SARS-CoV-2 infection prevalence, risk factors, and outcomes among non-clinical-related service providers in a national healthcare system.

Autor:	Aishaq M; Hamad Medical Corporation, Doha, Qatar., Nafady-Hego H; Microbiology and Immunology Department, Faculty of Medicine, Assiut University, Assiut, Egypt.; Laboratory department, Al Tahrir medical center, Doha, Qatar., Ben Abid F; Weill Cornell Medicine - Qatar, Doha, Qatar.; Division of Infectious Diseases, Department of Medicine, Hamad Medical Corporation, Doha, Qatar., Al Ajmi JA; Hamad Medical Corporation, Doha, Qatar., Hamdi WS; Hamad Medical Corporation, Doha, Qatar., Vinoy S; Hamad Medical Corporation, Doha, Qatar., Thomas AG; Hamad Medical Corporation, Doha, Qatar., Alrwashdh S; Hamad Medical Corporation, Doha, Qatar., Shaheen M; Hamad Medical Corporation, Doha, Qatar., Mathew TE; Hamad Medical Corporation, Doha, Qatar., Elgendy M; Faculty of Medicine, Universiti Sains of Malaysia, Kelantan, Malaysia., Joseph S; Hamad Medical Corporation, Doha, Qatar., Thomas C; Hamad Medical Corporation, Doha, Qatar., Alex AK; Hamad Medical Corporation, Doha, Qatar., Nafady A; Clinical and chemical pathology department, faculty of medicine, South Valley University, Qena, Egypt., Coyle PV; Hamad Medical Corporation, Doha, Qatar., Elgendy H; Hamad Medical Corporation, Doha, Qatar.; Weill Cornell Medicine - Qatar, Doha, Qatar.; Anesthesia Department, Faculty of Medicine, Qatar University, Doha, Qatar.
Jazyk:	angličtina
Zdroj:	Global epidemiology [Glob Epidemiol] 2024 Jun 13; Vol. 8, pp. 100149. Date of Electronic Publication: 2024 Jun 13 (Print Publication: 2024).
DOI:	10.1016/j.gloepi.2024.100149
Abstrakt:	Health care workers (HCWs) may be at a variable risk of SARS-CoV2 infection. Regardless of their involvement in providing direct clinical treatment, most of the prior research had included all HCWs. Understanding infection rates, risk factors and outcomes among different subgroups of HCWs is crucial. From February 28, 2020 to January 1, 2022, we conducted a retrospective analysis encompassing all full-time non-clinical staff (NCS) subcontracted with Hamad Medical Corporation (HMC) facilities. To determine current or previous SARS-CoV2 infection, all personnel underwent RT-PCR and/or serology testing. To identify the demographic factors linked to the risk of infection, we utilized Cox-Hazard regression analysis. Herein 3158/6231 (50.7%) subcontracted NCS tested positive for SARS-CoV-2 by RT-PCR or serology during the research period. The median age was 30 years (IQR 25,35), 69.8% of the population were males, 82.4% were from South Asia, 86.6% did not have any concomitant conditions. 6032 (96.8%) of the population lived in shared housing, while 4749 (76.2%) had low to median levels of education. While infection (PCR positive with or without seropositive results) was independently predicted by male gender, working in the catering, laundry, and security sectors and being intermediate (7-12 years of education), lower (0-6 years of education), higher (exposure to confirmed case), and having symptoms. Male gender, working in the security sectors and being intermediate (7-12 years of education) were independently associated with accidently detected cases (PCR negative and seropositive). 299 (4.8%) required hospitalization, of them 3 cases were severe pneumonia and one required ICU admission without mechanical ventilation, with no deaths reported. In conclusion Infection rates among NCS are high. The majority are asymptomatic and may contribute to ongoing illness spread in the public or in healthcare facilities. During a pandemic, routine screening of this population is crucial and may aid in containing the spread of infection. Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (© 2024 Published by Elsevier Inc.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu