COVID-19 infection among health care workers in a tertiary care teaching hospital in Kerala – India

Chandran, Priya; Lilabi, MP; Bina, Thomas; George, Biju; Hafeez, Nimin; George, ArdraMerin; Cyriac, MiluElizabeth

doi:10.4103/jfmpc.jfmpc_1095_21

Cited by 6 publications

(4 citation statements)

References 18 publications

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“…This finding aligns with that of another study conducted at a COVID-19-care hospital in Mumbai, where 85% of the HCWs with COVID-19 infection were symptomatic [9]. However, Chandran et al (2022), in their study conducted in Kerela, in southern India, reported a lower proportion (67%) of symptomatic cases among SARS-CoV-2-positive HCWs [10]. In a study conducted in Italy, Magnavita et al…”

Section: Discussionsupporting

confidence: 78%

“…This may be due to the difference in adherence to IPC measures, training status, and exposure to patients and their surroundings. In a previous study conducted at the current study site, it was reported that informal workplace interactions (having meals together) and inconsistent use of masks during routine work (39.6%) were the most common causes of high-risk exposure among HCWs, as compared to the patient care activities without appropriate PPE (20.4%) [10]. In a prospective study involving 1,344 HCWs in Paris, Contejean et al (2020) also reported that major reasons for SARS-CoV-2 infection were contact without PPE with an index case, and taking off masks during breaks in the presence of colleagues [15].…”

Section: Discussionmentioning

confidence: 79%

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The Factors Associated With COVID-19 Infection Among Healthcare Workers at a Tertiary Care Institution in North India: A Case-Control Study

Kaur,

Kant,

Ahmad

et al. 2024

Cureus

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Background and objectiveHealthcare workers (HCWs) are at a higher risk of contracting coronavirus disease 2019 (COVID-19) since they regularly come into direct contact with infected patients and their surroundings. In light of this, it is critical to study the potential risk factors for SARS-CoV-2 infection among HCWs to help determine its transmission patterns and prevent infections among HCWs, as well as healthcare-associated COVID-19. MethodsWe conducted a case-control study at a tertiary healthcare center from December 2020 to August 2021. HCWs who tested positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the virus that causes COVID-19, by RT-PCR were included as cases and those who tested negative for RT-PCR and SARS-CoV-2 antibodies were recruited as controls. We interviewed 316 HCWs (187 cases and 129 controls) by using the WHO questionnaire titled "Protocol for assessment of potential risk factors for coronavirus disease 2019 among health workers in a health care setting" to assess infection prevention and control (IPC) knowledge and practices, including the use of personal protective equipment (PPE). The odds ratio (OR) for factors associated with infection was determined by multivariable logistic regression. ResultsThe majority (87.2%) of the cases were symptomatic. Adherence to IPC measures was higher among controls as compared to cases. A significantly higher number of controls used PPE compared to cases. The proportions of HCWs involved in cleaning, patient transport, reception, and catering were higher among cases (37.9%) compared to controls (19.1%). In multivariable analysis, undergoing training on care for COVID-19 patients was associated with a lower risk of infection (OR: 0.40, 95% CI: 0.24-0.69). ConclusionsAdherence to IPC and use of PPE were significantly higher among controls as compared to cases. Receiving training in COVID-19 patient care and compliance with IPC measures were associated with a lower risk of COVID-19 infection among HCWs in this study.

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Section: Discussionsupporting

confidence: 78%

Section: Discussionmentioning

confidence: 79%

The Factors Associated With COVID-19 Infection Among Healthcare Workers at a Tertiary Care Institution in North India: A Case-Control Study

Kaur,

Kant,

Ahmad

et al. 2024

Cureus

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“…In our study, we calibrated the transmission, recovery and death rates parameters for modelling COVID-19 among the healthcare professionals. The model obtained the estimated incidence of COVID-19 of 3–8%, falling within the range of incidence reported among the healthcare staff in India setting [ 37 ]. Another strength of the study is that on considering the lower willingness-to-pay threshold for India ($115-$770), even at the lower estimated threshold of India’s GDP per capita, the conclusions of the results remained unchanged.…”

Section: Discussionmentioning

confidence: 62%

Cost-effectiveness analysis of surgical masks, N95 masks compared to wearing no mask for the prevention of COVID-19 among health care workers: Evidence from the public health care setting in India

