An assessment of the level of concern among hospital-based health-care workers regarding MERS outbreaks in Saudi Arabia
Identifieur interne : 001904 ( Ncbi/Curation ); précédent : 001903; suivant : 001905An assessment of the level of concern among hospital-based health-care workers regarding MERS outbreaks in Saudi Arabia
Auteurs : Mostafa A. Abolfotouh [Arabie saoudite] ; Ali A. Alqarni [Arabie saoudite] ; Suliman M. Al-Ghamdi [Arabie saoudite] ; Mahmoud Salam [Arabie saoudite] ; Mohammed H. Al-Assiri [Arabie saoudite] ; Hanan H. Balkhy [Arabie saoudite]Source :
- BMC Infectious Diseases [ 1471-2334 ] ; 2017.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Arabie saoudite (épidémiologie), Attitude du personnel soignant, Centres de soins tertiaires, Coronavirus du syndrome respiratoire du Moyen-Orient (isolement et purification), Femelle, Flambées de maladies, Humains, Infections à coronavirus (psychologie), Infections à coronavirus (épidémiologie), Infirmières et infirmiers (psychologie), Jeune adulte, Lutte contre l'infection, Mâle, Personnel hospitalier (psychologie), Émotions, Études transversales.
- MESH :
- isolement et purification : Coronavirus du syndrome respiratoire du Moyen-Orient.
- psychologie : Infections à coronavirus, Infirmières et infirmiers, Personnel hospitalier.
- épidémiologie : Arabie saoudite, Infections à coronavirus.
- Adulte, Adulte d'âge moyen, Attitude du personnel soignant, Centres de soins tertiaires, Femelle, Flambées de maladies, Humains, Jeune adulte, Lutte contre l'infection, Mâle, Émotions, Études transversales.
English descriptors
- KwdEn :
- Adult, Attitude of Health Personnel, Coronavirus Infections (epidemiology), Coronavirus Infections (psychology), Cross-Sectional Studies, Disease Outbreaks, Emotions, Female, Humans, Infection Control, Male, Middle Aged, Middle East Respiratory Syndrome Coronavirus (isolation & purification), Nurses (psychology), Personnel, Hospital (psychology), Saudi Arabia (epidemiology), Tertiary Care Centers, Young Adult.
- MESH :
- epidemiology : Coronavirus Infections, Saudi Arabia.
- isolation & purification : Middle East Respiratory Syndrome Coronavirus.
- psychology : Coronavirus Infections, Nurses, Personnel, Hospital.
- Adult, Attitude of Health Personnel, Cross-Sectional Studies, Disease Outbreaks, Emotions, Female, Humans, Infection Control, Male, Middle Aged, Tertiary Care Centers, Young Adult.
Abstract
Middle East Respiratory Syndrome (MERS) is caused by MERS coronavirus (MERS-CoV). More than 80% of reported cases have occurred in Saudi Arabia, with a mortality exceeding 50%. Health-care workers (HCWs) are at risk of acquiring and transmitting this virus, so the concerns of HCWs in Saudi Arabia regarding MERS were evaluated.
An anonymous, self-administered, previously validated questionnaire was given to 1031 HCWs at three tertiary hospitals in Saudi Arabia from October to December, 2014. Concerns regarding the disease, its severity and governmental efforts to contain it, as well as disease outcomes were assessed using 31 concern statements in five distinct domains. A total concern score was calculated for each HCW. Multiple regression analyses were used to identify predictors of high concern scores.
The average age of participants was 37.1 ± 9.0 years, 65.8% were married and 59.1% were nurses. The majority of respondents (70.4%) felt at risk of contracting a MERS-CoV infection at work, 69.1% felt threatened if a colleague contracted MERS-CoV, 60.9% felt obliged to care for patients infected with MERS-CoV and 87.8% did not feel safe at work using standard precautions. In addition, 87.7% believed that the government should isolate patients with MERS in specialized hospitals, 73.7% agreed with travel restriction to and from areas affected by MERS and 65.3% agreed with avoiding inviting expatriates from such areas. After adjustment for covariates, high concern scores were significantly associated with being a Saudi national (
The majority of respondents reported concern regarding MERS-CoV infection from exposure at work. The overall level of concern may be influenced by previous experience of MERS outbreaks and related cultural issues. The concerns of HCWs may affect their overall effectiveness in an outbreak and should be addressed by incorporating management strategies in outbreak planning.
