Perceived infection transmission routes, infection control practices, psychosocial changes, and management of COVID-19 infected healthcare workers in a tertiary acute care hospital in Wuhan: a cross-sectional survey

Ying-Hui Jin; Qiao Huang; Yun-Yun Wang; Xian-Tao Zeng; Li-Sha Luo; Zhen-Yu Pan; Yu-Feng Yuan; Zhi-Min Chen; Zhen-Shun Cheng; Xing Huang; Na Wang; Bing-Hui Li; Hao Zi; Ming-Juan Zhao; Lin-Lu Ma; Tong Deng; Ying Wang; Xing-Huan Wang

doi:10.1186/s40779-020-00254-8

Your Location：

Home >

Browse articles >

Perceived infection transmission routes, infection control practices, psychosocial changes, and management of COVID-19 infected healthcare workers in a tertiary acute care hospital in Wuhan: a cross-sectional survey

RESEARCH | Updated：2023-06-05

- Perceived infection transmission routes, infection control practices, psychosocial changes, and management of COVID-19 infected healthcare workers in a tertiary acute care hospital in Wuhan: a cross-sectional survey
- Military Medical Research Vol. 7, Issue 4, Pages: 418-429(2020)
- Affiliations：
  
  1.Center for Evidence-Based and Translational Medicine, Zhongnan Hospital of Wuhan University, 169 Donghu Road, Wuchang District, Wuhan 430071, Hubei, China.
  2.Department of Evidence-Based Medicine and Clinical Epidemiology, The Second Clinical College, Wuhan University, Wuhan 430071, Hubei, China.
  3.Division of Medical Affairs, Zhongnan Hospital of Wuhan University, Wuhan 430071, Hubei, China.
  4.Department of Hepatopancreatobiliary Surgery, Zhongnan Hospital of Wuhan University, Wuhan 430071, Hubei, China.
  5.Division of Social and Medical Development, Zhongnan Hospital of Wuhan University, Wuhan 430071, Hubei, China.
  6.Department of Respiratory Medicine, Zhongnan Hospital of Wuhan University, Wuhan 430071, Hubei, China.
  7.School of Nursing and Health, Henan University, Kaifeng 475000, Henan, China.
  8.Institute of Evidence-Based Medicine and Knowledge Translation, Henan University, Kaifeng 475000, Henan, China.
  9.Department of Infectious Diseases, Zhongnan Hospital of Wuhan University, Wuhan 430071, Hubei, China.
  10.Leishenshan Hospital in Wuhan, Wuhan 430200, Hubei, China.
- Author bio：
  
  * wangxinghuan1965@163.com
- Funds：
- DOI：10.1186/s40779-020-00254-8
  CLC：
- Published：2020-12
- Accepted：
Scan QR Code
Jin et al.: Perceived infection transmission routes, infection control practices, psychosocial changes, and management of COVID-19 infected healthcare workers in a tertiary acute care hospital in Wuhan: a crosssectional survey. Mil Med Res, 2020, 7: 24.
DOI：

Jin et al.: Perceived infection transmission routes, infection control practices, psychosocial changes, and management of COVID-19 infected healthcare workers in a tertiary acute care hospital in Wuhan: a crosssectional survey. Mil Med Res, 2020, 7: 24. DOI： 10.1186/s40779-020-00254-8.

摘要

Abstract

Background:

Many healthcare workers were infected by coronavirus disease 2019 (COVID-19) early in the epidemic posing a big challenge for epidemic control. Hence

this study aims to explore perceived infection routes

influencing factors

psychosocial changes

and management procedures for COVID-19 infected healthcare workers.

Methods:

This is a cross-sectional

single hospital-based study. We recruited all 105 confirmed COVID-19 healthcare workers in the Zhongnan Hospital of Wuhan University from February 15 to 29

2020. All participants completed a validated questionnaire. Electronic consent was obtained from all participants. Perceived causes of infection

infection prevention

control knowledge and behaviour

psychological changes

symptoms and treatment were measured.

