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1.
Washington, D.C.; OPAS; 2021-07-13. (OPAS/HSS/HR/21-0010).
en Portugués | PAHO-IRIS | ID: phr-54504

RESUMEN

O infográfico apresenta de forma sucinta a situação da enfermagem. Os dados são apresentados sobre a situação numérica de todos os países da Região das Américas, dados sobre a percentagem do sexo masculino e feminino e dados sobre a percentagem dos enfermeiros em relação à força de trabalho em saúde. Os dados foram extraídos do relatório da OMS intitulado O Estado da Enfermagem no Mundo, publicado em 2020. Este infográfico será usado para apresentar dados a países, governos, ministérios da saúde, universidades, profissionais, estudantes e outras partes interessadas.


Asunto(s)
Enfermería , Personal de Enfermería , Personal de Salud , Recursos Humanos , Sistemas de Salud
2.
BMC Infect Dis ; 21(1): 648, 2021 Jul 05.
Artículo en Inglés | MEDLINE | ID: mdl-34225656

RESUMEN

BACKGROUND: A considerable amount of evidence demonstrates the potential of saliva in the diagnosis of COVID-19. Our aim was to determine the sensitivity of saliva versus swabs collected by healthcare workers (HCWs) and patients themselves to assess whether saliva detection can be offered as a cost-effective, risk-free method of SARS-CoV-2 detection. METHODS: This study was conducted in a hospital involving outpatients and hospitalized patients. A total of 3018 outpatients were tested. Of these, 200 qRT-PCR-confirmed SARS-CoV-2-positive patients were recruited for further study. In addition, 101 SARS-CoV-2-positive hospitalized patients with symptoms were also enrolled in the study. From outpatients, HCWs collected nasopharyngeal swabs (NPS), saliva were obtained. From inpatients, HCWs collected swabs, patient-collected swabs, and saliva were obtained. qRT-PCR was performed to detect SARS-CoV-2 by TAQPATH assay to determine the sensitivity of saliva detection. Sensitivity, specificity and positive/negative predictive values (PPV, NPV) of detecting SARS-CoV-2 were calculated using MedCalc. RESULTS: Of 3018 outpatients (asymptomatic: 2683, symptomatic: 335) tested by qRT-PCR, 200 were positive (males: 140, females: 60; aged 37.9 ± 12.8 years; (81 asymptomatic, 119 symptomatic). Of these, saliva was positive in 128 (64%); 39 of 81 asymptomatic (47%),89 of 119 symptomatic patients (74.8%). Sensitivity of detection was 60.9% (55.4-66.3%, CI 95%), with a negative predictive value of 36%(32.9-39.2%, CI 95%).Among 101 hospitalized patients (males:65, females: 36; aged 53.48 ± 15.6 years), with HCW collected NPS as comparator, sensitivity of saliva was 56.1% (47.5-64.5, CI 95%), specificity 63.5%(50.4-75.3, CI95%) with PPV of 77.2% and NPV of 39.6% and that of self-swab was 52.3%(44-60.5%, CI95%), specificity 56.6% (42.3-70.2%, CI95%) with PPV 77.2% and NPV29.7%. Comparison of positivity with the onset of symptoms revealed highest detection in saliva on day 3 after onset of symptoms. Additionally, only saliva was positive in 13 (12.8%) hospitalized patients. CONCLUSION: Saliva which is easier to collect than nasopharyngeal swab is a viable alternate to detect SARS-COV-2 in symptomatic patients in the early stage of onset of symptoms. Although saliva is currently not recommended for screening asymptomatic patients, optimization of collection and uniform timing of sampling might improve the sensitivity enabling its use as a screening tool at community level.


