Safeguarding Healthcare Workers Amidst COVID-19: A Surveillance Programme in a Teaching Hospital in Malaysia.

Wan, Kim Sui; Tok, Peter Seah Keng; Ratnam, Kishwen Kanna Yoga; Aziz, Nuraini; Isahak, Marzuki; Zaki, Rafdzah Ahmad; Farid, Nik Daliana Nik; Hairi, Noran Naqiah; Rampal, Sanjay; Ng, Chiu-Wan; Samsudin, Mohd Fauzy; Venugopal, Vinura; Asyraf, Mohammad; Damanhuri, Narisa Hatun; Doraimuthu, Sanpagavalli; Arumugam, Catherine Thamarai; Marthammuthu, Thaneswaran; Nawawi, Fathhullah Azmie; Baharudin, Faiz; Chong, Diane Woei Quan; Jayaraj, Vivek Jason; Santhanan, Venna Magarita; Ponnampalavanar, Sasheela; Hasnan, Nazirah; Kamarulzaman, Adeeba; Said, Mas Ayu

doi:10.2471/blt.20.275214

Cited by 4 publications

(4 citation statements)

References 12 publications

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“…Analysis of respondents that had COVID-19 exposure in our study showed more respondents had healthcare-related exposure compared to community-related exposure. Similar finding from a study among HCWs in COVID-19 designated facilities in Klang Valley, Malaysia also reported that the most of their respondents were having healthcare-related exposure (68.9%) [19]; also in another study in designated teaching hospital in Malaysia which reported 1,418 (24.3%) HCWs had COVID-19 exposure with 1,174 (82.8%) had healthcare-related exposure in Malaysia [22]. Healthcare-related exposure is highest in all three (3) studies in Malaysia due to more healthcare workers' time spent in the work environment as Malaysia government policy enforces strict standard operating protocol in community and travel restriction within district and states.…”

Section: Advances In Health Sciences Research Volume 44supporting

confidence: 79%

Prevalence of COVID-19 Infection and Its Associated Factors Among Government Healthcare Workers (HCWs) in Lahad Datu, Sabah

Zulaikha¹,

Anita²,

Aisah³

et al. 2022

Advances in Health Sciences Research

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The increase in Coronavirus disease 2019 (COVID-19) cases involving healthcare workers (HCWs) raises concern and puts a burden on government health services due to the reduced availability of functional workforce despite increasing workload demand. To determine the prevalence of COVID-19 infection and its associated factors among government healthcare workers (HCWs) in Lahad Datu, Sabah. This was a cross sectional design study conducted in May 2021 among 440 government healthcare workers that had undergone COVID-19 testing at least once in Lahad Datu, Sabah. Validated Google form questionnaire were administered in this study. All data were analyzed by SPSS version 25 involving descriptive statistic and analytical statistic using Chi Square test and multiple logistic regression analysis. The response rate was 81.1%. The prevalence of COVID-19 infection among government HCWs in Lahad Datu, Sabah was 8.7%. Types of COVID-19 exposure (p < 0.05), staying in same household as a person with COVID-19 (p < 0.05), had direct physical contact with HCWs with COVID-19 without wearing appropriate PPE(p < 0.01), had contact with environment where a COVID-19 patient received care without wearing appropriate PPE (p < 0.01), did not adhere to physical distancing more than 1 metre with unknown COVID-19 patient infection status (p = 0.02) and infection, prevention and control (IPC) training status (p < 0.05) were factors associated with COVID-19 infection among government healthcare workers in Lahad Datu, Sabah. There were four factors that were able to predict COVID 19 infection among government healthcare workers in Lahad Datu, Sabah which were community-related exposure (AOR 34.87;, p < 0.01), healthcare-related exposure (AOR 6.37; 95% CI 1.94-20.85, p < 0.01), has direct physical contact with HCWs with positive COVID-19 without wearing PPE (AOR 6.96; 95% CI 2.04-23.73, p < 0.01), and had IPC training after COVID-19 pandemic (AOR 11.99;, p = 0.02). Community-related exposure, healthcare-related exposure, had direct physical contact with HCWs with positive COVID-19 without wearing PPE and had IPC training after COVID-19 pandemic is associated with increased risk of COVID-19 infection in this study. The increased COVID-19 infection risk among HCWs that had IPC training after COVID-19 pandemic was mainly due to the fact that more HCWs with completed training were dispatched to COVID-19 management services centres thus they had more COVID-19 exposure from patients. Healthcare workers are among the population at risk of getting COVID-19 infection due to their work nature. Therefore, adhere to appropriate PPE use and physical distancing in the community and workplaces, also having regular and updated COVID-19 related training can reduce COVID-19 infection in healthcare workers.

