Hospitalization, death, and probable reinfection in Peruvian healthcare workers infected with SARS-CoV-2: a national retrospective cohort study.

Autor: Ramos W; Centro Nacional de Epidemiología, Prevención y Control de Enfermedades, Ministerio de Salud, Calle Daniel Olaechea 199 Jesús María, Lima, 15072, Peru. willymh98@hotmail.com.; Instituto de Investigaciones en Ciencias Biomédicas (INICIB), Facultad de Medicina, Universidad Ricardo Palma, Av. Alfredo Benavides 5440, Santiago de Surco, Lima, 15039, Peru. willymh98@hotmail.com., Guerrero N; Centro Nacional de Epidemiología, Prevención y Control de Enfermedades, Ministerio de Salud, Calle Daniel Olaechea 199 Jesús María, Lima, 15072, Peru., Napanga-Saldaña EO; Centro Nacional de Epidemiología, Prevención y Control de Enfermedades, Ministerio de Salud, Calle Daniel Olaechea 199 Jesús María, Lima, 15072, Peru., Medina J; Centro Nacional de Epidemiología, Prevención y Control de Enfermedades, Ministerio de Salud, Calle Daniel Olaechea 199 Jesús María, Lima, 15072, Peru., Loayza M; Instituto de Investigaciones en Ciencias Biomédicas (INICIB), Facultad de Medicina, Universidad Ricardo Palma, Av. Alfredo Benavides 5440, Santiago de Surco, Lima, 15039, Peru., De La Cruz-Vargas JA; Instituto de Investigaciones en Ciencias Biomédicas (INICIB), Facultad de Medicina, Universidad Ricardo Palma, Av. Alfredo Benavides 5440, Santiago de Surco, Lima, 15039, Peru., Vargas M; Centro Nacional de Epidemiología, Prevención y Control de Enfermedades, Ministerio de Salud, Calle Daniel Olaechea 199 Jesús María, Lima, 15072, Peru., Ordóñez L; Centro Nacional de Epidemiología, Prevención y Control de Enfermedades, Ministerio de Salud, Calle Daniel Olaechea 199 Jesús María, Lima, 15072, Peru., Seclén-Ubillús Y; Unidad de Post Grado, Facultad de Medicina, Universidad Nacional Mayor de San Marcos, Lima, Peru., Álvarez-Antonio C; Centro de Prevención y Control de Enfermedades, Dirección Regional de Salud de Loreto, Iquitos, Peru., Arrasco J; Centro Nacional de Epidemiología, Prevención y Control de Enfermedades, Ministerio de Salud, Calle Daniel Olaechea 199 Jesús María, Lima, 15072, Peru.
Jazyk: angličtina
Zdroj: Human resources for health [Hum Resour Health] 2022 Dec 22; Vol. 20 (1), pp. 86. Date of Electronic Publication: 2022 Dec 22.
DOI: 10.1186/s12960-022-00787-0
Abstrakt: Background: Peru has some of the worst outcomes worldwide as a result of the SARS-CoV-2 pandemic; it is presumed that this has also affected healthcare workers. This study aimed to establish whether occupation and other non-occupational variables were risk factors for possible reinfection, hospitalization, and mortality from COVID-19 in cohorts of Peruvian healthcare workers infected with SARS-CoV-2.
Methods: Retrospective cohort study. Healthcare workers who presented SARS-CoV-2 infection between March 1, 2020, and August 6, 2021, were included. Occupational cohorts were reconstructed from the following sources of information: National Epidemiological Surveillance System, molecular tests (NETLAB), results of serology and antigen tests (SICOVID-19), National Registry of Health Personnel (INFORHUS), and National Information System of Deaths (SINADEF). The incidence of probable reinfection, hospitalization, and death from COVID-19 was obtained in the cohorts of technicians and health assistants, nursing staff, midwives, dentists, doctors, and other healthcare workers. We evaluated whether the occupation and other non-occupational variables were risk factors for probable reinfection, hospitalization, and death from COVID-19 using log-binomial and probit binomial models, obtaining the adjusted relative risk (RR AJ ).
Results: 90,398 healthcare workers were included in the study. Most cases were seen in technicians and health assistants (38.6%), and nursing staff (25.6%). 8.1% required hospitalization, 1.7% died from COVID-19, and 1.8% had probable reinfection. A similar incidence of probable reinfection was found in the six cohorts (1.7-1.9%). Doctors had a higher incidence of hospitalization (13.2%) and death (2.6%); however, they were also those who presented greater susceptibility linked to non-occupational variables (age and comorbidities). The multivariate analysis found that doctors (RR AJ  = 1.720; CI 95: 1.569-1.886) had a higher risk of hospitalization and that the occupation of technician and health assistant was the only one that constituted a risk factor for mortality from COVID-19 (RR AJ  = 1.256; 95% CI: 1.043-1.512).
Conclusions: Peruvian technicians and health assistants would have a higher risk of death from COVID-19 than other healthcare workers, while doctors have a higher incidence of death probably linked to the high frequency of non-occupational risk factors. Doctors present a higher risk of hospitalization independent of comorbidities and age; likewise, all occupations show a similar risk of probable reinfection.
(© 2022. The Author(s).)
Databáze: MEDLINE
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