Clinical and CT characteristics of healthcare workers with COVID-19: A single-centered, retrospective study.
Identifieur interne : 000667 ( Main/Corpus ); précédent : 000666; suivant : 000668Clinical and CT characteristics of healthcare workers with COVID-19: A single-centered, retrospective study.
Auteurs : Ying Xiong ; Qiang Zhang ; Dong Sun ; Wenzhen ZhuSource :
- Medicine [ 1536-5964 ] ; 2020.
English descriptors
- KwdEn :
- Adult (MeSH), Aged (MeSH), Betacoronavirus (MeSH), Coronavirus Infections (diagnostic imaging), Coronavirus Infections (transmission), Coronavirus Infections (virology), Female (MeSH), Health Personnel (statistics & numerical data), Humans (MeSH), Infectious Disease Transmission, Patient-to-Professional (MeSH), Lung (diagnostic imaging), Lung (pathology), Male (MeSH), Middle Aged (MeSH), Occupational Diseases (diagnostic imaging), Occupational Diseases (virology), Occupational Exposure (adverse effects), Pandemics (MeSH), Pneumonia, Viral (diagnostic imaging), Pneumonia, Viral (transmission), Pneumonia, Viral (virology), Retrospective Studies (MeSH), Tomography, X-Ray Computed (methods).
- MESH :
- adverse effects : Occupational Exposure.
- diagnostic imaging : Coronavirus Infections, Lung, Occupational Diseases, Pneumonia, Viral.
- methods : Tomography, X-Ray Computed.
- pathology : Lung.
- statistics & numerical data : Health Personnel.
- transmission : Coronavirus Infections, Pneumonia, Viral.
- virology : Coronavirus Infections, Occupational Diseases, Pneumonia, Viral.
- Adult, Aged, Betacoronavirus, Female, Humans, Infectious Disease Transmission, Patient-to-Professional, Male, Middle Aged, Pandemics, Retrospective Studies.
Abstract
A large number of healthcare workers have been infected with coronavirus disease-2019 (COVID-19). We aimed to investigate their clinical and chest computed tomography (CT) characteristics.The clinical, laboratory test and CT features of 43 medical and hospital staff with confirmed COVID-19 (MP group, 26-70 years old) were retrospectively analyzed, and compared to 43 non-medical related patients (non-MP group, 26-71 years old). Follow-up CT characteristics were analyzed to assess the disease progression in the period of hospitalization.At admission, the main complaints of the MP group, including fever (81.4%), fatigue (48.8%) and cough (41.9%), were similar to the non-MP group. The C-reactive protein, erythrocyte sedimentation rate, and lactate dehydrogenase levels were higher in the non-MP group than the MP group (17.5 ± 22.4 mg/L, 20.2 ± 23.4 mm/H and 219 ± 66U/L, respectively, P < .05). Ground-grass opacities, consolidation, interstitial thickening were common CT features of both groups. The severity of opacities on initial CT were less in the MP group (5.3 ± 3.9 scores) than in the non-MP group (9.1 ± 4.8 scores, P < .05). Before regular treatments, the sum score of the opacities showed weak to moderate correlations with duration, C-reactive protein, erythrocyte sedimentation rate and lactate dehydrogenase levels (R ranged from 0.341-0.651, P < .05). In the study time window, the duration from illness onset to when the most obvious pulmonary opacities were observed, according to CT findings, were similar in the MP group (13.3 ± 6.6 days) and the non-MP group (13.8 ± 5.1 days, P = .69). Mild to moderate anxiety and depression were observed in both groups.Despite greater knowledge of how to protect themselves than the general population, healthcare workers are also susceptible to COVID-19 infection. Occupational exposure is a very important factor. Healthcare workers have a higher vigilance about the infection in the early stage of the disease.