Sharma,

Sra,

Painter

et al. 2024

PLoS ONE

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Background Nonpharmacological interventions, such as personal protective equipment for example, surgical masks and respirators, and maintenance of hand hygiene along with COVID-19 vaccines have been recommended to reduce viral transmission in the community and health care settings. There is evidence from the literature that surgical and N95 masks may reduce the initial degree of exposure to the virus. A limited research that has studied the cost-effective analysis of surgical masks and N95 masks among health care workers in the prevention of COVID-19 in India. The objective of this study was to estimate the cost-effectiveness of N95 and surgical mask compared to wearing no mask in public hospital settings for preventing COVID-19 infection among Health care workers (HCWs) from the health care provider’s perspective. Methods A deterministic baseline model, without any mask use, based on Eikenberry et al was used to form the foundation for parameter estimation and to estimate transmission rates among HCWs. Information on mask efficacy, including the overall filtering efficiency of a mask and clinical efficiency, in terms of either inward efficiency(ei) or outward efficiency(e0), was obtained from published literature. Hospitalized HCWs were assumed to be in one of the disease states i.e., mild, moderate, severe, or critical. A total of 10,000 HCWs was considered as representative of the size of a tertiary care institution HCW population. The utility values for the mild, moderate and severe model health states were sourced from the primary data collection on quality-of-life of HCWs COVID-19 survivors. The utility scores for mild, moderate, and severe COVID-19 conditions were 0.88, 0.738 and 0.58, respectively. The cost of treatment for mild sickness (6,500 INR per day), moderate sickness (10,000 INR per day), severe (require ICU facility without ventilation, 15,000 INR per day), and critical (require ICU facility with ventilation per day, 18,000 INR) per day as per government and private COVID-19 treatment costs and capping were considered. One way sensitivity analyses were performed to identify the model inputs which had the largest impact on model results. Results The use of N95 masks compared to using no mask is cost-saving of $1,454,632 (INR 0.106 billion) per 10,000 HCWs in a year. The use of N95 masks compared to using surgical masks is cost-saving of $63,919 (INR 0.005 billion) per 10,000 HCWs in a year. the use of surgical masks compared to using no mask is cost-saving of $1,390,713 (INR 0.102 billion) per 10,000 HCWs in a year. The uncertainty analysis showed that considering fixed transmission rate (1.7), adoption of mask efficiency as 20%, 50% and 80% reduces the cumulative relative mortality to 41%, 79% and 94% respectively. On considering ei = e0 (99%) for N95 and surgical mask with ei = e0 (90%) the cumulative relative mortality was reduced by 97% and the use of N95 masks compared to using surgical masks is cost-saving of $24,361 (INR 0.002 billion) per 10,000 HCWs in a year. Discussion Both considered interventions were dominant compared to no mask based on the model estimates. N95 masks were also dominant compared to surgical masks.

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“…The practice of universal masking at all times is challenging, and inevitable breakdowns have occurred during mealtimes and in shared accommodations. [ 7 ] Although they knew their risk of becoming infected, some healthcare providers prepared themselves and their families to combat the situation. However, they were worried and helpless when they got a COVID-19–positive report.…”

Section: Discussionmentioning

confidence: 99%

Lived-in experiences of health care professionals affected with COVID-19

Govindan

Gandhi

Nattala

et al. 2023

Indian Journal of Psychiatry

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Background and Objective: Healthcare providers (HCPs) were vital during the COVID-19 pandemic. The healthcare providers affected by COVID-19 underwent various life changing events while continuing their profession during the pandemic. This study is aimed to explore the lived-in experiences of HCPs affected by COVID-19 at a tertiary care Mental Health Institute in India. Materials and Methods: The sampling method was purposive. Twenty two HCPs (eight nursing educators, seven nursing officers, five contractual cleaning workers, and two laboratory technicians) participated in the interviews conducted by the researchers to obtain the lived-in experiences of HCPs who have recovered from COVID-19. Researchers used a sociodemographic form and an interview guide to collect the data. Interviews were audio recorded and analyzed by using Atlas-ti-9 software. Results: All the participants were female, and they revealed various physical, psychological, and social issues faced by HCPs while balancing home and workplace. Thematic data analysis resulted in the emergence of two themes and 11 subthemes related to life changing events. Conclusion: The findings concluded that although the healthcare providers had working experience in the field of mental health, they too experienced mild psychological issues like anxiety, depression, and fear of death because of this pandemic situation.

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COVID-19 infection among health care workers in a tertiary care teaching hospital in Kerala – India

Cited by 6 publications

References 18 publications

The Factors Associated With COVID-19 Infection Among Healthcare Workers at a Tertiary Care Institution in North India: A Case-Control Study

The Factors Associated With COVID-19 Infection Among Healthcare Workers at a Tertiary Care Institution in North India: A Case-Control Study

Cost-effectiveness analysis of surgical masks, N95 masks compared to wearing no mask for the prevention of COVID-19 among health care workers: Evidence from the public health care setting in India

Lived-in experiences of health care professionals affected with COVID-19

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