Prevalence of SARS-CoV-2 infection in general practitioners and nurses in primary care and nursing homes in the Healthcare Area of León and associated factors.

Autor:	Martín V; Grupo de Investigación en Interacciones Gen-Ambiente y Salud (GIIGAS)/Instituto de Biomedicina (IBIOMED), Universidad de León, León, Spain; Centro de Investigación Biomédica en Red en Epidemiología y Salud Pública, CIBERESP, Spain., Fernández-Villa T; Grupo de Investigación en Interacciones Gen-Ambiente y Salud (GIIGAS)/Instituto de Biomedicina (IBIOMED), Universidad de León, León, Spain. Electronic address: tferv@unileon.es., Lamuedra Gil de Gomez M; Residente de 2° año en Medicina Familiar y Comunitaria, Centro de salud Condesa, León, Spain., Mencía-Ares O; Departamento de Sanidad Animal, Universidad de León, León, Spain., Rivero Rodríguez A; Dirección de Enfermería, Gerencia de Atención Primaria del Área de Salud de León, Spain., Reguero Celada S; Especialista en Medicina Familiar y Comunitaria, Centro de Salud San Andrés del Rabanedo, Spain., Montoro Gómez M; Residente de 2° año en Medicina Familiar y Comunitaria, Centro de salud Condesa, León, Spain., Nuevo Guisado MT; Residente de 2° año en Medicina Familiar y Comunitaria, Centro de Salud de San Andrés del Rabanedo, León, Spain., Villa Aller C; Enfermería, Gerencia de Atención Primaria del Área de Salud de León, Spain., Díez Flecha C; Enfermería, Gerencia de Atención Primaria del Área de Salud de León, Spain., Carvajal A; Departamento de Sanidad Animal, Universidad de León, León, Spain., Fernández Vázquez JP; Gerente de Atención Primaria, Gerencia de Atención Primaria del Área de Salud de León, Spain.
Jazyk:	angličtina
Zdroj:	Semergen [Semergen] 2020 Aug; Vol. 46 Suppl 1, pp. 35-39. Date of Electronic Publication: 2020 Jun 06.
DOI:	10.1016/j.semerg.2020.05.014
Abstrakt:	Objective: To evaluate the prevalence of and factors associated with SARS-CoV-2 infection in general practitioners and nurses from primary care centers and nursing homes in the Healthcare Area of León (Spain). Materials and Methods: Cross-sectional study in a convenience sample of professionals from 30 health centers and 30 nursing homes from the primary care management division of the Healthcare Area of Leon. The work center, type of profession, COVID-19 infection, level of exposure, compliance with preventive measures, isolation (if required) and diagnostic tests carried out were collected. The determination of infection was made by differentiated rapid diagnostic test (dRDT), using a finger-stick whole-blood sample. The association of variables with infection was assessed by multivariable non-conditional logistic regression. The true prevalence of SARS-CoV-2 infection was calculated according to two scenarios for RDT (Sensitivity=0.6 and Specificity=0.985; Sensitivity=0.8 and Specificity=1). Results: The true prevalence of SARS-CoV-2 infection was between 4.9% and 11.0%. The observed prevalence was 5.9% and was higher in nursing homes than in primary care centers (9.5% vs. 5.5%). No statistically significant differences were observed by sex, type of professional, level of exposure or compliance with preventive measures. Conclusions: The prevalence of SARS-CoV-2 infection in this group is low. A high number of professionals remain susceptible to SARS-CoV-2 infection and therefore protective measures should be taken, especially for professionals working in nursing homes. (Copyright © 2020 Sociedad Española de Médicos de Atención Primaria (SEMERGEN). Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze:	MEDLINE
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