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Section: Advances In Health Sciences Research Volume 44supporting

confidence: 79%

Prevalence of COVID-19 Infection and Its Associated Factors Among Government Healthcare Workers (HCWs) in Lahad Datu, Sabah

Zulaikha¹,

Anita²,

Aisah³

et al. 2022

Advances in Health Sciences Research

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“…XXX has a total of 1,600 beds and 22 ICU beds. More than 150 beds were designated for COVID-19 patients [ 17 ]. This study was conducted over a period of two months (April to June 2021).…”

Section: Methodsmentioning

confidence: 99%

A cross-sectional study of assessing knowledge, attitude, and practice of COVID-19 resuscitation among health care workers in a hybrid hospital for COVID-19 in Malaysia

Kamil¹,

Zambri²,

Azizah³

et al. 2022

International Emergency Nursing

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“…A similar study conducted by Kluytmans-van den Bergh MFQ et al [5] in Dutch hospitals reported an infection rate of 1% among HCWs. In our local settings, a study by University Malaya Medical Centre reported a prevalence of 0.3% COVID-19 infection among HCWs [6]. On March 20th, 2020, the Ministry of Health (MOH) Malaysia reported the first case of a HCW in Malaysia who was a trainee nurse at a private hospital becoming infected with COVID-19 [7].…”

Section: Introductionmentioning

confidence: 99%

Impact of a binary triage system and structural reorganization of emergency department on health care workers exposed to suspected COVID-19 patients—a single-centre analysis

2021

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Background A binary triage system based on infectivity and facilitated by departmental restructuring was developed to manage suspected COVID-19 patients with an aim to provide effective prevention and control of infection among health care workers (HCWs) in the emergency department. This study analyses the effectiveness of the new triage system and structural reorganization in response to the COVID-19 pandemic. Methods A cross-sectional observational study was conducted in the Emergency and Trauma Department, Hospital Kuala Lumpur (ETDHKL). The implementation of a binary triage system separates patients with risk of COVID-19 who present with fever and respiratory symptoms from other patients. Data on exposed HCWs to COVID-19 patients were captured pre-restructuring and post-restructuring of the emergency department and analysed using descriptive statistics. Results A total of 846 HCWs were involved in this study. Pre-restructuring reported 542 HCWs exposed to COVID-19 patients while post-restructuring reported 122. Using the four categorical exposure risks for HCWs which are no identifiable risk, low risk, medium risk, and high risk, the number of HCWs exposed during pre-restructuring were 15(1.8%), 504 (59.6%), 15 (1.8%), and 8 (0.9%), respectively, while post-restructuring the numbers were 122 (14.4%), 8 (0.9%), 109 (12.9%), and 5 (0.1%), respectively. There was a 77.5% reduction in the number of exposed HCWs after our implementation of the new system (542 vs 122). Conclusion A binary triage system based on severity and infectivity and supported with structural reorganization can be effective in reducing HCWs COVID-19 exposure.

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Safeguarding Healthcare Workers Amidst COVID-19: A Surveillance Programme in a Teaching Hospital in Malaysia.

Abstract: DISCLAIMER This paper was submitted to the Bulletin of the World Health Organization and was posted to the COVID-19 open site, according to the protocol for public health emergencies for international concern as described in Vasee Moorthy et al. (

Cited by 4 publications

References 12 publications

Prevalence of COVID-19 Infection and Its Associated Factors Among Government Healthcare Workers (HCWs) in Lahad Datu, Sabah

Prevalence of COVID-19 Infection and Its Associated Factors Among Government Healthcare Workers (HCWs) in Lahad Datu, Sabah

A cross-sectional study of assessing knowledge, attitude, and practice of COVID-19 resuscitation among health care workers in a hybrid hospital for COVID-19 in Malaysia

Impact of a binary triage system and structural reorganization of emergency department on health care workers exposed to suspected COVID-19 patients—a single-centre analysis

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