Yıl: 2021 Cilt: 59 Sayı: 2 Sayfa Aralığı: 103 - 107 Metin Dili: İngilizce DOI: haseki.galenos.2021.6764 İndeks Tarihi: 21-05-2021

SARS-CoV-2 Infection in Intensive Care Unit Healthcare Workers in Turkey: A Tertiary Center Cohort Study

Öz:
Aim: Intensive care unit (ICU) workers have a greater risk of being infected due to procedures requiring intensive contact with the coronavirus disease-2019 (COVID-19 ) patient. We aimed to explain how we applied the protection of healthcare workers against the contagion of COVID-19 infection in the ICU of a university hospital.Methods: The study was performed in ICUs of the Goztepe Training Research Hospital with 650 beds which was affiliated to Medeniyet University in Istanbul, Turkey. We recorded the number of COVID-19 patients. We also recorded ICU workers (doctor, nurse, and others), and their working layouts. The frequency of the contagion of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) to ICU workers was investigated. We also evaluated precautions for the prevention and evaluated the arrangement of ICUs for COVID-19 patients.Results: Between March 17th 2020 and May 26th 2020 totaly, a total of 120 hospitalized COVID-19 patients were treated in ICUs. Laboratory confirmed COVID-19 was detected in only one health-care worker in ICUs. Conclusion: Our experience showed that the correct and proper use of personal protective equipment according to the protocols are effective in protecting ICU workers against the contagion of SARS-CoV-2.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Demirbilek Y, Pehlivantürk G, Özgüler ZÖ, Alp Meşe E. COVID-19 outbreak control, example of ministry of health of Turkey. Turk J Med Sci 2020;50:489-94.
  • 2. Epidemiology Working Group for NCIP Epidemic Response, Chinese Center for Disease Control and Prevention. [The epidemiological characteristics of an outbreak of 2019 novel coronavirus diseases (COVID-19) in China]. Zhonghua Liu Xing Bing Xue Za Zhi 2020:145-51.
  • 3. Su A. Doctors and Nurses Fighting Coronavirus in China Die of Both Infection and Fatigue. Los Angeles Times [online]. 2020; february 25 Available at: https://www.latimes. com/world-nation/story/2020-02-25/doctors-fighting coronavirus-in china-die-of-both-infection-and-fatigue. Accessed March 20, 2020.
  • 4. Euronews. https://tr.euronews.com/2020/04/29/sagl-k bakan-koca-covid-19-la-mucadelede-gelinen-son-noktay değerlendiriyor
  • 5. Chen N, Zhou M, Dong X, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet 2020;395:507-13.
  • 6. Huang C, Wang Y, Li X, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet 2020;395:497-506.
  • 7. Wang J, Zhou M, Liu F. Reasons for healthcare workers becoming infected with novel coronavirus disease 2019 (COVID-19) in China. J Hosp Infect 2020;105:100-1.
  • 8. Schwartz J, King CC, Yen MY. Protecting Health Care Workers during the COVID-19 Coronavirus Outbreak -Lessons from Taiwan’s SARS response [published online ahead of print, 2020 Mar 12]. Clin Infect Dis 2020;255.
  • 9. Respiratory care committee of Chinese Thoracic Society. [Expert consensus on preventing nosocomial transmission during respiratory care for critically ill patients infected by 2019 novel coronavirus pneumonia]. Zhonghua Jie He He Hu Xi Za Zhin 2020;17:20.
  • 10. Ferioli M, Cisternino C, Leo V, Pisani L, Palange P, Nava S. Protecting healthcare workers from SARS-CoV-2 infection: practical indications. Eur Respir Rev 2020;29:200068.
  • 11. Liang T Prevention and control management. In: Handbook of COVID-19 prevention and treatment. The First Affiliated Hospital, Zhejiang University School of Medicine. Compiled According to Clinical Experience. Liang et al (eds). Zhejiang University School of Medicine, Zheijang 2020;1-18.
  • 12. Ladeira MT, Vital FM, Andriolo RB, Andriolo BN, Atallah AN, Peccin MS. Pressure support versus T-tube for weaning from mechanical ventilation in adults. Cochrane Database Syst Rev 2014;2014:CD006056.
  • 13. Yao X, Ye F, Zhang M, et al. In Vitro Antiviral Activity and Projection of Optimized Dosing Design of Hydroxychloroquine for the Treatment of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). Clin Infect Dis 2020;71732-9.
  • 14. Gautret P, Lagier JC, Parola P, et al. Hydroxychloroquine and azithromycin as a treatment of COVID-19: results of an open-label non-randomized clinical trial. Int J Antimicrob Agents 2020;56:105949.
  • 15. Sun X, Ni Y, Zhang M. Rheumotologitsts’ view on the use of hydroxychloroquine to treat COVID-19. Emerg Microbes Infect 2020;9:830-2.