Asunto(s)
Prueba de COVID-19/métodos , COVID-19/diagnóstico , SARS-CoV-2/aislamiento & purificación , Saliva/virología , Manejo de Especímenes/métodos , Adulto , Anciano , Estudios de Cohortes , Femenino , Personal de Salud , Humanos , Masculino , Persona de Mediana Edad
4.
J Healthc Manag ; 66(4): 304-322, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34228687

RESUMEN

EXECUTIVE SUMMARY: While the COVID-19 pandemic has added stressors to the lives of healthcare workers, it is unclear which factors represent the most useful targets for interventions to mitigate employee distress across the entire healthcare team. A survey was distributed to employees of a large healthcare system in the Southeastern United States, and 1,130 respondents participated. The survey measured overall distress using the 9-item Well-Being Index (WBI), work-related factors, moral distress, resilience, and organizational-level factors. Respondents were also asked to identify major work, clinical, and nonwork stressors. Multivariate regression was used to evaluate associations between employee characteristics and WBI distress score. Overall, 82% of employees reported high distress (WBI ≥ 2), with nurses, clinical support staff, and advanced practice providers reporting the highest average scores. Factors associated with higher distress included increased job demands or responsibilities, heavy workload or long hours, higher frequency of moral distress, and loneliness or social isolation. Factors associated with lower distress were perceived organizational support, work control, perceived fairness of salary cuts, and resilience. Most factors significantly associated with distress-heavy workloads and long hours, increased job demands, and moral distress, in particular-were work-related, indicating that efforts can be made to mitigate them. Resilience explained a small portion of the variance in distress relative to other work-related factors. Ensuring appropriate staffing levels may represent the single largest opportunity to significantly move the needle on distress. However, the financial impact of the COVID-19 pandemic on the healthcare system may represent a barrier to addressing these stressors.


Asunto(s)
COVID-19 , Personal de Salud/psicología , Satisfacción en el Trabajo , Estrés Laboral , Grupo de Atención al Paciente , Estrés Psicológico , Carga de Trabajo/psicología , Adulto , Femenino , Personal de Salud/estadística & datos numéricos , Humanos , Masculino , Persona de Mediana Edad , Pandemias , SARS-CoV-2 , Encuestas y Cuestionarios , Carga de Trabajo/estadística & datos numéricos
5.
BMC Med Educ ; 21(1): 369, 2021 Jul 06.
Artículo en Inglés | MEDLINE | ID: mdl-34229675

RESUMEN

BACKGROUND: Service satisfaction ratings from clients are a good indicator of service quality. The present study aimed to investigate the impact of communication skills and self-efficacy training for healthcare workers on clients' satisfaction. METHODS: A quasi-experimental study was conducted in health centers of Saveh University of Medical Science in Iran. Primary Healthcare (PHC; N = 105) workers and service recipients (N = 364) were randomly assigned to intervention and control groups. The intervention group received four 90-min training sessions consisting of lecture, film screening, role-playing, and discussion group. Before and 3 months after the intervention, a multi-part questionnaire (including demographics, self-efficacy and communication skills in PHC workers; and satisfaction questionnaire in service recipients) was completed by participants in both intervention and control groups. RESULTS: PHC worker mean scores of self-efficacy and communication skills after the educational program were increased in the intervention group compared to the control group (p < 0.05). Also, mean satisfaction scores for service recipients of the intervention group (PHC workers) generally significantly increased compared to the control group (p < 0.001). CONCLUSIONS: The educational program improved the self-efficacy, and communication skills in health workers and improved client satisfaction overall. Our results support the application of self-efficacy and communication skills training for other medical groups who wish to improve clients satisfaction as an important health services outcome.


Asunto(s)
Comunicación , Autoeficacia , Personal de Salud , Servicios de Salud , Humanos , Irán , Atención Primaria de Salud
6.
BMC Health Serv Res ; 21(1): 639, 2021 Jul 03.
Artículo en Inglés | MEDLINE | ID: mdl-34215228

RESUMEN

BACKGROUND: Several technological innovations have been introduced in healthcare over the years, and their implementation proved crucial in addressing challenges of modern health. Healthcare workers have frequently been called upon to become familiar with technological innovations that pervade every aspect of their profession, changing their working schedule, habits, and daily actions. PURPOSE: An in-depth analysis of the paths towards the acceptance and use of technology may facilitate the crafting and adoption of specific personnel policies taking into consideration definite levers, which appear to be different in relation to the age of nurses. APPROACH: The strength of this study is the application of UTAUT model to analyse the acceptance of innovations by nurses in technology-intensive healthcare contexts. Multidimensional Item Response Theory is applied to identify the main dimensions characterizing the UTAUT model. Paths are tested through two stage regression models and validated using a SEM covariance analysis. RESULTS: The age is a moderator for the social influence: social influence, or peer opinion, matters more for young nurse. CONCLUSION: The use of MIRT to identify the most important items for each construct of UTAUT model and an in-depth path analysis helps to identify which factors should be considered a leverage to foster nurses' acceptance and intention to use new technologies (o technology-intensive devices). PRACTICAL IMPLICATIONS: Young nurses may benefit from the structuring of shifts with the most passionate colleagues (thus exploiting the social influence), the participation in ad hoc training courses (thus exploiting the facilitating conditions), while other nurses could benefit from policies that rely on the stressing of the perception of their expectations or the downsizing of their expectancy of the effort in using new technologies.


