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Risk of SARS-CoV-2 infection among front-line healthcare workers in Northeast Brazil: a respondent-driven sampling approach.


ABSTRACT:

Objectives

We assessed the prevalence of SARS-CoV-2 infection, personal protective equipment (PPE) shortages and occurrence of biological accidents among front-line healthcare workers (HCW).

Design, setting and participants

Using respondent-driven sampling, the study recruited distinct categories of HCW attending suspected or confirmed patients with COVID-19 from May 2020 to February 2021, in the Recife metropolitan area, Northeast Brazil.

Outcome measures

The criterion to assess SARS-CoV-2 infection among HCW was a positive self-reported PCR test.

Results

We analysed 1525 HCW: 527 physicians, 471 registered nurses, 263 nursing assistants and 264 physical therapists. Women predominated in all categories (81.1%; 95% CI: 77.8% to 84.1%). Nurses were older with more comorbidities (hypertension and overweight/obesity) than the other staff. The overall prevalence of SARS-CoV-2 infection was 61.8% (95% CI: 55.7% to 67.5%) after adjustment for the cluster random effect, weighted by network, and the reference population size. Risk factors for a positive RT-PCR test were being a nursing assistant (OR adjusted: 2.56; 95% CI: 1.42 to 4.61), not always using all recommended PPE while assisting patients with COVID-19 (OR adj: 2.15; 95% CI: 1.02 to 4.53) and reporting a splash of biological fluid/respiratory secretion in the eyes (OR adj: 3.37; 95% CI: 1.10 to 10.34).

Conclusions

This study shows the high frequency of SARS-CoV2 infection among HCW presumably due to workplace exposures. In our setting, nursing assistant comprised the most vulnerable category. Our findings highlight the need for improving healthcare facility environments, specific training and supervision to cope with public health emergencies.

SUBMITTER: Albuquerque MFPM 

PROVIDER: S-EPMC9170795 | biostudies-literature | 2022 Jun

REPOSITORIES: biostudies-literature

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Publications

Risk of SARS-CoV-2 infection among front-line healthcare workers in Northeast Brazil: a respondent-driven sampling approach.

Albuquerque Maria de Fátima Pessoa Militão de MFPM   Souza Wayner Vieira de WV   Montarroyos Ulisses Ramos UR   Pereira Cresio Romeu CR   Braga Cynthia C   Araújo Thalia Velho Barreto de TVB   Ximenes Ricardo Arraes de Alencar RAA   Miranda-Filho Demócrito de Barros DB   Szwarcwald Celia Landmann CL   Souza-Junior Paulo Roberto Borges de PRB   Xavier Morgana Nascimento MN   Morais Clarice Neuenschwander Lins de CNL   Albuquerque Gabriela Diniz Militao de GDM   Bresani-Salvi Cristiane C   Mariz Carolline Araújo CA   Siqueira-Filha Noemia Teixeira de NT   Galindo Jadson Mendonça JM   França-Neto Cláudio Luiz CL   Barbosa Jessyka Mary Vasconcelos JMV   Veras Maria Amelia Sousa Mascena MASM   Lima Luana Nepomuceno Gondim Costa LNGC   Cruz Luciane Nascimento LN   Kendall Carl C   Kerr Ligia Regina Franco Sansigolo LRFS   Martelli Celina Maria Turchi CMT  

BMJ open 20220606 6


<h4>Objectives</h4>We assessed the prevalence of SARS-CoV-2 infection, personal protective equipment (PPE) shortages and occurrence of biological accidents among front-line healthcare workers (HCW).<h4>Design, setting and participants</h4>Using respondent-driven sampling, the study recruited distinct categories of HCW attending suspected or confirmed patients with COVID-19 from May 2020 to February 2021, in the Recife metropolitan area, Northeast Brazil.<h4>Outcome measures</h4>The criterion to  ...[more]

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