Url:
DOI: 10.1186/s12879-016-2096-8
PubMed: 28049440
PubMed Central: 5210292
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<institution-id institution-id-type="ISNI">0000000417907311</institution-id>
<institution>King Abdulaziz Medical City, Ministry of National Guard-Health Affairs,</institution>
</institution-wrap>
Riyadh, Saudi Arabia</nlm:aff>
<country xml:lang="fr">Arabie saoudite</country>
<wicri:regionArea>Riyadh</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Al Ghamdi, Suliman M" sort="Al Ghamdi, Suliman M" uniqKey="Al Ghamdi S" first="Suliman M." last="Al-Ghamdi">Suliman M. Al-Ghamdi</name>
<affiliation><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.452607.2</institution-id>
<institution-id institution-id-type="ISNI">0000000405800891</institution-id>
<institution>King Abdullah International Medical Research Center (KAIMRC), King Saud bin Abdulaziz University for Health Sciences (KSAU-HS),</institution>
</institution-wrap>
PO 22490, Riyadh, 11426 Kingdom of Saudi Arabia</nlm:aff>
<wicri:noCountry code="subfield">11426 Kingdom of Saudi Arabia</wicri:noCountry>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="Aff3"><institution-wrap><institution-id institution-id-type="GRID">grid.415254.3</institution-id>
<institution-id institution-id-type="ISNI">0000000417907311</institution-id>
<institution>King Abdulaziz Medical City, Ministry of National Guard-Health Affairs,</institution>
</institution-wrap>
Riyadh, Saudi Arabia</nlm:aff>
<country xml:lang="fr">Arabie saoudite</country>
<wicri:regionArea>Riyadh</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Salam, Mahmoud" sort="Salam, Mahmoud" uniqKey="Salam M" first="Mahmoud" last="Salam">Mahmoud Salam</name>
<affiliation><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.452607.2</institution-id>
<institution-id institution-id-type="ISNI">0000000405800891</institution-id>
<institution>King Abdullah International Medical Research Center (KAIMRC), King Saud bin Abdulaziz University for Health Sciences (KSAU-HS),</institution>
</institution-wrap>
PO 22490, Riyadh, 11426 Kingdom of Saudi Arabia</nlm:aff>
<wicri:noCountry code="subfield">11426 Kingdom of Saudi Arabia</wicri:noCountry>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="Aff3"><institution-wrap><institution-id institution-id-type="GRID">grid.415254.3</institution-id>
<institution-id institution-id-type="ISNI">0000000417907311</institution-id>
<institution>King Abdulaziz Medical City, Ministry of National Guard-Health Affairs,</institution>
</institution-wrap>
Riyadh, Saudi Arabia</nlm:aff>
<country xml:lang="fr">Arabie saoudite</country>
<wicri:regionArea>Riyadh</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Al Assiri, Mohammed H" sort="Al Assiri, Mohammed H" uniqKey="Al Assiri M" first="Mohammed H." last="Al-Assiri">Mohammed H. Al-Assiri</name>
<affiliation><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.452607.2</institution-id>
<institution-id institution-id-type="ISNI">0000000405800891</institution-id>
<institution>King Abdullah International Medical Research Center (KAIMRC), King Saud bin Abdulaziz University for Health Sciences (KSAU-HS),</institution>
</institution-wrap>
PO 22490, Riyadh, 11426 Kingdom of Saudi Arabia</nlm:aff>
<wicri:noCountry code="subfield">11426 Kingdom of Saudi Arabia</wicri:noCountry>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="Aff3"><institution-wrap><institution-id institution-id-type="GRID">grid.415254.3</institution-id>
<institution-id institution-id-type="ISNI">0000000417907311</institution-id>
<institution>King Abdulaziz Medical City, Ministry of National Guard-Health Affairs,</institution>
</institution-wrap>
Riyadh, Saudi Arabia</nlm:aff>
<country xml:lang="fr">Arabie saoudite</country>
<wicri:regionArea>Riyadh</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Balkhy, Hanan H" sort="Balkhy, Hanan H" uniqKey="Balkhy H" first="Hanan H." last="Balkhy">Hanan H. Balkhy</name>
<affiliation><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.452607.2</institution-id>
<institution-id institution-id-type="ISNI">0000000405800891</institution-id>
<institution>King Abdullah International Medical Research Center (KAIMRC), King Saud bin Abdulaziz University for Health Sciences (KSAU-HS),</institution>
</institution-wrap>
PO 22490, Riyadh, 11426 Kingdom of Saudi Arabia</nlm:aff>
<wicri:noCountry code="subfield">11426 Kingdom of Saudi Arabia</wicri:noCountry>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="GRID">grid.412149.b</institution-id>
<institution-id institution-id-type="ISNI">0000000406080662</institution-id>
<institution>King Saud bin-Abdulaziz University for Health Sciences,</institution>
</institution-wrap>
Riyadh, Saudi Arabia</nlm:aff>
<country xml:lang="fr">Arabie saoudite</country>
<wicri:regionArea>Riyadh</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="Aff3"><institution-wrap><institution-id institution-id-type="GRID">grid.415254.3</institution-id>
<institution-id institution-id-type="ISNI">0000000417907311</institution-id>
<institution>King Abdulaziz Medical City, Ministry of National Guard-Health Affairs,</institution>
</institution-wrap>
Riyadh, Saudi Arabia</nlm:aff>
<country xml:lang="fr">Arabie saoudite</country>
<wicri:regionArea>Riyadh</wicri:regionArea>
</affiliation>
</author>
</analytic>