Asunto(s)
Actitud del Personal de Salud , Enfermeras y Enfermeros , Personal de Salud , Humanos , Encuestas y Cuestionarios , Tecnología
7.
Cien Saude Colet ; 26(6): 2109-2118, 2021 Jun.
Artículo en Portugués, Inglés | MEDLINE | ID: mdl-34231723

RESUMEN

The paper addresses the impacts of armed violence, based on Primary Health Care, in a neighborhood in the city of Rio de Janeiro, Brazil. This is a qualitative exploratory study developed in two services aiming to identify the main types of violence, their impacts and the strategies used to cope with the phenomenon. The production of information included data collection in the service records, conducting semi-structured interviews, focus groups and feedback seminar. Armed violence, among all expressions of violence, was identified as one of the major concerns of healthcare professionals and users of services, due to its intense occurrence and the severity of its consequences on health. Its impact on strategies to cope with the violence and the difficulty in making the phenomenon visible are highlighted. It is considered that this type of violence, prevalent in the black territories of the city, is legitimized by structural racism, being the public security policy - based on the ideal of war on drugs and on the military confrontation with armed groups that operate in the retail trade of illicit drugs - expressions of state racism and necropolitics.


Asunto(s)
Atención Primaria de Salud , Violencia , Brasil , Ciudades , Personal de Salud , Humanos
8.
Nurs Leadersh (Tor Ont) ; 34(2): 54-61, 2021 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-34197295

RESUMEN

The Public Health Branch of the Regional Municipality of York created a specialized team to ensure a people-centred approach for the deployment of the workforce during COVID-19. Due to increasing stress and staff burnout, there was an apparent need for enhanced leadership supports that would expand the skills of managers to apply participative management competencies and resiliency strategies within their teams. A range of leadership development activities were designed that included ready-to-use actionable tools, best practice interventions for resiliency development and comprehensive initiatives, such as mentorship and debriefing. Benefits include manager capacity development resulting in improvements in organizational resilience and psychological safety.


Asunto(s)
Agotamiento Profesional/prevención & control , Personal de Salud/psicología , Liderazgo , Resiliencia Psicológica , COVID-19/epidemiología , COVID-19/enfermería , Humanos , Pandemias , Evaluación de Programas y Proyectos de Salud , SARS-CoV-2
9.
Nurs Leadersh (Tor Ont) ; 34(2): 62-74, 2021 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-34197296

RESUMEN

Healthcare providers (HCPs) working at point of care with patients have experienced health-, home- and work-related stressors from the COVID-19 pandemic. The magnitude and duration of the pandemic pose particular challenges for nursing leadership, and there is little research to guide them during this unprecedented time. This study was designed to explore how the pandemic influences HCP well-being, professional practice, inter-professional collaboration and the education and supports that would assist them during the pandemic recovery period. The article reports on the qualitative portion of a mixed-methods study, which included 56 HCPs who work in a large mental healthcare facility in Ontario. Witnessing the impact of the pandemic restrictions on patients was a significant source of stress for HCPs. HCPs recommended strategies, such as learning new therapeutic modalities and participating in the redesign of health services as key strategies to support them during the pandemic as these would promote patient well-being. Lastly, the pandemic provided opportunities for HCPs to deepen their understanding of other professions. This awareness was viewed as a strength that could support interprofessional collaboration and enhance health services redesign. The findings and recommendations can assist leaders to address the mental health challenges arising from the pandemic.


