ESTUDIO MULTICÉNTRICO DE INCIDENCIA Y DETERMINANTES DE COVID-19 EN MÉDICOS DE ARGENTINA.

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Title: ESTUDIO MULTICÉNTRICO DE INCIDENCIA Y DETERMINANTES DE COVID-19 EN MÉDICOS DE ARGENTINA.
Alternate Title: Multicenter study of COVID-19 incidence and determinants in Argentinian physicians.
Authors: RODRÍGUEZ, VIVIANA M.1,2 vmr1808@gmail.com, KLAJN, DIANA S.1, CARBONE, EDITH A.2,3, DEL CASTILLO, MARCELO2,4, RODRÍGUEZ RIVERA, JULIETA2,4, COLQUE, ANGEL M.2,5, TORRES, CECILIA V.2,6, NUCCETELLI, YANINA2,7, BANGHER, MARIA DEL CARMEN2,8, PABLO BONNAL, JUAN2,9
Source: Medicina (Buenos Aires). jul/ago2022, Vol. 82 Issue 4, p496-504. 9p. 4 Charts.
Abstract (English): Background: Information about COVID infection in physicians is limited. This knowledge would allow the implementation of actions to reduce its impact. The objective was determining the incidence of SARSCoV-2 infection in physicians from health institutions in Argentina, its characteristics, and associated factors. Methods: We conducted a multicenter prospective / retrospective cohort study with nested case-control study. Physicians active at the beginning of the pandemic were included, those on leave due to risk factors were excluded. The incidence of confirmed cases was estimated. We conducted bivariate analyses with various factors and used those significant in a logistic regression. Results: Three hundred and forty three physicians with COVID-infection from 8 centers were included. The incidence of disease was 12.1% and that of global absenteeism related to COVID, 34.1%. Almost 70% of close contacts were work-related. In the multivariate analysis living in Autonomous City of Buenos Aires (CABA) (OR 0.19, p = 0.01), working in high-risk areas (OR 0.22, p = 0.01) and individual transportation (OR 0, 34, p = 0.03) reduced the risk of COVID. The odds of infection increased 5.6 times (p = 0.02) for each close contact isolation. Discussion: The number of close contact isolation increased considerably the risk of infection. Living in Buenos Aires City, individual transportation and working in high-risk areas reduced it. Given the high frequency of close contact in the workplace, we strongly recommend the reinforcement of prevention measures in rest areas and non-COVID-wards. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Introducción: La información sobre COVID en médicos es limitada. Su conocimiento permitiría implementar acciones para reducir su impacto. El objetivo general fue determinar la incidencia de infección por SARS-CoV-2 en médicos de instituciones de salud de Argentina, sus características y factores asociados. Materiales y Métodos: Se realizó un estudio multicéntrico de cohorte prospectiva/retrospectiva con estudio de casos-controles anidado. Se incluyeron médicos activos al inicio de la pandemia no exceptuados por riesgo. Se estimó incidencia de casos confirmados. Se compararon factores asociados en casos y controles y se creó un modelo de regresión logística con las variables significativas del análisis bivariado. Resultados: Se incluyeron 343 médicos con COVID de 8 centros. La incidencia de la enfermedad fue de 12.1% y la de ausentismo global relacionado a COVID, de 34.1%. El 70% de los contactos estrechos fueron laborales. En el análisis multivariado de casos y controles, la residencia en la Ciudad Autónoma de Buenos Aires (OR 0.19, p = 0.01), el trabajo en áreas de alto riesgo (OR 0.22, p = 0.01) y vehículo individual (OR 0.34, p = 0.03) redujeron el riesgo de COVID. El odds de enfermar aumentó 4.6 veces (p = 0.02) por cada aislamiento por contacto estrecho. Discusión: El riesgo de enfermar aumentó considerablemente con cada aislamiento por contacto estrecho. La residencia en Ciudad Autónoma, el traslado en vehículo individual y el trabajo en áreas de alto riesgo lo redujeron. Dada la alta frecuencia de contactos estrechos en el ámbito laboral recomendamos reforzar las medidas de prevención en áreas de descanso y no COVID. [ABSTRACT FROM AUTHOR]
Copyright of Medicina (Buenos Aires) is the property of Medicina (Buenos Aires) and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: ESTUDIO MULTICÉNTRICO DE INCIDENCIA Y DETERMINANTES DE COVID-19 EN MÉDICOS DE ARGENTINA.
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  Data: Multicenter study of COVID-19 incidence and determinants in Argentinian physicians.