<series><title level="j">BMC Infectious Diseases</title>
<idno type="eISSN">1471-2334</idno>
<imprint><date when="2017">2017</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Attitude of Health Personnel</term>
<term>Coronavirus Infections (epidemiology)</term>
<term>Coronavirus Infections (psychology)</term>
<term>Cross-Sectional Studies</term>
<term>Disease Outbreaks</term>
<term>Emotions</term>
<term>Female</term>
<term>Humans</term>
<term>Infection Control</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Middle East Respiratory Syndrome Coronavirus (isolation & purification)</term>
<term>Nurses (psychology)</term>
<term>Personnel, Hospital (psychology)</term>
<term>Saudi Arabia (epidemiology)</term>
<term>Tertiary Care Centers</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Arabie saoudite (épidémiologie)</term>
<term>Attitude du personnel soignant</term>
<term>Centres de soins tertiaires</term>
<term>Coronavirus du syndrome respiratoire du Moyen-Orient (isolement et purification)</term>
<term>Femelle</term>
<term>Flambées de maladies</term>
<term>Humains</term>
<term>Infections à coronavirus (psychologie)</term>
<term>Infections à coronavirus (épidémiologie)</term>
<term>Infirmières et infirmiers (psychologie)</term>
<term>Jeune adulte</term>
<term>Lutte contre l'infection</term>
<term>Mâle</term>
<term>Personnel hospitalier (psychologie)</term>
<term>Émotions</term>
<term>Études transversales</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Coronavirus Infections</term>
<term>Saudi Arabia</term>
</keywords>
<keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en"><term>Middle East Respiratory Syndrome Coronavirus</term>
</keywords>
<keywords scheme="MESH" qualifier="isolement et purification" xml:lang="fr"><term>Coronavirus du syndrome respiratoire du Moyen-Orient</term>
</keywords>
<keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Infections à coronavirus</term>
<term>Infirmières et infirmiers</term>
<term>Personnel hospitalier</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Coronavirus Infections</term>
<term>Nurses</term>
<term>Personnel, Hospital</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Arabie saoudite</term>
<term>Infections à coronavirus</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Attitude of Health Personnel</term>
<term>Cross-Sectional Studies</term>
<term>Disease Outbreaks</term>
<term>Emotions</term>
<term>Female</term>
<term>Humans</term>
<term>Infection Control</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Tertiary Care Centers</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Attitude du personnel soignant</term>
<term>Centres de soins tertiaires</term>
<term>Femelle</term>
<term>Flambées de maladies</term>
<term>Humains</term>
<term>Jeune adulte</term>
<term>Lutte contre l'infection</term>
<term>Mâle</term>
<term>Émotions</term>
<term>Études transversales</term>
</keywords>
</textClass>
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</teiHeader>
<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p id="Par1">Middle East Respiratory Syndrome (MERS) is caused by MERS coronavirus (MERS-CoV). More than 80% of reported cases have occurred in Saudi Arabia, with a mortality exceeding 50%. Health-care workers (HCWs) are at risk of acquiring and transmitting this virus, so the concerns of HCWs in Saudi Arabia regarding MERS were evaluated.</p>
</sec>
<sec><title>Methods</title>
<p id="Par2">An anonymous, self-administered, previously validated questionnaire was given to 1031 HCWs at three tertiary hospitals in Saudi Arabia from October to December, 2014. Concerns regarding the disease, its severity and governmental efforts to contain it, as well as disease outcomes were assessed using 31 concern statements in five distinct domains. A total concern score was calculated for each HCW. Multiple regression analyses were used to identify predictors of high concern scores.</p>
</sec>
<sec><title>Results</title>
<p id="Par3">The average age of participants was 37.1 ± 9.0 years, 65.8% were married and 59.1% were nurses. The majority of respondents (70.4%) felt at risk of contracting a MERS-CoV infection at work, 69.1% felt threatened if a colleague contracted MERS-CoV, 60.9% felt obliged to care for patients infected with MERS-CoV and 87.8% did not feel safe at work using standard precautions. In addition, 87.7% believed that the government should isolate patients with MERS in specialized hospitals, 73.7% agreed with travel restriction to and from areas affected by MERS and 65.3% agreed with avoiding inviting expatriates from such areas. After adjustment for covariates, high concern scores were significantly associated with being a Saudi national (<italic>p</italic>
< 0.001), a non-physician (<italic>p</italic>
< 0.001) and working in the central region (<italic>p</italic>
< 0.001).</p>
</sec>
<sec><title>Conclusions</title>
<p id="Par4">The majority of respondents reported concern regarding MERS-CoV infection from exposure at work. The overall level of concern may be influenced by previous experience of MERS outbreaks and related cultural issues. The concerns of HCWs may affect their overall effectiveness in an outbreak and should be addressed by incorporating management strategies in outbreak planning.</p>
</sec>
</div>
</front>
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