Asunto(s)
COVID-19/psicología , Personal de Salud/psicología , Hospitales Psiquiátricos/organización & administración , Liderazgo , COVID-19/epidemiología , Personal de Salud/educación , Humanos , Relaciones Interprofesionales , Pandemias , Investigación Cualitativa , SARS-CoV-2 , Encuestas y Cuestionarios
10.
Artículo en Inglés | MEDLINE | ID: mdl-34198649

RESUMEN

While the coronavirus disease 2019 (COVID-19) pandemic wreaked havoc across the globe, we have witnessed substantial mis- and disinformation regarding various aspects of the disease. We conducted a cross-sectional study using a self-administered questionnaire for the general public (recruited via social media) and healthcare workers (recruited via email) from the State of Qatar, and the Middle East and North Africa region to understand the knowledge of and anxiety levels around COVID-19 (April-June 2020) during the early stage of the pandemic. The final dataset used for the analysis comprised of 1658 questionnaires (53.0% of 3129 received questionnaires; 1337 [80.6%] from the general public survey and 321 [19.4%] from the healthcare survey). Knowledge about COVID-19 was significantly different across the two survey populations, with a much higher proportion of healthcare workers possessing better COVID-19 knowledge than the general public (62.9% vs. 30.0%, p < 0.0001). A reverse effect was observed for anxiety, with a higher proportion of very anxious (or really frightened) respondents among the general public compared to healthcare workers (27.5% vs. 11.5%, p < 0.0001). A higher proportion of the general public tended to overestimate their chance of dying if they become ill with COVID-19, with 251 (18.7%) reporting the chance of dying (once COVID-19 positive) to be ≥25% versus 19 (5.9%) of healthcare workers (p < 0.0001). Good knowledge about COVID-19 was associated with low levels of anxiety. Panic and unfounded anxiety, as well as casual and carefree attitudes, can propel risk taking and mistake-making, thereby increasing vulnerability. It is important that governments, public health agencies, healthcare workers, and civil society organizations keep themselves updated regarding scientific developments and that they relay messages to the community in an honest, transparent, unbiased, and timely manner.


Asunto(s)
COVID-19 , África del Norte/epidemiología , Ansiedad/epidemiología , Estudios Transversales , Personal de Salud , Humanos , Medio Oriente/epidemiología , Qatar/epidemiología , SARS-CoV-2 , Encuestas y Cuestionarios
11.
Artículo en Inglés | MEDLINE | ID: mdl-34198833

RESUMEN

INTRODUCTION: The current epidemiological situation has quickly led to several changes in the daily functioning of people around the world, especially among medical personnel, who in this difficult period were burdened with new professional duties, which significantly affects their mental health. MATERIALS: This study aims to assess the mental health of health professionals at a critical point in their workload, to compare the results with those the general population, and to explore the potential determinants affecting it. The CAWI survey includes a sociodemographic section, work experience and a standardised psychometric tool (GHQ-28). Data were collected during the second wave of the COVID-19 pandemic in Poland (3-29 November 2020), which had the highest mortality rates and SARS-CoV-2 morbidity rates, as well as during the period of a significant increase in deaths, compared to the corresponding pre-pandemic period. RESULTS: A total of 2150 surveys were eligible for analysis. Among them, 848 (39.4%) were active health professionals. In the analysis of the scores of the GHQ-28 scale and its sub-scales, evaluating anxiety/insomnia and somatic symptoms, medical workers scored significantly higher scores than non-medical professions (p < 0.001). Frontline medical workers (p < 0.001) and those who were forcibly seconded to work with COVID-19-infected patients (p = 0.011) achieved significantly higher GHQ-28 scores. CONCLUSIONS: The COVID-19 pandemic has had a significant impact on mental deterioration among health professionals, especially among those directly working with SARS-CoV-2-infected patients and those who were forcibly seconded to work with such patients. To mitigate the effects of the pandemic, appropriate psychological care for medical personnel needs to be implemented.


