Risk of SARS-CoV-2 infection among front-line healthcare workers in Northeast Brazil: a respondent-driven sampling approach
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...
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BMJ Publishing Group
2022-06-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/6/e058369.full |
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| author | Thalia Velho Barreto de Araújo Demócrito de Barros Miranda-Filho Ricardo Arraes de Alencar Ximenes Ulisses Ramos Montarroyos Celina Maria Turchi Martelli Maria de Fátima Pessoa Militão de Albuquerque Wayner Vieira de Souza Cresio Romeu Pereira Cynthia Braga Celia Landmann Szwarcwald Paulo Roberto Borges de Souza-Junior Morgana Nascimento Xavier Clarice Neuenschwander Lins de Morais Gabriela Diniz Militao de Albuquerque Cristiane Bresani-Salvi Carolline Araújo Mariz Noemia Teixeira de Siqueira-Filha Jadson Mendonça Galindo Cláudio Luiz França-Neto Jessyka Mary Vasconcelos Barbosa Maria Amelia Sousa Mascena Veras Luana Nepomuceno Gondim Costa Lima Luciane Nascimento Cruz Carl Kendall Ligia Regina Franco Sansigolo Kerr |
| author_facet | Thalia Velho Barreto de Araújo Demócrito de Barros Miranda-Filho Ricardo Arraes de Alencar Ximenes Ulisses Ramos Montarroyos Celina Maria Turchi Martelli Maria de Fátima Pessoa Militão de Albuquerque Wayner Vieira de Souza Cresio Romeu Pereira Cynthia Braga Celia Landmann Szwarcwald Paulo Roberto Borges de Souza-Junior Morgana Nascimento Xavier Clarice Neuenschwander Lins de Morais Gabriela Diniz Militao de Albuquerque Cristiane Bresani-Salvi Carolline Araújo Mariz Noemia Teixeira de Siqueira-Filha Jadson Mendonça Galindo Cláudio Luiz França-Neto Jessyka Mary Vasconcelos Barbosa Maria Amelia Sousa Mascena Veras Luana Nepomuceno Gondim Costa Lima Luciane Nascimento Cruz Carl Kendall Ligia Regina Franco Sansigolo Kerr |
| author_sort | Thalia Velho Barreto de Araújo |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-649a0c82d92f499d8adc6e85473a214d |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2022-06-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-649a0c82d92f499d8adc6e85473a214d2025-01-28T08:35:13ZengBMJ Publishing GroupBMJ Open2044-60552022-06-0112610.1136/bmjopen-2021-058369Risk of SARS-CoV-2 infection among front-line healthcare workers in Northeast Brazil: a respondent-driven sampling approachThalia Velho Barreto de Araújo0Demócrito de Barros Miranda-Filho1Ricardo Arraes de Alencar Ximenes2Ulisses Ramos Montarroyos3Celina Maria Turchi Martelli4Maria de Fátima Pessoa Militão de Albuquerque5Wayner Vieira de Souza6Cresio Romeu Pereira7Cynthia Braga8Celia Landmann Szwarcwald9Paulo Roberto Borges de Souza-Junior10Morgana Nascimento Xavier11Clarice Neuenschwander Lins de Morais12Gabriela Diniz Militao de Albuquerque13Cristiane Bresani-Salvi14Carolline Araújo Mariz15Noemia Teixeira de Siqueira-Filha16Jadson Mendonça Galindo17Cláudio Luiz França-Neto18Jessyka Mary Vasconcelos Barbosa19Maria Amelia Sousa Mascena Veras20Luana Nepomuceno Gondim Costa Lima21Luciane Nascimento Cruz22Carl Kendall23Ligia Regina Franco Sansigolo Kerr24Department of Social Medicine, Federal University of Pernambuco, Recife, Pernambuco, BrazilUniversity of Pernambuco, Recife, Pernambuco, BrazilDepartment of Tropical Medicine, Federal University of Pernambuco, Recife, Pernambuco, BrazilUniversity of Pernambuco, Recife, Pernambuco, BrazilDepartment of Collective Health, Institute Aggeu Magalhaes, FIOCRUZ-PE, Recife, Pernambuco, BrazilDepartment of Collective Health, Institute Aggeu