DOI: 10.1097/MD.0000000000021396
PubMed: 32791752
PubMed Central: PMC7386973
Links to Exploration step
pubmed:32791752Le document en format XML
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<author><name sortKey="Zhang, Qiang" sort="Zhang, Qiang" uniqKey="Zhang Q" first="Qiang" last="Zhang">Qiang Zhang</name>
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<author><name sortKey="Sun, Dong" sort="Sun, Dong" uniqKey="Sun D" first="Dong" last="Sun">Dong Sun</name>
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<author><name sortKey="Zhu, Wenzhen" sort="Zhu, Wenzhen" uniqKey="Zhu W" first="Wenzhen" last="Zhu">Wenzhen Zhu</name>
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<term>Coronavirus Infections (transmission)</term>
<term>Coronavirus Infections (virology)</term>
<term>Female (MeSH)</term>
<term>Health Personnel (statistics & numerical data)</term>
<term>Humans (MeSH)</term>
<term>Infectious Disease Transmission, Patient-to-Professional (MeSH)</term>
<term>Lung (diagnostic imaging)</term>
<term>Lung (pathology)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Occupational Diseases (diagnostic imaging)</term>
<term>Occupational Diseases (virology)</term>
<term>Occupational Exposure (adverse effects)</term>
<term>Pandemics (MeSH)</term>
<term>Pneumonia, Viral (diagnostic imaging)</term>
<term>Pneumonia, Viral (transmission)</term>
<term>Pneumonia, Viral (virology)</term>
<term>Retrospective Studies (MeSH)</term>
<term>Tomography, X-Ray Computed (methods)</term>
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<front><div type="abstract" xml:lang="en">A large number of healthcare workers have been infected with coronavirus disease-2019 (COVID-19). We aimed to investigate their clinical and chest computed tomography (CT) characteristics.The clinical, laboratory test and CT features of 43 medical and hospital staff with confirmed COVID-19 (MP group, 26-70 years old) were retrospectively analyzed, and compared to 43 non-medical related patients (non-MP group, 26-71 years old). Follow-up CT characteristics were analyzed to assess the disease progression in the period of hospitalization.At admission, the main complaints of the MP group, including fever (81.4%), fatigue (48.8%) and cough (41.9%), were similar to the non-MP group. The C-reactive protein, erythrocyte sedimentation rate, and lactate dehydrogenase levels were higher in the non-MP group than the MP group (17.5 ± 22.4 mg/L, 20.2 ± 23.4 mm/H and 219 ± 66U/L, respectively, P < .05). Ground-grass opacities, consolidation, interstitial thickening were common CT features of both groups. The severity of opacities on initial CT were less in the MP group (5.3 ± 3.9 scores) than in the non-MP group (9.1 ± 4.8 scores, P < .05). Before regular treatments, the sum score of the opacities showed weak to moderate correlations with duration, C-reactive protein, erythrocyte sedimentation rate and lactate dehydrogenase levels (R ranged from 0.341-0.651, P < .05). In the study time window, the duration from illness onset to when the most obvious pulmonary opacities were observed, according to CT findings, were similar in the MP group (13.3 ± 6.6 days) and the non-MP group (13.8 ± 5.1 days, P = .69). Mild to moderate anxiety and depression were observed in both groups.Despite greater knowledge of how to protect themselves than the general population, healthcare workers are also susceptible to COVID-19 infection. Occupational exposure is a very important factor. Healthcare workers have a higher vigilance about the infection in the early stage of the disease.</div>
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<Abstract><AbstractText>A large number of healthcare workers have been infected with coronavirus disease-2019 (COVID-19). We aimed to investigate their clinical and chest computed tomography (CT) characteristics.The clinical, laboratory test and CT features of 43 medical and hospital staff with confirmed COVID-19 (MP group, 26-70 years old) were retrospectively analyzed, and compared to 43 non-medical related patients (non-MP group, 26-71 years old). Follow-up CT characteristics were analyzed to assess the disease progression in the period of hospitalization.At admission, the main complaints of the MP group, including fever (81.4%), fatigue (48.8%) and cough (41.9%), were similar to the non-MP group. The C-reactive protein, erythrocyte sedimentation rate, and lactate dehydrogenase levels were higher in the non-MP group than the MP group (17.5 ± 22.4 mg/L, 20.2 ± 23.4 mm/H and 219 ± 66U/L, respectively, P < .05). Ground-grass opacities, consolidation, interstitial thickening were common CT features of both groups. The severity of opacities on initial CT were less in the MP group (5.3 ± 3.9 scores) than in the non-MP group (9.1 ± 4.8 scores, P < .05). Before regular treatments, the sum score of the opacities showed weak to moderate correlations with duration, C-reactive protein, erythrocyte sedimentation rate and lactate dehydrogenase levels (R ranged from 0.341-0.651, P < .05). In the study time window, the duration from illness onset to when the most obvious pulmonary opacities were observed, according to CT findings, were similar in the MP group (13.3 ± 6.6 days) and the non-MP group (13.8 ± 5.1 days, P = .69). Mild to moderate anxiety and depression were observed in both groups.Despite greater knowledge of how to protect themselves than the general population, healthcare workers are also susceptible to COVID-19 infection. Occupational exposure is a very important factor. Healthcare workers have a higher vigilance about the infection in the early stage of the disease.</AbstractText>
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