Asunto(s)
COVID-19 , Pandemias , Ansiedad , Estudios Transversales , Depresión , Personal de Salud , Humanos , Salud Mental , Polonia/epidemiología , SARS-CoV-2
12.
Artículo en Inglés | MEDLINE | ID: mdl-34198770

RESUMEN

The novel coronavirus (COVID-19) outbreak is a public health emergency of international concern, and this emergency led to postponing elective dental care procedures. The postponing aimed to protect the public from an unknown risk caused by COVID-19. At the beginning of the outbreak, for public health authorities, the aerosol-generating procedures and the close proximity between dental care workers and patients in dentistry represented sufficient justification for the delay of dental visits. Dental care is a priority, and for many years, studies have proven that the lack and delay of dental care can cause severe consequences for the oral health of the general population, which can cause a high global burden of oral diseases. Safety is necessary while resuming dental activities, and risk assessment is an efficient method for understanding and preventing the COVID-19 infectious threats facing the dental industry and affecting dental care workers and patients. In this study, for safe dental care delivery, we adapted risk assessment criteria and an approach and an occupational classification system. Based on those tools, we also recommend measures that can help to minimize infectious risk in dental settings.


Asunto(s)
COVID-19 , Brotes de Enfermedades , Personal de Salud , Humanos , Medición de Riesgo , SARS-CoV-2
13.
Artículo en Inglés | MEDLINE | ID: mdl-34199953

RESUMEN

OBJECTIVE: Little is known about the impact of Coronavirus (COVID-19) among the health care workers in Saudi Arabia. Therefore, the present study aimed to assess the psychological impact of COVID-19 among the health care workers. METHODS: A cross-sectional survey was conducted from May till mid-July among 389 health care workers from government and private hospitals in Saudi Arabia. Data was collected using a pre-structured online questionnaire that measured adverse psychological outcomes, including the Patient Health Questionnaire-9 (PHQ-9) scale and the Generalized Anxiety Disorder 7-item (GAD-7) scale. The Pearson chi-square test was used to assess the distribution of depression and anxiety among health care workers. RESULTS: A high level of anxiety was recorded among the health care workers, and 69.3% of health care workers below the age of 40 were found to have depression. There was a significant increase in depression among staff with chronic health problems (72.1% vs. 61.9%; p = 0.048). High anxiety levels were detected among young staff compared to others (68.7% vs. 43.8%; p = 0.001). Moreover, 82.1% of the female staff were anxious, as compared to 55.6% of the males (p = 0.001). CONCLUSIONS: We found increased prevalence of adverse psychological outcomes among the health care workers in Saudi Arabia during the outbreak of COVID-19. Therefore, there is a need for proper screening and development of corresponding preventive measures to decrease the adverse psychological outcomes.


Asunto(s)
COVID-19 , Ansiedad/epidemiología , Estudios Transversales , Depresión/epidemiología , Femenino , Personal de Salud , Humanos , Masculino , SARS-CoV-2 , Arabia Saudita/epidemiología
14.
Artículo en Inglés | MEDLINE | ID: mdl-34203529

RESUMEN

BACKGROUND: During the COVID-19 pandemic, healthcare providers and informal caregivers were at an increased risk of adverse mental health effects. This systematic review provides a summary of the available evidence on the content and efficacy of the psychological support interventions in increasing mental health among healthcare providers and informal caregivers during the COVID-19 pandemic. METHODS: PubMed, Google Scholar, PsychINFO, and Scopus databases were systematically searched for relevant articles, and the methodological quality of selected articles was assessed using the Quality Assessment Tool for Quantitative Studies. RESULTS: A search of electronic databases identified five reports based on inclusion and exclusion criteria. All psychological support interventions for caregivers were delivered digitally. Despite the large heterogeneity of the selected studies, the findings support the efficacy of mental health interventions in reducing distress and burnout, while promoting self-efficacy and well-being in both healthcare providers and informal caregivers. CONCLUSION: Since mental health problems are expected to increase during, and as a result of, the COVID-19 pandemic, and digital tools might offer a range of mental health treatments to meet the unique and immediate needs of people, further research is needed to test the cost-effectiveness of digital psychological interventions.


