Clinical Profile of Healthcare Workers Affected by COVID-19 and its Outcome in a Tertiary Care Hospital in Jaipur, Rajasthan: An Observational Study

JOURNAL TITLE: Journal of Mahatma Gandhi University of Medical Sciences and Technology

Author
1. Aviral Gupta
2. Puneet Rijhwani
3. Mukesh Jain
4. Komal Girdhar
5. Sumeet Garg
6. Ram M Jaiswal
7. Ambika Tyagi
8. Anchin Kalia
ISSN
DOI
10.5005/jp-journals-10057-0194
Volume
7
Issue
1
Publishing Year
2022
Pages
5
Author Affiliations
    1. Department of General Medicine, Mahatma Gandhi Medical College and Hospital, Jaipur, Rajasthan, India
    1. Department of General Medicine, Mahatma Gandhi Medical College and Hospital, Jaipur, Rajasthan, India
    1. Nidek Ltd, Co, Japan
    2. Ground Floor, 110 Erindale Road, Balcatta - Western Australia, Australia
    3. Ground Floor, 110 Erindale Road, Balcatta-Western Australia-6021, Australia
    4. Nidek Ltd., Co., Japan
    5. Nidek Ltd, Co, Australia
    1. Department of General Medicine, Mahatma Gandhi Medical College and Hospital, Jaipur, Rajasthan, India
    1. Department of Transfusion Medicine, Mahatma Gandhi Medical College and Hospital, Jaipur, Rajasthan, India
    1. Department of Surgical Oncology, Mahatma Gandhi Medical College and Hospital, Jaipur, Rajasthan, India
  • Article keywords
    COVID-19, CT severity score, Cycle threshold, Healthcare workers

    Abstract

    Introduction: COVID-19 epidemic caused by SARS-CoV-2 has progressed into a pandemic. The effect of the virus on healthcare workers (HCWs) is immense and they are one of the highest risk groups in terms of exposure to infection. This study was done to understand the severity of disease in HCWs when they do get infected by SARS-CoV-2 so that we can be better prepared for such future outbreaks of infections. Materials and methods: Healthcare workers affected by SARS COVID-19 infection were identified from March 2020 to December 2020, and a questionnaire regarding clinical profile, course of illness, source of infection, pre-exposure prophylaxis, CT value, CTSS score, vaccination-related information, etc., were collected and analyzed. Results: Out of 133 HCWs, 77.4% had mild disease, 18% had moderate disease, and 4.5% had severe disease. All patients with severe disease belonged to the 35–55 years age-group. About 64.4% of HCWs who had got an HRCT-chest done had a CT severity score of less than 8 out of 25, 60.1% HCWs were home quarantined only, 33% of those who required hospital admission were admitted for less than 15 days, 88.7% HCWs did not require any ventilatory supports, 9% of the HCWs were given plasma therapy, post hoc analysis (Bonferroni) indicated a significantly lower mean cycle threshold value (higher viral load) in severe disease than a mild disease in healthcare workers. Conclusion: There was no significant difference in the severity of distribution according to gender, prophylaxis, contact history, duration of hospital stay, ventilatory support, and receiving plasma therapy. CT severity scores positively correlated with disease severity in HCWs.

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