Results:

Finally

103 professional staff with COVID-19 finished the questionnaire and was included (response rate:98.1%). Of them

87 cases (84.5%) thought they were infected in working environment in hospital

one (1.0%) thought their infection was due to the laboratory environment

and 5(4.9%) thought they were infected in daily life or community environment. Swab of throat collection and physical examination were the procedures perceived as most likely causing their infection by nurses and doctors respectively. Forty-three (41.8%) thought their infection was related to protective equipment

utilization of common equipment (masks and gloves). The top three first symptoms displayed before diagnosis were fever (41.8%)

lethargy (33.0%) and muscle aches (30.1%). After diagnosis

88.3% staff experienced psychological stress or emotional changes during their isolation period

only 11.7% had almost no emotional changes. Arbidol (Umifenovir; an anti-influza drug; 69.2%) was the drug most commonly used to target infection in mild and moderate symptoms.

Conclusion:

The main perceived mode of transmission was not maintaining protection when working at a close distance and having intimate contact with infected cases. Positive psychological intervention is necessary.

关键词

Keywords

references

China Daily . Over 22,000 healthcare workers infected by COVID-19: WHO . 2020 . http://www.chinadaily.com.cn/a/202004/12/WS5e925595a3105d50a3d15825.html http://www.chinadaily.com.cn/a/202004/12/WS5e925595a3105d50a3d15825.html (accessed 20 April 2020 ).

China Daily . Xi: protection, care for health workers a priority . 2020 . https://www.chinadaily.com.cn/a/202002/20/WS5e4d8462a310128217278cc1.html https://www.chinadaily.com.cn/a/202002/20/WS5e4d8462a310128217278cc1.html (accessed 20 February 2020 ).

The Lancet . COVID-19: protecting health-care workers . Lancet . 2020 ; 395 ( 10228 ): 922 .

Mason DJ , Friese CR . Protecting health care workers against COVID-19—and being prepared for future pandemics . 2020 . https://jamanetwork.com/channels/health-forum/fullarticle/2763478 https://jamanetwork.com/channels/health-forum/fullarticle/2763478 (accessed 21 March 2020 ).

Petersen E , Hui D , Hamer DH , Blumberg L , Madoff LC , Pollack M , et al . Li Wenliang, a face to the frontline healthcare worker . The first doctor to notify the emergence of the SARS-CoV-2, (COVID-19), outbreak . Int J Infect Dis . 2020 ; 93 : 205 - 7 .

Schwartz J , King CC , Yen MY . Protecting health care workers during the COVID-19 coronavirus outbreak -lessons from Taiwan's SARS response . Clin Infect Dis . 2020 . doi: 10.1093/cid/ciaa255 http://doi.org/10.1093/cid/ciaa255 .

Huh S . How to train the health personnel for protecting themselves from novel coronavirus (COVID-19) infection during their patient or suspected case care . J Educ Eval Health Prof . 2020 ; 17 : 10 .

Greenberg N , Docherty M , Gnanapragasam S , Wessely S . Managing mental health challenges faced by healthcare workers during covid-19 pandemic . BMJ . 2020 ; 368 : m1211 .

Ng K , Poon BH , Kiat Puar TH , Shan Quah JL , Loh WJ , Wong YJ , et al . COVID-19 and the risk to health care workers: a case report . Ann Intern Med . 2020 . doi: 10.7326/L20-0175 http://doi.org/10.7326/L20-0175 .

Chen Q , Liang M , Li Y , Guo J , Fei D , Wang L , et al . Mental health care for medical staff in China during the COVID-19 outbreak . Lancet Psychiatry . 2020 ; 7 ( 4 ): e15 - 6 .

Lai J , Ma S , Wang Y , Cai Z , Hu J , Wei N , et al . Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019 . JAMA Netw Open . 2020 ; 3 ( 3 ): e203976 .

Jin YH , Cai L , Cheng ZS , Cheng H , Deng T , Fan YP , et al . A rapid advice guideline for the diagnosis and treatment of 2019 novel coronavirus (2019-nCoV) infected pneumonia (standard version) . Mil Med Res . 2020 ; 7 ( 1 ): 4 .