Asunto(s)
COVID-19 , Cuidadores , Personal de Salud , Humanos , Pandemias , SARS-CoV-2
15.
Artículo en Inglés | MEDLINE | ID: mdl-34204093

RESUMEN

Since the SARS-CoV-2 virus caused a global pandemic, the amount of misinformation in various media outlets has been on the rise. This has caused confusion among both healthcare workers and the general population about what the proper precautions against COVID-19 are. This study investigated attitudes towards misinformation related to protective measures that can be taken against COVID-19. The study was conducted in Saudi Arabia using an online survey questionnaire during the first three months of lockdown responding to the pandemic. The sample size of the study was N = 1294, of which 275 were healthcare workers and 974 were non-healthcare workers. The findings indicate that the Saudi Arabian population has a "Neutral" attitude towards COVID-19-related misinformation, meaning that, overall, they neither agree nor disagree with the most common COVID-19-related misinformation. Both healthcare workers and non-healthcare workers displayed a "Neutral" attitude towards herbal remedies for COVID-19. The level of agreement regarding the SARS-CoV-2 virus remaining in the throat for two days and the BCG vaccine protecting against COVID-19 was low. The findings of this research imply that knowledge dissemination is severely lacking in Saudi Arabia and that the Ministry of Health in Saudi Arabia should sincerely consider educating healthcare workers better about verified and true information regarding COVID-19. Conclusion: Future research should include larger sample sizes for each of the healthcare specialties surveyed in this study and analyse their attitudes towards COVID-19 misinformation.


Asunto(s)
COVID-19 , Pandemias , Control de Enfermedades Transmisibles , Comunicación , Estudios Transversales , Conocimientos, Actitudes y Práctica en Salud , Personal de Salud , Humanos , SARS-CoV-2 , Arabia Saudita/epidemiología , Encuestas y Cuestionarios
16.
Artículo en Inglés | MEDLINE | ID: mdl-34204195

RESUMEN

During the COVID-19 pandemic, healthcare workers (HCW) have been subjected to greater workloads. We conducted a cross-sectional online survey to assess the impact of the COVID-19 pandemic on Brazilian HCW. Data were collected between 11 August and 1 November 2020. Of the 295 respondents, 95 (32.2%) were medical doctors, 82 (27.8%) administrative staff, 53 (18.0%) nurses, 27 (9.2%) laboratory staff, and 38 (12.9%) were other staff. COVID-19-related restructuring at the health facilities was reported by 207 (70.2%) respondents, and 69 (23.4%) had their tasks changed. Preventive measures were well respected when seeing suspected patients. Overall, 167 (56.6%) HCW screened positive for anxiety and 137 (46.4%) for depression; 109 (36.9%) screened positive for both conditions. Of the 217 (73.6%) HCW who had been tested for COVID-19, at least one positive result was reported in 49 (22.6%). Following a positive COVID-19 test, 45/49 (91.8%) stopped working and stayed home. In conclusion, we found a high incidence of COVID-19 infection among Brazilian HCW with high rates of anxiety and depression despite a good self-reported adherence to COVID-19 preventive measures. As such, our study highlights the urgent need for interventions to mitigate the psychosocial risks HCW in Brazil encounter during the COVID-19 pandemic.


Asunto(s)
COVID-19 , Pandemias , Brasil/epidemiología , Estudios Transversales , Personal de Salud , Humanos , SARS-CoV-2
17.
Artículo en Inglés | MEDLINE | ID: mdl-34205069

RESUMEN

Pandemic diseases of this century have differentially targeted healthcare workers globally. These infections include Severe Acute Respiratory Syndrome SARS, the Middle East respiratory syndrome coronavirus Middle East respiratory syndrome coronavirus (MERS-CoV) and Ebola. The COVID-19 pandemic has continued this pattern, putting healthcare workers at extreme risk. Just as healthcare workers have historically been committed to the service of their patients, providing needed care, termed their "duty of care", so too do healthcare employers have a similar ethical duty to provide care toward their employees arising from historical common law requirements. This paper reports on results of a narrative review performed to assess COVID-19 exposure and disease development in healthcare workers as a function of employer duty of care program elements adopted in the workplace. Significant duty of care deficiencies reported early in the pandemic most commonly involved lack of personal protective equipment (PPE) availability. Beyond worker safety, we also provide evidence that an additional benefit of employer duty of care actions is a greater sense of employee well-being, thus aiding in the prevention of healthcare worker burnout.


