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

Martín, Vicente; Fernández‐Villa, Tania; Gomez, Mayra L.; Rodríguez, Ana Rivero; Celada, Sofía Reguero; Gómez, M. Montoro; Guisado, M T Nuevo; Aller, C. Villa; Flecha, C Diez; Carvajal, Ana; Vázquez, José Pedro Fernández

doi:10.1016/j.semerg.2020.05.014

Cited by 19 publications

(26 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Our results revealed that 79% of the healthcare professionals who participated in the study have not been tested for COVID-19, and that 74.6% of those who had been tested obtained a negative result. These data reveal a higher prevalence of positive cases than in previous studies conducted on a similar Spanish population, in which between 5.9% and 11.2% of positive cases were obtained [49,50]. COVID-19 positive healthcare professionals are at increased risk of anxiety due to fear of passing the disease on to their relatives, especially if they are people at risk [51].…”

Section: Discussionmentioning

confidence: 45%

Sense of Coherence and Psychological Distress Among Healthcare Workers During the COVID-19 Pandemic in Spain

et al. 2020

View full text Add to dashboard Cite

The health crisis triggered by COVID-19 and the preventive measures taken to control it have caused a strong psychological impact on the population, especially on healthcare professionals. Risk exposure, uncertainty about how to approach the disease, care and emotional overburden, lack of resources, or unclear ever-changing protocols are, among others, psychological distress risk factors for the healthcare professionals who have faced this dramatic scenario on the front line. On the other hand, the Sense of Coherence (SOC) is a competence that could help these professionals perceive the situation as understandable, manageable, and meaningful, facilitating the activation of their resilience. This work aims to describe the levels of psychological distress and SOC of healthcare professionals during the crisis caused by COVID-19, the relationship between both variables, and their health status. A cross-sectional descriptive study with a sample of 1459 currently active healthcare workers was developed. GHQ-12 and SOC-13 were used for data collection. Bivariate analyses were performed, including Chi-Squared Test, Student’s T-Test, Analysis of Variance—ANOVA (with Bonferroni test for multiple comparisons), and correlations. Cohen’s d or Cramer’s V effect size measurements were also provided. The results showed that 80.6% of healthcare professionals had psychological distress, and the mean score on the SOC-13 scale was 62.8 points (SD = 12.02). Both psychological distress and SOC were related to the presence of COVID-19 symptoms, as well as with contact history. Professionals with psychological distress showed a lower SOC. Taking care of the mental health of healthcare professionals is essential to effectively cope with the COVID-19 pandemic. Given the psychological impact of working in the current menacing scenario, people on the front line against the disease should be protected, minimizing risks, providing them with resources and support, and fostering their coping skills.

show abstract

Section: Discussionmentioning

confidence: 45%

Sense of Coherence and Psychological Distress Among Healthcare Workers During the COVID-19 Pandemic in Spain

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Since then, 21 additional studies were included, leading to a total of 54 study reports for 49 unique studies or outbreak reports (Figure 1). 7,10,11,12,19,20,21,22,23, 24,25,26,27,28,29,30,31,32,33,34,35,36,37,38,39,40,41,42,43,44,45,46,47,48,49,50,51,52,53,54,55,56,57,58,59,60,61,62,63,64,65,66,67,68…”

Section: Resultsmentioning

confidence: 99%

“…Evidence on the spread of disease within institutional long-term care settings was available from 25 studies, 20,21,22,26,29,30,31,34,36,39,41,45,47,48,51,52,56,58,60,62,63,64,66,67,68 including 17 studies reporting the number of people who contracted COVID-19 in facilities facing potential outbreaks (Table 2) and eight studies reporting relevant figures among regional or national populations of long-term care facilities (Table 3).…”

Section: Resultsmentioning

confidence: 99%

“…52,56 Another Spanish study found that 9.5% of health care workers in nursing homes in the region of Leon had antibodies, but was likely to underestimate true prevalence due to the testing strategy. 58 Finally, a survey among facilities providing care to people living with dementia and older people in England found that 4.0% of staff members had contracted confirmed COVID-19 at some point during the pandemic (no systematic testing was in place at the time of the survey). 62 Data on asymptomatic residents and staff who tested positive for COVID-19 was extracted from 13 studies (Table 4).…”

Section: Evidence On Disease Incidence In Institutionalised Long-termmentioning

confidence: 99%

See 1 more Smart Citation

COVID-19 related mortality and spread of disease in long-term care: a living systematic review of emerging evidence