National Health Commission of the People's Republic of China . Accreditation regulation of control and prevention of healthcare associated infection in hospital . 2018 . http://www.nhc.gov.cn/ewebeditor/uploadfile/2018/07/20180704110307810.pdf http://www.nhc.gov.cn/ewebeditor/uploadfile/2018/07/20180704110307810.pdf (accessed 20 March 2020 ).

Wang YY , Jin YH , Deng T , Tan LM , Chen ZM , Ma LL , et al . Development and preliminary validation of questionnaire for infection process and prevention of 2019 novel coronavirus infection in medical staffs . Chin J Evid Based Med . 2020 ; 20 ( 6 ): 723 - 36 . doi: 10.7507/1672-2531.202002158 http://doi.org/10.7507/1672-2531.202002158 .

Huang J , Nie S , Wei S . Reflections on the present response to the pneumonia associated with a novel coronavirus (2019-nCoV) . New Med . 2020 ; 30 ( 1 ): 10 - 3 .

Wang R , Zhang X , Irwin DM , Shen Y . Emergence of SARS-like coronavirus poses new challenge in China . J Inf Secur . 2020 ; 80 ( 3 ): 350 - 71 .

CCTV-13 . [CCTV segment on News 1+1: Outbreak Response in Today] . 2020 . http://tv.cntv.cn/video/C10586/3f3144db134c4586 a717f8950e28c82a http://tv.cntv.cn/video/C10586/3f3144db134c4586 a717f8950e28c82a (accessed 19 February 2020 ).

WHO . Coronavirus disease (COVID-19) outbreak: rights, roles and responsibilities of health workers, including key considerations for occupational safety and health . 2020 . https://www.who.int/publicationsdetail/coronavirus-disease-(covid-19) -outbreak-rights-roles-andresponsibilities-of-health-workers-including-key-considerations-foroccupational-safety-and-health https://www.who.int/publicationsdetail/coronavirus-disease-(covid-19) -outbreak-rights-roles-andresponsibilities-of-health-workers-including-key-considerations-foroccupational-safety-and-health (accessed 20 April 2020 ).

CDC . Interim infection prevention and control recommendations for patients with suspected or confirmed coronavirus disease 2019 (COVID-19) in healthcare settings . 2020 . https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control-recommendations.html https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control-recommendations.html (accessed 13 April 2020 ).

Ayanian JZ . Mental health needs of health care workers providing frontline COVID-19 care . 2020 . https://jamanetwork.com/channels/health-forum/fullarticle/2764228?resultClick=1 https://jamanetwork.com/channels/health-forum/fullarticle/2764228?resultClick=1 (accessed 20 April 2020 ).

Cherrie J , Semple S . Protecting workers from COVID-19 . 2020 . https://blog.oup.com/2020/04/protecting-workers-from-covid-19/ https://blog.oup.com/2020/04/protecting-workers-from-covid-19/ (accessed 20 April 2020 ).

Views

Downloads

CSCD

Alert me when the article has been cited

Submit

Tools

Publicity Resources

Updating the diagnostic criteria of COVID-19 "suspected case" and "confirmed case" is necessary

Chemoprophylaxis, diagnosis, treatments, and discharge management of COVID-19: An evidence-based clinical practice guideline (updated version)

Predictive modelling for COVID-19 outbreak control: lessons from the navy cluster in Sri Lanka

Combating an invisible enemy: The American military response to global pandemics

Primary stratification and identification of suspected corona virus disease 2019 (COVID-19) from clinical perspective by a simple scoring proposal

Related Author

Yun-Yun Wang

Ying-Hui Jin

Xue-Qun Ren

Yi-Rong Li

Xiao-Chun Zhang

Xian-Tao Zeng

Xing-Huan Wang

Zhongnan Hospital of Wuhan University Novel Coronavirus Management and Research Team

Related Institution

Department of Radiology, Zhongnan Hospital of Wuhan University

Leishenshan Hospital of Wuhan

Department of Clinical Laboratory, Zhongnan Hospital of Wuhan University

Center for Evidence-Based and Translational Medicine, Zhongnan Hospital of Wuhan University

Department of Cardiology, Yichang NO.1 Hospital, Renmin Hospital of China Three Gorges University

⁰