Asunto(s)
COVID-19 , Pandemias , Sector de Atención de Salud , Personal de Salud , Humanos , Medio Oriente , Equipo de Protección Personal , SARS-CoV-2
18.
Artículo en Inglés | MEDLINE | ID: mdl-34206062

RESUMEN

Health care workers (HCWs) are at an increased risk of being exposed to COVID-19. This study aimed to characterize flu-like syndrome cases (FS) in HCWs notified in Brazil and compare them with FS cases in the general community (GC). In the Brazilian protocol, FS corresponds to a suspected case of COVID-19. The manuscript analyzed cases of FS in five Brazilian states, estimating the incidence rates of cases of FS and clinical and epidemiological characteristics. Registered cases (March to June 2020) totaled about 1,100,000 cases of FS. HCWs represented 17% of the registers, whose incidence was 20.41/100 vs. 2.15/100 in the GC. FS cases in HCWs concentrated the highest percentages in the age group of 30 to 49 years (65.15%) and among the nursing staff (46.86%). This study was the first interstate evaluation in Brazil to estimate suspected cases of FS by COVID-19 in HCWs. In order to control the spread of viral respiratory infections in HCWs, including COVID-19, it is necessary to review the management of health information to identify who they are, how many they are, and to what situations these workers are most frequently exposed, as well as in what professions they have. This information can guide specific, practical, and far-reaching actions.


Asunto(s)
COVID-19 , Adulto , Brasil/epidemiología , Personal de Salud , Humanos , Incidencia , Persona de Mediana Edad , SARS-CoV-2
19.
Artículo en Inglés | MEDLINE | ID: mdl-34207303

RESUMEN

The Coronavirus-19 (COVID-19) pandemic has many psychological consequences for the population, ranging from anxious-depressive symptoms and insomnia to complex post-traumatic syndromes. This study aimed to evaluate the impact of the Covid-19 pandemic on the mental well-being of healthcare workers, focusing on the association between hopelessness, death anxiety, and post-traumatic symptomatology. Eight hundred forty-two healthcare workers were recruited between 21 March 2020 and 15 May 2020. A specific questionnaire was administered to assess socio-demographic and clinical characteristics, together with psychometric scales: Beck Hopelessness Scale, Death Anxiety Scale (DAS), and Davidson Trauma Scale (DTS). Respondents with hopelessness scored higher in the DAS and DTS than respondents without hopelessness. Furthermore, death anxiety was identified as a potential mediator of the significant association between hopelessness and post-traumatic symptomatology. The impact of death anxiety should be recognized in vulnerable populations, such as frontline healthcare workers. Therefore, pharmacological and non-pharmacological strategies could be useful to attenuate the negative psychological consequences and reduce the burden worldwide.


Asunto(s)
COVID-19 , Trastornos por Estrés Postraumático , Ansiedad/epidemiología , Depresión/epidemiología , Personal de Salud , Humanos , Análisis de Mediación , Pandemias , SARS-CoV-2 , Trastornos por Estrés Postraumático/epidemiología
20.
Artículo en Inglés | MEDLINE | ID: mdl-34208212

RESUMEN

As a response to the coronavirus disease 2019 (COVID-19) pandemic, Vietnam enforced strict quarantine, contact tracing and physical distancing policies resulting in one of the lowest numbers of individuals infected with severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) globally. This study aimed to determine the prevalence of SARS-CoV-2 antibody positivity among high-risk populations in Vietnam. A prevalence survey was undertaken within four communities in Vietnam, where at least two COVID-19 cases had been confirmed. Participants were classified according to the location of exposure: household contacts, close contacts, community members, and healthcare workers (HCWs) responsible for treating COVID-19 cases. Participants completed a baseline questionnaire and SARS-CoV-2 IgG antibodies were quantified using a commercial assay. A total of 3049 community members and 149 health care workers consented to the study. Among 13 individuals who were seropositive (0.4%), five household contacts (5/27, 18.5%), one close contact (1/53, 1.9%), and seven community members (7/2954, 0.2%) had detectable SARS-CoV-2 antibodies. All HCWs were negative for SARS-CoV-2 antibodies. Participants were tested a median of 15.1 (interquartile range from 14.9 to 15.2) weeks after exposure. Our study found a low prevalence of SARS-CoV-2 antibodies in high-risk communities and healthcare workers in communities in Vietnam with known COVID-19 cases.


Asunto(s)
COVID-19 , SARS-CoV-2 , Anticuerpos Antivirales , Personal de Salud , Humanos , Pandemias , Prevalencia , Estudios Seroepidemiológicos , Vietnam/epidemiología
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