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Low Incidence and Mortality by SARS-CoV-2 Infection Among Healthcare Workers in a Health National Center in Mexico: Successful Establishment of an Occupational Medicine Program
Miguel Angel Salazar Lezama
LESLIE CHAVEZ GALAN
Armando Castorena-Maldonado
Maribel Mateo Alonso
Nadia Otilia Díaz Vázquez
Ana María Vega Martínez
Jose arturo Martinez orozco
EDUARDO BECERRIL
Fernando Manuel Sosa Gómez
Hilda Patiño Gallegos
Delfino Alonso Martínez
Enrique López Segundo
Fernando Vidal Martínez
Luis Joan Velasco González
Silvia Pérez Pulido
patricio santillan_doherty
JUSTINO REGALADO PINEDA
JORGE SALAS HERNANDEZ
IVETTE BUENDIA ROLDAN
Acceso Abierto
Atribución-NoComercial
https://doi.org/10.3389/fpubh.2021.651144
https://www.frontiersin.org/articles/10.3389/fpubh.2021.651144/full#supplementary-material
Background: Coronavirus disease 2019 (COVID-19) is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Healthcare workers (HCWs) constitute a population which is significantly affected by SARS-CoV-2 infection worldwide. In Mexico, the Instituto Nacional de Enfermedades Respiratorias (INER) is the principal national reference of respiratory diseases. Aim: To evaluate the efficiency of the INER-POL-TRAB-COVID19 program to mitigate the SARS-CoV-2 infection risk among the INER-healthcare workers (INER-HCW). Methods: Currently, the INER has 250 beds and 200 respiratory ventilators to support COVID-19 patients in critical condition. On March 1st, 2020, the INER-POL-TRAB-COVID19 program was launched to mitigate the SARS-CoV-2 infection risk among the INER-HCW. Findings: From March 1st to October 1st, 2020, 71.5% of INER-HCWs were tested for SARS-CoV-2 infection, and 77% of them were frontline workers. Among the tested INER-HCWs, 10.4% were positive for SARS-CoV-2 infection. Nonetheless, nosocomial infection represented only 3.8% of the cases and the mortality was null. Fifty-three of INER-HCWs positive to SARS-CoV-2 had a negative test 42–56 days post-diagnosis and were returned to service. Finally, although a change in the PPE implemented on May 11th, 2020, the incidence of SARS-CoV-2 infection was not affected. Conclusion: INER has a lower incidence of HCWs infected with SARS-CoV-2 as compared to the mean of the national report. The implementation of the INER-POL-TRAB-COVID19 program is efficient to decrease the risk of infection among the HCWs. Our findings suggest that the implementation of a similar program at a national level can be helpful to provide a safe environment to HCWs and to prevent the collapse of health institutions.
www.frontiersin.org
13-04-2021
Artículo
Inglés
Epidemia COVID-19
Público en general
Salazar MÁ, Chavez-Galan L, Castorena-Maldonado A, Mateo-Alonso M, Diaz-Vazquez NO, Vega-Martínez AM, Martínez-Orozco JA, Becerril-Vargas E, Sosa-Gómez FM, Patiño-Gallegos H, Alonso-Martínez D, López-Segundo E, Vidal F, Velasco-González LJ, Pérez-Pulido S, Santillán-Doherty P, Regalado-Pineda J, Salas-Hernández J and Buendía-Roldán I (2021) Low Incidence and Mortality by SARS-CoV-2 Infection Among Healthcare Workers in a Health National Center in Mexico: Successful Establishment of an Occupational Medicine Program. Front. Public Health 9:651144. doi: 10.3389/fpubh.2021.651144
VIRUS RESPIRATORIOS
Versión publicada
publishedVersion - Versión publicada
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