Magalhaes, FIOCRUZ-PE, Recife, Pernambuco, BrazilDepartment of Collective Health, Institute Aggeu Magalhaes, FIOCRUZ-PE, Recife, Pernambuco, BrazilMinistry of Health of Brazil, São Paulo, BrazilDepartment of Parasitology, Institute Aggeu Magalhaes, FIOCRUZ-PE, Recife, Pernambuco, BrazilInstitute of Scientific Communication and Information and Technological (ICIT), FIOCRUZ-RJ, Rio de Janeiro, BrazilInstitute of Scientific Communication and Information and Technological (ICIT), FIOCRUZ-RJ, Rio de Janeiro, BrazilDepartment of Collective Health, Institute Aggeu Magalhaes, FIOCRUZ-PE, Recife, Pernambuco, BrazilDepartment of Virology, Institute Aggeu Magalhaes, Recife, Pernambuco, BrazilDepartment of Collective Health, Institute Aggeu Magalhaes, FIOCRUZ-PE, Recife, Pernambuco, BrazilDepartment of Virology, Institute Aggeu Magalhaes, Recife, Pernambuco, BrazilDepartment of Collective Health, Institute Aggeu Magalhaes, FIOCRUZ-PE, Recife, Pernambuco, BrazilDepartment of Health Sciences, University of York, York, North Yorkshire, UKDepartment of Collective Health, Institute Aggeu Magalhaes, FIOCRUZ-PE, Recife, Pernambuco, BrazilUniversity of Pernambuco, Recife, Pernambuco, BrazilDepartment of Collective Health, Institute Aggeu Magalhaes, FIOCRUZ-PE, Recife, Pernambuco, Brazil3 Department of Public Health, Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, BrazilUniversity of Para State, Belem, Para, BrazilInstitute of Health Technology Assessment (IATS), Porto Alegre, BrazilTulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana, USADepartment of Community Health, Federal University of Ceara, Fortaleza, Ceara, BrazilObjectives 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.https://bmjopen.bmj.com/content/12/6/e058369.full |
| spellingShingle | Thalia Velho Barreto de Araújo Demócrito de Barros Miranda-Filho Ricardo Arraes de Alencar Ximenes Ulisses Ramos Montarroyos Celina Maria Turchi Martelli Maria de Fátima Pessoa Militão de Albuquerque Wayner Vieira de Souza Cresio Romeu Pereira Cynthia Braga Celia Landmann Szwarcwald Paulo Roberto Borges de Souza-Junior Morgana Nascimento Xavier Clarice Neuenschwander Lins de Morais Gabriela Diniz Militao de Albuquerque Cristiane Bresani-Salvi Carolline Araújo Mariz Noemia Teixeira de Siqueira-Filha Jadson Mendonça Galindo Cláudio Luiz França-Neto Jessyka Mary Vasconcelos Barbosa Maria Amelia Sousa Mascena Veras Luana Nepomuceno Gondim Costa Lima Luciane Nascimento Cruz Carl Kendall Ligia Regina Franco Sansigolo Kerr Risk of SARS-CoV-2 infection among front-line healthcare workers in Northeast Brazil: a respondent-driven sampling approach BMJ Open |
| title | Risk of SARS-CoV-2 infection among front-line healthcare workers in Northeast Brazil: a respondent-driven sampling approach |
| title_full | Risk of SARS-CoV-2 infection among front-line healthcare workers in Northeast Brazil: a respondent-driven sampling approach |
| title_fullStr | Risk of SARS-CoV-2 infection among front-line healthcare workers in Northeast Brazil: a respondent-driven sampling approach |
| title_full_unstemmed | Risk of SARS-CoV-2 infection among front-line healthcare workers in Northeast Brazil: a respondent-driven sampling approach |
| title_short | Risk of SARS-CoV-2 infection among front-line healthcare workers in Northeast Brazil: a respondent-driven sampling approach |
| title_sort | risk of sars cov 2 infection among front line healthcare workers in northeast brazil a respondent driven sampling approach |
| url | https://bmjopen.bmj.com/content/12/6/e058369.full |
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