The morbidity rate of COVID-19 among medical workers: risk factors of getting infected and the development of severe clinical forms
T. A. Platonova,
A. A. Golubkova,
M. S. Sklyar,
S. S. Smirnova,
E. A. Karbovnichaya,
A. D. Nikitskaya https://doi.org/10.34215/1609-1175-2022-2-26-33
Abstract
Objective: The aim of the study was to assess non-professional risk factors for COVID-19 infection in medical workers and predictors of the development of severe clinical forms of the disease.
Methods: The authors developed two online questionnaires to analyze the features of the clinical manifestations of COVID-19 and the impact of various risk factors on the employees of the Ministry of Defense. Questionnaires were filled out by 366 medical workers who had previously had a new coronavirus infection, and 306 employees who were intact for this disease.
Results: When assessing the risk factors for SARS-CoV-2 infection, it was found that factors such as irregular preventive intake of vitamin D and multivitamins increased the risk of infection of employees of the Ministry of Defense by 1.5-2 times. The majority of employees (281 or 76.8%) suffered the disease in the form of acute respiratory infection (ARI) of mild or moderate severity, 23.2% (85 people) had a lesion of the pulmonary parenchyma in the form of interstitial pneumonia. The most severe clinical forms of COVID-19 occurred in employees in the age group older than 40 years, with a body mass index corresponding to overweight (more than 25.0), having chronic diseases of the genitourinary system, diabetes mellitus, and low physical activity.
Conclusions: According to the results of the conducted study, the main clinical manifestations of the new coronavirus infection among medical workers, their severity in various forms of the disease, the leading non-professional risk factors for infection and predictors of the development of more severe clinical forms of COVID-19 were determined.
About the Authors
T. A. Platonova
European medical center "UMMC-Health"
Russian Federation
Russian Federation
Platonova Tatyana Aleksandrovna - candidate of medical Sciences, head of the epidemiological Department - epidemiologist of the limited liability
620144, Yekaterinburg, Sheinkmana str., 113
+7 (343) 344-27-67 (1894), +7 982-691-88-30
A. A. Golubkova
Central Research Institute of Epidemiology of Rospotrebnadzor; Russian Medical Academy of Continuing Professional Education
Russian Federation
Russian Federation
Golubkova Alla Aleksandrovna - doctor of medical Sciences, Professor, leading researcher of the laboratory of infections associated with the provision of medical care
111123, Moscow, Novogireevskaya str., 3A
+7 912-617-39-85
M. S. Sklyar
European medical center "UMMC-Health"
Russian Federation
Russian Federation
Sklyar Mikhail Semyonovich - doctor of medical Sciences, general manager
620144, Yekaterinburg, Sheinkmana str., 113
тел. +7 (343) 344-27-67 (1000)
S. S. Smirnova
Russian Medical Academy of Continuing Professional Education; ERIVI, FBRI SRC VB «Vector» of Rospotrebnadzor
Russian Federation
Russian Federation
Smirnova Svetlana Sergeevna - candidate of medical Sciences, head of the Ural-Siberian Scientific and Methodological Center for the Prevention of Infections Associated with the Provision of Medical Assistance; associate Professor of the Department of epidemiology, social hygiene and organization of the state sanitary and epidemiological service
620030, Ekaterinburg, Letnyaya str. 23
620028, Yekaterinburg, Repin str., 3
+7 (343) 261-99-47 (106), +7 908-917-59-86
E. A. Karbovnichaya
European medical center "UMMC-Health"
Russian Federation
Russian Federation
Karbovnichaya Elena Aleksandrovna - head of the clinical and diagnostic laboratory
620144, Yekaterinburg, Sheinkmana str., 113
Тел. +7 (343) 344-27-67 (1940), +7 909-008-15-50
A. D. Nikitskaya
Ural State Medical University
Russian Federation
Russian Federation
Nikitskaya Anna Dmitrievna - - epidemiologist
117049, Moscow, Leninsky prospect, 8
+7 (906) 751-23-44
References
1. Gomi R, Asgari N, Hadzhihejdari A, Esteki R, Bjabanaki F, Nasirinasab F. The COVID-19 pandemic: a systematic review of the current evidence. Russian Journal of Infection and Immunity. 2020;10(4):655-63 (In Russ.)]. doi: 10.15789/2220-7619-TCP-1508.
2. Calò F, Russo A, Camaioni C, De Pascalis S, Coppola N. Burden, risk assessment, surveillance and management of SARS-CoV-2 infection in health workers: a scoping review. Infect Dis Poverty. 2020;9(1):139. doi: 10.1186/s40249-020-00756-6.
3. Hunter E, Price DA, Murphy E, van der Loeff IS, Baker KF, Lendrem D, Lendrem C, Schmid ML, Pareja-Cebrian L, Welch A, Payne BAI, Duncan CJA. First experience of COVID-19 screening of health-care workers in England. Lancet. 2020;395(10234):e77-e78. doi: 10.1016/S0140-6736(20)30970-3.