  • 16. Sinha N, Balayla G. Hydroxychloroquine and COVID-19. Postgrad Med J 2020;96:550-5.
  • 17. Elavarasi A, Prasad M, Seth T, et al. Chloroquine and Hydroxychloroquine for the Treatment of COVID-19: a Systematic Review and Meta-analysis. J Gen Intern Med 2020;35:3308-14.
  • 18. Boulware DR, Pullen MF, Bangdiwala AS, et al. A Randomized Trial of Hydroxychloroquine as Postexposure Prophylaxis for Covid-19. N Engl J Med 2020;383:517-25.
  • 19. Al-Kofahi M, Jacobson P, Boulware DR, et al. Finding the Dose for Hydroxychloroquine Prophylaxis for COVID-19: The Desperate Search for Effectiveness. Clin Pharmacol Ther 2020;108:766-9.
APA uzman s, Akarsu Ayazoğlu T (2021). SARS-CoV-2 Infection in Intensive Care Unit Healthcare Workers in Turkey: A Tertiary Center Cohort Study. , 103 - 107. haseki.galenos.2021.6764
Chicago uzman sinan,Akarsu Ayazoğlu Tülin SARS-CoV-2 Infection in Intensive Care Unit Healthcare Workers in Turkey: A Tertiary Center Cohort Study. (2021): 103 - 107. haseki.galenos.2021.6764
MLA uzman sinan,Akarsu Ayazoğlu Tülin SARS-CoV-2 Infection in Intensive Care Unit Healthcare Workers in Turkey: A Tertiary Center Cohort Study. , 2021, ss.103 - 107. haseki.galenos.2021.6764
AMA uzman s,Akarsu Ayazoğlu T SARS-CoV-2 Infection in Intensive Care Unit Healthcare Workers in Turkey: A Tertiary Center Cohort Study. . 2021; 103 - 107. haseki.galenos.2021.6764
Vancouver uzman s,Akarsu Ayazoğlu T SARS-CoV-2 Infection in Intensive Care Unit Healthcare Workers in Turkey: A Tertiary Center Cohort Study. . 2021; 103 - 107. haseki.galenos.2021.6764
IEEE uzman s,Akarsu Ayazoğlu T "SARS-CoV-2 Infection in Intensive Care Unit Healthcare Workers in Turkey: A Tertiary Center Cohort Study." , ss.103 - 107, 2021. haseki.galenos.2021.6764
ISNAD uzman, sinan - Akarsu Ayazoğlu, Tülin. "SARS-CoV-2 Infection in Intensive Care Unit Healthcare Workers in Turkey: A Tertiary Center Cohort Study". (2021), 103-107. https://doi.org/haseki.galenos.2021.6764
APA uzman s, Akarsu Ayazoğlu T (2021). SARS-CoV-2 Infection in Intensive Care Unit Healthcare Workers in Turkey: A Tertiary Center Cohort Study. Haseki Tıp Bülteni, 59(2), 103 - 107. haseki.galenos.2021.6764
Chicago uzman sinan,Akarsu Ayazoğlu Tülin SARS-CoV-2 Infection in Intensive Care Unit Healthcare Workers in Turkey: A Tertiary Center Cohort Study. Haseki Tıp Bülteni 59, no.2 (2021): 103 - 107. haseki.galenos.2021.6764
MLA uzman sinan,Akarsu Ayazoğlu Tülin SARS-CoV-2 Infection in Intensive Care Unit Healthcare Workers in Turkey: A Tertiary Center Cohort Study. Haseki Tıp Bülteni, vol.59, no.2, 2021, ss.103 - 107. haseki.galenos.2021.6764
AMA uzman s,Akarsu Ayazoğlu T SARS-CoV-2 Infection in Intensive Care Unit Healthcare Workers in Turkey: A Tertiary Center Cohort Study. Haseki Tıp Bülteni. 2021; 59(2): 103 - 107. haseki.galenos.2021.6764
Vancouver uzman s,Akarsu Ayazoğlu T SARS-CoV-2 Infection in Intensive Care Unit Healthcare Workers in Turkey: A Tertiary Center Cohort Study. Haseki Tıp Bülteni. 2021; 59(2): 103 - 107. haseki.galenos.2021.6764
IEEE uzman s,Akarsu Ayazoğlu T "SARS-CoV-2 Infection in Intensive Care Unit Healthcare Workers in Turkey: A Tertiary Center Cohort Study." Haseki Tıp Bülteni, 59, ss.103 - 107, 2021. haseki.galenos.2021.6764
ISNAD uzman, sinan - Akarsu Ayazoğlu, Tülin. "SARS-CoV-2 Infection in Intensive Care Unit Healthcare Workers in Turkey: A Tertiary Center Cohort Study". Haseki Tıp Bülteni 59/2 (2021), 103-107. https://doi.org/haseki.galenos.2021.6764