ABSTRAK

COVID-19 cases in Indonesia in the period of June-July 2021 showed a catastrophic spike. During this period, a recently discovered variant, the delta variant, appeared to be one of the sources of COVID-19 infection. Treatment modalities are limited due to reduced stock of drugs. A case of a 63-year-old man has been reported, with a history of having been vaccinated with two doses of Sinovac, experiencing moderate-to-severe symptoms of COVID-19 infection then given convalescent plasma therapy since his initial admission to the hospital. Three days after being given convalescent plasma therapy, the improvement was noticeable. Shortness of breath, cough, fever, and weakness were less complained. On the seventh day the patient fully recovered and got discharged. Convalescent plasma therapy was e ective in early stage and was able to improve outcomes. Indonesia needs sucient stocks of convalescent plasma as a therapy to overcome the limitations of medicines.

Latar belakang: Petugas kesehatan yang terinfeksi COVID-19 menjadi perhatian khusus dalam pandemi COVID-19 saat ini. Petugas kesehatan lebih berisiko terpapar COVID-19. Pelacakan kontak merupakan mekanisme kunci untuk memutus mata rantai penularan penyakit dengan mengidentifikasi, menemukan, dan menilai kontak orang yang terpajan untuk kasus positif COVID-19. Tujuan: Tujuan dari pengabdian masyarakat ini adalah untuk menyebarluaskan aplikasi Mobile Application for Tracing Surveillance (MATRICS). Hasil: Peserta yang terlibat dalam kegiatan pengabdian masyarakat ini berjumlah 30 staf RS Universitas Airlangga. Sebanyak 17 peserta menilai baik dalam penggunaan aplikasi MATRICS, sisanya sebesar 13 peserta menilai cukup puas dalam pengunaan aplikasi MATRICS dalam hal functionality, realibility, usability, effiency, maintainability, dan portability. Simpulan:  Salah satu langkah pencegahan penularan COVID-19 adalah pelacakan yang tepat dan cepat, selain menjalankan protokol kesehatan. Diharapkan proses pelacakan COVID-19 yang lebih cepat dapat mengurangi penyebaran COVID-19.  Seluruh peserta pengabdian masyarakat merasa puas dengan aplikasi MATRICS untuk memudahkan proses tracing kontak.

Latar belakang: Petugas kesehatan yang terinfeksi COVID-19 menjadi perhatian khusus dalam pandemi COVID-19 saat ini. Petugas kesehatan lebih berisiko terpapar COVID-19. Pelacakan kontak merupakan mekanisme kunci untuk memutus mata rantai penularan penyakit dengan mengidentifikasi, menemukan, dan menilai kontak orang yang terpajan untuk kasus positif COVID-19. Tujuan: Tujuan dari pengabdian masyarakat ini adalah untuk menyebarluaskan aplikasi Mobile Application for Tracing Surveillance (MATRICS). Hasil: Peserta yang terlibat dalam kegiatan pengabdian masyarakat ini berjumlah 30 staf RS Universitas Airlangga. Sebanyak 17 peserta menilai baik dalam penggunaan aplikasi MATRICS, sisanya sebesar 13 peserta menilai cukup puas dalam pengunaan aplikasi MATRICS dalam hal functionality, realibility, usability, effiency, maintainability, dan portability. Simpulan:  Salah satu langkah pencegahan penularan COVID-19 adalah pelacakan yang tepat dan cepat, selain menjalankan protokol kesehatan. Diharapkan proses pelacakan COVID-19 yang lebih cepat dapat mengurangi penyebaran COVID-19.  Seluruh peserta pengabdian masyarakat merasa puas dengan aplikasi MATRICS untuk memudahkan proses tracing kontak.

Background: Healthcare workers (HCWs) are more vulnerable to COVID-19 infection. Tracing and screening cases among healthcare workers are essential to overcome the spread of COVID-19. We held surveillance at the second-referral hospital in Surabaya, Indonesia, to inspect the associating factors of infected HCWs. Methods: From 776 HCWs, we conducted a structured retrospective review of all COVID-19-confirmed HCWs and ones having contact with COVID-19 patients between February-July 2021. We associated general characteristics (i.e age, gender, working sites, etc) of the sample with the positive cases, analyzed the vaccination status, then did bivariate and multivariate regression logistic analyses to determine related factors putting HCWs at risk for COVID-19 infection.   Results: Bivariate analysis significantly revealed that 72.86% patients had a close contact (OR = 2.61; p<0.05), with medical staffs as the most frequent source (85.71%; OR = 2.19; p=0.033), for > 15 minutes contact duration (90%; OR = 1.1; p<0.05). Healthcare workers wearing proper PPE (N-95 and face shields) were significantly less exposed to COVID-19 (OR = 0.47; p<0.05; and OR = 0.46; p<0.05). Even fully-vaccinated samples were still prone to infection. (OR=1.25; p= 0.042). Common symptoms consisted of fever, rhinorrhea, sore throat, and vomiting (p=0.025l p=0.002; p<0.05; p=0.002). Multivariate regression logistic analysis disclosed that the use of N95 masks, contact duration >15 minutes, and the vaccine were the most influential factors (aOR = 1.72. 95% CI (1.029-2.88); aOR = 3.92. 95% CI (1.75-8.78); aOR = 0.39. 95% CI (0.13-0.82 )) Conclusions: Close contact, lack of compliance in wearing N95 masks, and unvaccinated status are risk factors for COVID-19 exposure to HCWs; thus, to achieve maximum prevention of intra-hospital transmission, the use of N-95 masks, contact avoidance, and vaccination, along with immediate tracing and strict health-protocols are all compulsory.