4. Treibel TA, Manisty C, Burton M, McKnight Á, Lambourne J, Augusto JB, Couto-Parada X, Cutino-Moguel T, Noursadeghi M, Moon JC. COVID-19: PCR screening of asymptomatic healthcare workers at London hospital. Lancet. 2020;395(10237):1608-10. doi: 10.1016/S0140-6736(20)31100-4.
5. Tan Z, Khoo DWS, Zeng LA, Tien JC, Lee AKY, Ong YY, Teo MM, Abdullah HR. Protecting health care workers in the front line: Innovation in COVID-19 pandemic. J Glob Health. 2020;10(1):010357. doi: 10.7189/jogh.10.010357.
6. Nguyen LH, Drew DA, Graham MS, Joshi AD, Guo CG, Ma W, Mehta RS, Warner ET, Sikavi DR, Lo CH, Kwon S, Song M, Mucci LA, Stampfer MJ, Willett WC, Eliassen AH, Hart JE, Chavarro JE, Rich-Edwards JW, Davies R, Capdevila J, Lee KA, Lochlainn MN, Varsavsky T, Sudre CH, Cardoso MJ, Wolf J, Spector TD, Ourselin S, Steves CJ, Chan AT; COronavirus Pandemic Epidemiology Consortium. Risk of COVID-19 among front-line health-care workers and the general community: a prospective cohort study. Lancet Public Health. 2020;5(9):e475–e483. doi: 10.1016/S2468-2667(20)30164-X.
7. Alshekaili M, Hassan W, Al Said N, Al Sulaimani F, Jayapal SK, Al-Mawali A, Chan MF, Mahadevan S, Al-Adawi S. Factors associated with mental health outcomes across healthcare settings in Oman during COVID-19: frontline versus non-frontline healthcare workers. BMJ Open. 2020;10(10):e042030. doi: 10.1136/bmjopen-2020-042030.
8. Platonova TA, Golubkova AA, Tutelyan AV, Smirnova SS. The incidence of COVID-19 medical workers. The issues of biosafety and occupational risk factors. Epidemiology and Vaccinal Prevention. 2021;20(2):4–11 (In Russ.). doi: 10.31631/2073-3046-2021-20-2-4-11.
9. Chou R, Dana T, Buckley DI, Selph S, Fu R, Totten AM. Epidemiology of and Risk Factors for Coronavirus Infection in Health Care Workers: A Living Rapid Review. Ann Intern Med. 2020;173(2):120–36. doi: 10.7326/M20-1632.
10. Annweiler C, Cao Z, Sabatier JM. Point of view: Should COVID-19 patients be supplemented with vitamin D? Maturitas. 2020;140:24–6. doi: 10.1016/j.maturitas.2020.06.003.
11. Ali N. Role of vitamin D in preventing of COVID-19 infection, progression and severity. J Infect Public Health. 2020;13(10):1373-80. doi: 10.1016/j.jiph.2020.06.021.
12. Hastie CE, Mackay DF, Ho F, Celis-Morales CA, Katikireddi SV, Niedzwiedz CL, Jani BD, Welsh P, Mair FS, Gray SR, O'Donnell CA, Gill JM, Sattar N, Pell JP. Vitamin D concentrations and COVID-19 infection in UK Biobank. Diabetes Metab Syndr. 2020;14(4):561–65. doi: 10.1016/j.dsx.2020.04.050.
13. Ersöz A, Yılmaz TE. The association between micronutrient and hemogram values and prognostic factors in COVID-19 patients: A single-center experience from Turkey. Int J Clin Pract. 2021;75(6):e14078. doi: 10.1111/ijcp.14078.
14. Cramer H, Hannan N, Schloss J, Leach M, Lloyd I, Steel A. Multivitamins for acute respiratory tract infections: a rapid review. Adv Integr Med. 2020;7(4):227-31. doi: 10.1016/j.aimed.2020.07.010.
15. Parohan M, Yaghoubi S, Seraji A, Javanbakht MH, Sarraf P, Djalali M. Risk factors for mortality in patients with Coronavirus disease 2019 (COVID-19) infection: a systematic review and meta-analysis of observational studies. Aging Male. 2020;23(5):1416–24. doi: 10.1080/13685538.2020.1774748.
Review
For citations:
Platonova T.A., Golubkova A.A., Sklyar M.S., Smirnova S.S., Karbovnichaya E.A., Nikitskaya A.D. The morbidity rate of COVID-19 among medical workers: risk factors of getting infected and the development of severe clinical forms. Pacific Medical Journal. 2022;(2):26-33. (In Russ.) https://doi.org/10.34215/1609-1175-2022-2-26-33
Views:
399
Email this article 