Salcher‐Konrad

Jhass

Naci

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Policy responses to mitigate the impact of the COVID-19 pandemic on long-term care (LTC) require robust and timely evidence on mortality and spread of the disease in these settings. The aim of this living systematic review is to synthesise early international evidence on mortality rates and incidence of COVID-19 among people who use and provide LTC. Methods: We report findings of a living systematic review (CRD42020183557), including studies identified through database searches up to 5 June 2020. We searched seven databases (MEDLINE; Embase; CINAHL Plus; Web of Science; Global Health; WHO COVID-19 Research Database; medRxiv) to identify all studies reporting primary data on COVID-19 related mortality and incidence of disease among LTC users and staff. We excluded studies not focusing on LTC. Included primary studies were critically appraised and results on number of deaths and COVID-19 related mortality rates, case fatality rates, and excess deaths (co-primary outcomes), as well as incidence of disease, hospitalisations, and ICU admissions were synthesised narratively. We further included official figures on number of deaths in LTC. Findings: A total of 33 study reports for 30 unique primary studies or outbreak reports were included. Outbreak investigations in LTC facilities found COVID-19 incidence rates of between 0.0% and 71.7% among residents and between 1.5% and 64.0% among staff. Mortality rates varied from 0.0% to 9.5% of all residents at outbreak facilities, with case fatality rates between 0.0% and 33.7%. In included studies, no LTC staff members had died. LTC residents accounted for between 0% (Hong Kong) and 85% (Canada) of COVID-related deaths, according to official figures. Interpretation: Long-term care users have been particularly vulnerable to the COVID-19 pandemic. However, we found wide variation in spread of disease and mortality rates between outbreaks at individual LTC facilities. Further research into the factors determining successful prevention and containment of COVID-19 outbreaks is needed to protect long-term care users and staff.

show abstract

“…Included studies, dates of sampling, population studied and overall seroprevalence Assessment of the methodological quality of included studies Each study underwent a risk of bias assessment using the modified Hoy et al risk of bias tool(15). Twenty eight of the 109 studies were deemed to be at moderate risk of bias(26,29,36,40,46,48,49,58,60,64,65,79,86,88,91,97,98,101,105,107,110,111,114,116,117,121 …”

mentioning

confidence: 99%

The Seroprevalence of SARS-CoV-2 in Europe: A Systematic Review

Vaselli

Hungerford

Shenton

et al. 2021

Preprint

View full text Add to dashboard Cite

Background A year following the onset of the COVID-19 pandemic, new infections and deaths continue to increase in Europe. Serological studies, through providing evidence of past infection, can aid understanding of the population dynamics of SARS-CoV-2 infection. Objectives This systematic review of SARS-CoV-2 seroprevalence studies in Europe was undertaken to inform public health strategies including vaccination, that aim to accelerate population immunity. Methods We searched the databases Web of Science, MEDLINE, EMBASE, SCOPUS, Cochrane Database of Systematic Reviews and grey literature sources for studies reporting seroprevalence of SARS-CoV-2 antibodies in Europe published between 01/12/2019 - 30/09/20. We provide a narrative synthesis of included studies. Studies were categorized into subgroups including healthcare workers (HCWs), community, outbreaks, pregnancy and children/school. Due to heterogeneity in other subgroups, we only performed a random effects meta-analysis of the seroprevalence amongst HCWs stratified by their country. Results 109 studies were included spanning 17 European countries, that estimated the seroprevalence of SAR-CoV2 from samples obtained between November 2019 – August 2020. A total of 53/109 studies included HCWs with a reported seroprevalence among HCWs ranging from 0.7% to 45.3%, which did not differ significantly by country. In community studies significant heterogeneity was reported in the seroprevalence among different age groups and the majority of studies reported there was no significant difference by gender. Conclusion This review demonstrates a wide heterogeneity in reported seroprevalence of SARSCoV-2 antibodies between populations. Continued evaluation of seroprevalence is required to understand the impact of public health measures and inform interventions including vaccination programmes.

show abstract

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

Cited by 19 publications

References 6 publications

Sense of Coherence and Psychological Distress Among Healthcare Workers During the COVID-19 Pandemic in Spain

Sense of Coherence and Psychological Distress Among Healthcare Workers During the COVID-19 Pandemic in Spain

COVID-19 related mortality and spread of disease in long-term care: a living systematic review of emerging evidence

The Seroprevalence of SARS-CoV-2 in Europe: A Systematic Review

Contact Info

Product

Resources

About