Üçüncü Basamak Bir Sağlık Kuruluşunda COVID-19 Tanılı Sağlık Çalışanlarında Klinik, Laboratuvar ve Görüntüleme Bulguları

Özet: Amaç: Türkiye’de metropol bölgesindeki bir üçüncü basamak sağlık kuruluşunda, COVID-19 tanısı olan sağlık çalışanlarında, fizik muayane, laboratuar ve görüntüleme bulgularının değerlendirilmesi amaçlanmıştır. Materyal-Metotlar: Hasta dosyalarından retrospektif olarak toplanan veriler değerlendirilmiştir. Fizik muayene, laboratuar ve görüntüleme verileri toplanmıştır. Bulgular: Pandeminin başlangıcından beri en yüksek risk altında olmasına rağmen, sağlık çalışanlarının yalnızca % 5'inin COVID-19 pozitif olduğu tespit edildi. Tüm pozitif COVID-19 sağlık çalışanlarının hafif semptomları vardı. Laboratuvar bulguları normal sınırlardaydı ve sadece iki sağlık çalışanında bilgisayarlı tomografide hafif akciğer tutulum bulguları vardı. Tüm COVID-19 sağlık çalışanları, yakın gözlem ve takip sonrasında hiçbir sekel olmaksızın tamamen iyileşti. Sonuç: Yüksek risk altında olmasına rağmen kurumumuzdaki sağlık çalışanlarının COVID-19'dan ciddi bir komplikasyon yaşamadığını destekleyen bulgularımız cesaret vericidir. Bununla birlikte, pandemi devam ederken ve COVID-19'un hala bilinmeyen pek çok yönü olduğu için her zaman dikkatli olunmalıdır.

Clinical, Laboratory and Imaging Findings of Healthcare Workers Infected with COVID-19 in a Single Tertiary Healthcare Centre

ABSTRACT Objective: To analyze physical examination, laboratory and imaging findings of COVID-19 positive healthcare workers at a single tertiary healthcare centre in a metropolitan area of Turkey. Material-Methods: Collected data was retrospectively analysed from patient files. Physical examination, laboratory and imaging findings were collected. Results: Despite being under the highest risk and during the beginning of the pandemic, only 5% of healthcare workers were found to be COVID-19 positive. All positive COVID-19 healthcare workers had mild symptoms. Laboratory findings were within the normal range and only two healthcare workers had mild positive thoracic computerized tomography findings. All COVID-19 healthcare workers completely recovered with no sequela after close observation and follow up. Conclusion: It is encouraging that our findings suggest although under high risk, healthcare workers in our institution did not have any serious complication from COVID-19. However, extreme vigilance should always be taken as the pandemic is continuing and there is still many aspects of COVID-19 that is unknown.

___

  • Q&A on coronaviruses (COVID-19). [cited 11 Sep 2020]. Available: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/question-and-answers-hub/q-a-detail/q-a-coronaviruses
  • Bai Y, Wang X, Huang Q, Wang H, Gurarie D, Ndeffo-Mbah M, et al. SARS-CoV-2 infection in health care workers: a retrospective analysis and a model study. medRxiv. 2020.
  • Hunter E, Price DA, Murphy E, van der Loeff IS, Baker KF, Lendrem D, et al. First experience of COVID-19 screening of health-care workers in England. The Lancet. 2020;395(10234):e77-e8.
  • Control CfD, Prevention. Interim infection prevention and control recommendations for patients with confirmed 2019 novel coronavirus (2019-nCoV) or persons under investigation for 2019-nCoV in healthcare settings. Centers for Disease Control and Prevention: Atlanta, USA. 2020.
  • Adams JG, Walls RM. Supporting the health care workforce during the COVID-19 global epidemic. Jama. 2020;323(15):1439-40.
  • Kluytmans-van den Bergh MF, Buiting AG, Pas SD, Bentvelsen RG, van den Bijllaardt W, van Oudheusden AJ, et al. Prevalence and clinical presentation of health care workers with symptoms of coronavirus disease 2019 in 2 Dutch hospitals during an early phase of the pandemic. JAMA network open. 2020;3(5):e209673-e.
  • Ran L, Chen X, Wang Y, Wu W, Zhang L, Tan X. Risk factors of healthcare workers with corona virus disease 2019: a retrospective cohort study in a designated hospital of Wuhan in China. Clinical Infectious Diseases. 2020.
  • Lai X, Wang M, Qin C, Tan L, Ran L, Chen D, et al. Coronavirus disease 2019 (COVID-2019) infection among health care workers and implications for prevention measures in a tertiary hospital in Wuhan, China. JAMA Network Open. 2020;3(5):e209666-e.