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  Data: <searchLink fieldCode="AR" term="%22RODRÍGUEZ%2C+VIVIANA+M%2E%22">RODRÍGUEZ, VIVIANA M.</searchLink><relatesTo>1,2</relatesTo><i> vmr1808@gmail.com</i><br /><searchLink fieldCode="AR" term="%22KLAJN%2C+DIANA+S%2E%22">KLAJN, DIANA S.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22CARBONE%2C+EDITH+A%2E%22">CARBONE, EDITH A.</searchLink><relatesTo>2,3</relatesTo><br /><searchLink fieldCode="AR" term="%22DEL+CASTILLO%2C+MARCELO%22">DEL CASTILLO, MARCELO</searchLink><relatesTo>2,4</relatesTo><br /><searchLink fieldCode="AR" term="%22RODRÍGUEZ+RIVERA%2C+JULIETA%22">RODRÍGUEZ RIVERA, JULIETA</searchLink><relatesTo>2,4</relatesTo><br /><searchLink fieldCode="AR" term="%22COLQUE%2C+ANGEL+M%2E%22">COLQUE, ANGEL M.</searchLink><relatesTo>2,5</relatesTo><br /><searchLink fieldCode="AR" term="%22TORRES%2C+CECILIA+V%2E%22">TORRES, CECILIA V.</searchLink><relatesTo>2,6</relatesTo><br /><searchLink fieldCode="AR" term="%22NUCCETELLI%2C+YANINA%22">NUCCETELLI, YANINA</searchLink><relatesTo>2,7</relatesTo><br /><searchLink fieldCode="AR" term="%22BANGHER%2C+MARIA+DEL+CARMEN%22">BANGHER, MARIA DEL CARMEN</searchLink><relatesTo>2,8</relatesTo><br /><searchLink fieldCode="AR" term="%22PABLO+BONNAL%2C+JUAN%22">PABLO BONNAL, JUAN</searchLink><relatesTo>2,9</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Medicina+%28Buenos+Aires%29%22">Medicina (Buenos Aires)</searchLink>. jul/ago2022, Vol. 82 Issue 4, p496-504. 9p. 4 Charts.
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: Background: Information about COVID infection in physicians is limited. This knowledge would allow the implementation of actions to reduce its impact. The objective was determining the incidence of SARSCoV-2 infection in physicians from health institutions in Argentina, its characteristics, and associated factors. Methods: We conducted a multicenter prospective / retrospective cohort study with nested case-control study. Physicians active at the beginning of the pandemic were included, those on leave due to risk factors were excluded. The incidence of confirmed cases was estimated. We conducted bivariate analyses with various factors and used those significant in a logistic regression. Results: Three hundred and forty three physicians with COVID-infection from 8 centers were included. The incidence of disease was 12.1% and that of global absenteeism related to COVID, 34.1%. Almost 70% of close contacts were work-related. In the multivariate analysis living in Autonomous City of Buenos Aires (CABA) (OR 0.19, p = 0.01), working in high-risk areas (OR 0.22, p = 0.01) and individual transportation (OR 0, 34, p = 0.03) reduced the risk of COVID. The odds of infection increased 5.6 times (p = 0.02) for each close contact isolation. Discussion: The number of close contact isolation increased considerably the risk of infection. Living in Buenos Aires City, individual transportation and working in high-risk areas reduced it. Given the high frequency of close contact in the workplace, we strongly recommend the reinforcement of prevention measures in rest areas and non-COVID-wards. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Introducción: La información sobre COVID en médicos es limitada. Su conocimiento permitiría implementar acciones para reducir su impacto. El objetivo general fue determinar la incidencia de infección por SARS-CoV-2 en médicos de instituciones de salud de Argentina, sus características y factores asociados. Materiales y Métodos: Se realizó un estudio multicéntrico de cohorte prospectiva/retrospectiva con estudio de casos-controles anidado. Se incluyeron médicos activos al inicio de la pandemia no exceptuados por riesgo. Se estimó incidencia de casos confirmados. Se compararon factores asociados en casos y controles y se creó un modelo de regresión logística con las variables significativas del análisis bivariado. Resultados: Se incluyeron 343 médicos con COVID de 8 centros. La incidencia de la enfermedad fue de 12.1% y la de ausentismo global relacionado a COVID, de 34.1%. El 70% de los contactos estrechos fueron laborales. En el análisis multivariado de casos y controles, la residencia en la Ciudad Autónoma de Buenos Aires (OR 0.19, p = 0.01), el trabajo en áreas de alto riesgo (OR 0.22, p = 0.01) y vehículo individual (OR 0.34, p = 0.03) redujeron el riesgo de COVID. El odds de enfermar aumentó 4.6 veces (p = 0.02) por cada aislamiento por contacto estrecho. Discusión: El riesgo de enfermar aumentó considerablemente con cada aislamiento por contacto estrecho. La residencia en Ciudad Autónoma, el traslado en vehículo individual y el trabajo en áreas de alto riesgo lo redujeron. Dada la alta frecuencia de contactos estrechos en el ámbito laboral recomendamos reforzar las medidas de prevención en áreas de descanso y no COVID. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Medicina (Buenos Aires) is the property of Medicina (Buenos Aires) and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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