Objective:
To examine the prevalence of burnout and its work-related factors among public health providers (PHP) during the COVID-19 pandemic.
Methods:
We surveyed 366 PHP in May 2021 on their burnout, demographic, and work-related characteristics. Logistic regression analyses were conducted to identify associated factors.
Results:
45% PHP reported burnout. Higher PHP burnout was associated with younger age (AOR 0.96, 95% CI 0.93–0.99), prolonged COVID-19 involvement (AOR 2.35, 95% CI 1.16–4.72), as well as perceiving medium (AOR 2.10, 95% CI 1.27–3.48) and high emotional demand (AOR 4.45, 95% CI 1.67–11.77), low (AOR 2.10, 95% CI 1.27–3.48) and medium (AOR 4.18, 95% CI 1.64–10.59) role clarity, medium job satisfaction (AOR 3.21, 95% CI: 1.11–9.29), and low organisational justice (AOR 3.32, 95% CI 1.51–7.27).
Conclusions:
Improving job content and organisational characteristics may be key to reducing PHP burnout.
The SARS-CoV-2 pandemic has grown into a major global concern with huge efforts to combat the spread. Exaggerated inflammatory response plays a major role in which was the rationale to use corticosteroids as a treatment option. However, multiple studies showed an association between of opportunistic and bacterial infections in patients under corticosteroid therapy. We report a case of a 76-year old patient diagnosed with COVID-19 pneumonia, treated with 10 days Dexamethasone and Remdesivir who presented with abdominal symptoms with eosinophilia. Biopsy and stool studies revealed strongyloides stercoralis larvae. The patient was treated with 2 doses of Ivermectin with significant clinical resolution. Clinician should have high clinical suspicion for Strongloydiasis in patients who have lived or visited Strongyloides stercoralis endemic areas and for patients with unexplained eosinophilia. Prompt treatment with Ivermectin is crucial for confirmed cases and should be also implemented empirical in high risk groups, where obtaining a diagnosis is unfeasible.
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