One year of COVID-19 pandemic: Health care workers' infection rates and economical burden in medical facilities for oral and maxillofacial surgery.
Aerosol
COVID-19
Healthcare workers
Oral and maxillofacial surgery
Personal protective equipment
Pre-interventional testing
Journal
Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery
ISSN: 1878-4119
Titre abrégé: J Craniomaxillofac Surg
Pays: Scotland
ID NLM: 8704309
Informations de publication
Date de publication:
Nov 2022
Nov 2022
Historique:
received:
14
12
2021
revised:
26
07
2022
accepted:
14
10
2022
pubmed:
20
11
2022
medline:
15
12
2022
entrez:
19
11
2022
Statut:
ppublish
Résumé
The aim of this study was to create an overview on the COVID-associated burdens faced by the oral and maxillofacial surgery (OMS) workforce during 1 year of the pandemic. OMS hospitals and private practices nationwide were surveyed regarding health care worker (HCW) screening, infection status, pre-interventional testing, personal protective equipment (PPE), and economic impact. Participants were recruited via the German Society for Oral and Maxillofacial Surgery. A total of 11 hospitals (416 employees) and 55 private practices (744 employees) participated. The HCW infection rate was significantly higher in private practices than in clinics (4.7% vs. 1.4%, p<0.01), although most infections in HCW occurred in private environment (hospitals 88.2%, private practice 66.7%). Pre-interventional testing was performed significantly less for outpatients in private practices than in hospitals (90.7% vs. 36.4%, p<0.01). Polymerase chain reaction (PCR) was used significantly more for inpatients in hospitals than in private practices (100.0% vs. 27.3%, p<0.01). FFP2/3 use rose significantly in hospitals (0% in second quarter vs. 46% in fourth quarter, p<0.05) and private practices (15% in second quarter vs. 38% in fourth quarter, p<0.01). The decrease in procedures (≤50%) was significantly higher in hospitals than in private practices (90.9% vs. 40.0%, p<0.01). Despite higher infection rates in private practices, declining procedures and revenue affected hospitals more. Future COVID-related measures must adjust the infrastructure especially for hospitals to prevent further straining of staff and finances.
Identifiants
pubmed: 36402637
pii: S1010-5182(22)00156-1
doi: 10.1016/j.jcms.2022.10.001
pmc: PMC9637287
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
831-836Informations de copyright
Copyright © 2022 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of competing interest The authors declare that they have no conflicts of interest.
Références
J Fluid Mech. 2020 Sep 28;903:F1
pubmed: 34191877
N Engl J Med. 2020 Jul 9;383(2):120-128
pubmed: 32437596
J Craniomaxillofac Surg. 2022 May;50(5):462-467
pubmed: 35430134
Int J Infect Dis. 2021 Jan;102:239-241
pubmed: 33130210
J Hosp Infect. 2020 Apr 26;:
pubmed: 32348833
Antimicrob Resist Infect Control. 2020 Dec 7;9(1):192
pubmed: 33287908
Br J Oral Maxillofac Surg. 2020 Jul;58(6):704-707
pubmed: 32513429
Clin Oral Investig. 2021 Aug;25(8):5001-5008
pubmed: 33543382
BMC Surg. 2020 Dec 3;20(1):313
pubmed: 33272227
Lancet Infect Dis. 2020 Oct;20(10):e261-e267
pubmed: 32711692
Lancet. 2020 Feb 15;395(10223):497-506
pubmed: 31986264
Int J Prev Med. 2013 May;4(5):611-5
pubmed: 23930175
J Craniomaxillofac Surg. 2020 May;48(5):521-526
pubmed: 32303420
J Craniomaxillofac Surg. 2022 Apr;50(4):380-387
pubmed: 35279344
J Virol Methods. 2021 Mar;289:114033
pubmed: 33285192
BDJ Open. 2020 Nov 24;6:25
pubmed: 33251028
BMC Infect Dis. 2021 Aug 10;21(1):798
pubmed: 34376187
J Craniomaxillofac Surg. 2021 Apr;49(4):323-328
pubmed: 33581957
Lancet. 2020 Jun 27;395(10242):1973-1987
pubmed: 32497510
SN Compr Clin Med. 2020;2(12):2540-2545
pubmed: 33134846
Environ Int. 2020 Sep;142:105832
pubmed: 32521345
JAMA Intern Med. 2020 Oct 1;180(10):1328-1333
pubmed: 32744612