Prevalence of SARS-CoV-2 infection in general practitioners and nurses in primary care and nursing homes in the Healthcare Area of León and associated factors

  1. V. Martín 1
  2. T. Fernández-Villa 1
  3. M. Lamuedra Gil de Gomez 2
  4. O. Mencía-Ares 3
  5. A. Rivero Rodríguez 4
  6. S. Reguero Celada 5
  7. M. Montoro Gómez 2
  8. M.T. Nuevo Guisado 6
  9. C. Villa Aller 4
  10. C. Díez Flecha 4
  11. A. Carvajal 3
  12. J.P. Fernández Vázquez 4
  1. 1 Instituto de Biomedicina (IBIOMED), Universidad de León, León, Spain.
  2. 2 Centro de salud Condesa, León, Spain
  3. 3 Departamento de Sanidad Animal, Universidad de León, León, Spain
  4. 4 Gerencia de Atención Primaria del Área de Salud de León, Spain
  5. 5 Centro de Salud San Andrés del Rabanedo, Spain
  6. 6 Centro de Salud de San Andrés del Rabanedo, León, Spain
Revista:
Semergen: revista española de medicina de familia

ISSN: 1138-3593

Any de publicació: 2020

Títol de l'exemplar: COVID19 en Atención Primaria

Número: 1

Pàgines: 42-46

Tipus: Article

DOI: 10.1016/J.SEMERG.2020.05.014 DIALNET GOOGLE SCHOLAR

Altres publicacions en: Semergen: revista española de medicina de familia

Resum

Objective To evaluate the prevalence of and factors associated with SARS-CoV-2 infection in general practitioners and nurses from primary care centers and nursing homes in the Healthcare Area of León (Spain). Materials and methods Cross-sectional study in a convenience sample of professionals from 30 health centers and 30 nursing homes from the primary care management division of the Healthcare Area of Leon. The work center, type of profession, COVID-19 infection, level of exposure, compliance with preventive measures, isolation (if required) and diagnostic tests carried out were collected. The determination of infection was made by differentiated rapid diagnostic test (dRDT), using a finger-stick whole-blood sample. The association of variables with infection was assessed by multivariable non-conditional logistic regression. The true prevalence of SARS-CoV-2 infection was calculated according to two scenarios for RDT (Sensitivity = 0.6 and Specificity = 0.985; Sensitivity = 0.8 and Specificity = 1). Results The true prevalence of SARS-CoV-2 infection was between 4.9% and 11.0%. The observed prevalence was 5.9% and was higher in nursing homes than in primary care centers (9.5% vs. 5.5%). No statistically significant differences were observed by sex, type of professional, level of exposure or compliance with preventive measures. Conclusions The prevalence of SARS-CoV-2 infection in this group is low. A high number of professionals remain susceptible to SARS-CoV-2 infection and therefore protective measures should be taken, especially for professionals working in nursing homes.

Informació de finançament

The authors would like to thank all the workers for their participation in this study. And of course, thanks to the Primary Care Management Division of the Healthcare Area of Leon and the University of Leon, because of their collaboration has been crucial in developing this study.

Finançadors

Referències bibliogràfiques

  • World Health Organization (WHO). Coronavirus Disease (COVID-19) dashboard. Available at: https://www.who.int/emergencies/diseases/novel-coronavirus-2019 [accessed 10.05.20] Google Scholar
  • N. Zhu, D. Zhang, W. Wang, X. Li, B. Yang, J. Song, et al. China Novel Coronavirus Investigating and Research Team. A novel coronavirus from patients with pneumonia in China, 2019 N Engl J Med, 382 (2020), pp. 727-733, 10.1056/NEJMoa2001017 CrossRefView Record in ScopusGoogle Scholar
  • T. Phan Novel coronavirus: from discovery to clinical diagnostics Infect Genet Evol, 79 (2020), p. 104211, 10.1016/j.meegid.2020.104211 ArticleDownload PDFGoogle Scholar
  • Centers for Disease control and Prevention (CDC). Assessing risk factors for severe COVID-19 illness (Updated April 23, 2020). Available at: https://www.cdc.gov/coronavirus/2019-ncov/covid-data/investigations-discovery/assessing-risk-factors.html [accessed 20.05.20). Google Scholar
  • Ministerio de Ciencia e Innovación – Instituto de Salud Carlos III. Informe sobre la situación de COVID-19 en personal sanitario en España – 21-05-2020. Available at: https://www.isciii.es/QueHacemos/Servicios/VigilanciaSaludPublicaRENAVE/EnfermedadesTransmisibles/Documents/INFORMES/Informes%20COVID-19/COVID-19%20en%20España.%20Situación%20en%20Sanitarios%20a%2021%20de%20mayo%20de%202020.pdf (accessed 23.05.20). Google Scholar
  • J.L. Llisterri Caro La maldita pandemia: una oportunidad para la Atención Primaria de Salud Semergen, 46 (2020), pp. 149-150 ArticleDownload PDFView Record in ScopusGoogle Scholar
  • Instituto de Salud Carlos III. Informe sobre estrategia de diagnóstico microbiológico del COVID-19 (Actualización) Madrid 19 de abril de 2020. Available at: https://www.semergen.es/files/docs/COVID-19/Documentos/informe-Iestrategia-microbiologico.pdf (accessed 20.05.20). Google Scholar
  • StataCorp Stata Statistical Software: Release 14 StataCorp LP, College Station, TX (2015) Google Scholar
  • W.J. Rogan, B. Gladen Estimating prevalence from the results of a screening test Am J Epidemiol, 107 (1978), pp. 71-76 CrossRefView Record in ScopusGoogle Scholar
  • Ausvet. EPITOOLS. Available at: https://epitools.ausvet.com.au/trueprevalence [accessed 21.05.20] Google Scholar
  • Ministerio de Sanidad – Consejo Interterritorial del Sistema Nacional de Salud – Instituto de Salud Carlos III. Estudio ENE-COVID19: Primera ronda. Estudio nacional de sero-epidemiología de la infección por SARS-CoV-2 en España. Informe preliminar 13 de mayo de 2020. Available at: https://www.mscbs.gob.es/ciudadanos/ene-covid/docs/ESTUDIO_ENE-COVID19_PRIMERA_RONDA_INFORME_PRELIMINAR.pdf [accessed 17.0.5.20) Google Scholar
  • A.L. García-Basteiro, G. Moncunill, M. Tortajada, M. Vidal, C. Guinovart, et al. Seroprevalence of antibodies against SARS-CoV-2 among health care workers in a large Spanish reference hospital medRxiv (2020) https://doi.org/10.1101/2020.04.27.20082289 https://www.medrxiv.org/content/10.1101/2020.04.27.20082289v1.full.pdf Google Scholar
  • World Health Organization (WHO). Coronavirus disease 2019 (COVID-19). Situation Report – 82. https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200411-sitrep-82-covid-19.pdf [accessed 17.05.20] Google Scholar
  • M.M. Arons, K.M. Hatfield, S.C. Reddy, A. Kimball, A. James, J.R. Jacobs, et al. Presymptomatic SARS-CoV-2 infections and transmission in a skilled nursing facility N Engl J Med (2020), 10.1056/NEJMoa2008457 Google Scholar
  • Instituto de Salud Carlos III. Informe sobre estrategia de diagnóstico microbiológico del COVID-19 (Actualización) Madrid 19 de abril de 2020. https://www.semergen.es/files/docs/COVID-19/Documentos/informe-Iestrategia-microbiologico.pdf [accessed 10.05.20] Google Scholar