İzzettin TOKTAŞ, İbrahim VAKİT, Süleyman VARSAK, Özgür ERDEM, Gülşen YALÇIN, Celal ÖZCAN

Hastanede Çalışan Sağlık Personelinde COVID-19 Görülme Sıklığı ve Bulaş Yollarının Değerlendirilmesi

Amaç: Bu çalışma, hastanede çalışan sağlık personelinde COVID-19 sıklığını belirlemek, kontrol önlemlerine uyum ve bulaş yollarını değerlendirilmek amacıyla yapılmıştır. Gereç ve Yöntemler: Bu araştırmaya 2 Nisan-30 Eylül 2020 tarihleri arasında, hastanede çalışan ve COVID-19 testi pozitif çıkan çalışanlar dahil edildi. 1100 kişinin çalıştığı hastanede 80 kişide COVID-19 testi pozitif olduğu saptanmıştır. COVID-19 PCR testi pozitif olup, ancak testi negatifleştikten sonra görevine dönen 66 sağlık çalışanına yüz yüze anket uygulanmıştır. Bulgular: Hastane çalışanlarında COVID-19 görülme sıklığı %7.3 (80/1100) olarak hesaplanmıştır. Çalışma, COVID-19 olduğu tespit edilen 66 sağlık çalışanı kapsamaktadır. Çalışanların yaş ortalaması 39.1 ± 8.3 (Min-Max: 23-57) olup, %71.2'si (n=47) erkektir. COVID-19 en çok hemşirelerde tespit edildi. COVID-19 en fazla acil serviste (%12.1) ve poliklinik alanında (%12.1) çalışanlarda tespit edildi. COVID-19 pozitif çalışanların %30.3'ünün (n=20) hastanedeki enfekte iş arkadaşlarıyla temasta bulunduğu, %19.7'sinin (n=13) ise enfekte hane halkı üyeleriyle temas ettiği belirlendi. Çalışanların %78.7’si COVID-19 için belirlenmiş alanlarda hiç çalışmamıştır. Çalışanlar hastane içerisinde çalışırken maske (%94) ve el hijyeni (%92) kuralına uyumları yüksek bulunurken, 1.5 metrelik sosyal mesafe (%59) kuralına uyumları düşük bulundu. Sonuç: Pandeminin ilk altı ayı gibi kısa bir sürede hastane çalışanlarının %7.3’ü COVID-19 ile enfekte olmuştur. Çalışanların sosyal mesafe kuralına uyumları düşük bulunmuştur. Enfekte çalışanların %78.7’sinin COVID-19 için belirlenmiş servislerde hiç çalışmadığı tespit edildi. Bu durum COVID-19 dışı alanların göz ardı edilmemesi gerektiğini göstermektedir.

Anahtar Kelimeler:

COVID-19, sağlık çalışanı, hastane, bulaşma

EVALUATION OF THE PREVALENCE AND TRANSMISSION ROUTES OF COVID-19 IN HEALTHCARE PERSONNEL WORKING IN THE HOSPITAL

Objective: This study was conducted to evaluate the prevalence and transmission routes of COVID-19 in healthcare personnel working in the hospital and the compliance with control measures. Material and Methods: In this study, hospital employees who were tested positive for COVID-19 between April 2 and September 30, 2020, were included. Out of the 1100 employees in the hospital, 80 were tested positive for COVID-19. A face-to-face survey was conducted with 66 healthcare workers that had COVID-19 positive PCR test results but returned to work only after their test results became negative. Results: The prevalence of COVID-19 among the hospital employees was calculated as 7.3% (80/1100). In the study, 66 healthcare workers who were found to be positive for COVID-19, were included. The mean age of the employees was found to be 39.1 ± 8.3 (Min-Max: 23-57) and 71.2% of them were male. COVID-19 was detected most in nurses, emergency room workers (12.1%) and polyclinic workers (12.1%). It was determined that 30.3% (n=20) of COVID-19 positive employees had contact with infected colleagues in the hospital and 19.7% (n=13) had contact with infected household members. 78.7% of the employees had never worked in areas designated for COVID-19. Among employees, the level of compliance with measures of wearing a mask (94%) and ensuring hand hygiene (92%) was found high, while the level of compliance with 1.5-meters social distance (59%) was found low. Conclusion: In a short period of time like the first six months of the pandemic, 7.3% of the hospital workers were infected with COVID-19. Among employees, the level of compliance with the social distance rule was found low. It was determined that 78.7% of the infected employees had never worked in units designated for COVID-19. This shows that areas that are not designated for COVID-19 should not be ignored.

Keywords:

COVID-19, Healthcare Worker, Hospital, Transmission,

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