zhang L, Tan X. Risk factors of healthcare workers with coronavirus disease 2019: a retrospective cohort study in a designated hospital of Wuhan in China. Clinical Infectious Diseases. 2020 Oct 15;71(16):2218-21.

Ehrlich H, McKenney M, Elkbuli A. Protecting our healthcare workers during the COVID-19 pandemic. The American journal of emergency medicine. 2020 Jul 1;38(7):1527-8.