Assessment of the structure of primary infectious disease incidence among healthcare workers
Objective. Assessment of the structure of primary infectious disease incidence among healthcare workers (HW).Badamshina G.G., Fatkhudtinova L.M., Tutelyan A.V.
Materials and methods. The infectious disease incidence in all HWs in the Republic of Tatarstan was studied from 2014 to 2020. Using data from the emergency notification form for infectious diseases received for all diagnosed cases, the primary morbidity structure was analyzed.
Results. 3,749 cases of infection were identified, with COVID-19 being the predominant cause, including: carriage of SARS-CoV-2 – 50.8% (95% CI 49.14–52.40), respiratory diseases – 13.6% (95% CI 12.47–14.69), intestinal infections – 11.4% (95% CI 10.44–12.51) and viral hepatitis – 9.9% (95% CI 8.93–10.87), carriage of pathogens of infectious diseases – 4.4% (95% CI 3.72–5.05) and viral infections characterized by lesions of the skin and mucous membranes and other viral diseases – 3.8% (95% CI 3.17–4.42), mycoses – 2.1% (95% CI 1.70–2.65) and tuberculosis – 1.9% (95% CI 1.53–2.44), other viral hemorrhagic fevers – 1.2% (95% CI 0.85–1.57), pediculosis, acariasis and other infestations – 0.5% (95% CI 0.26–0.72), other bacterial diseases – 0.3% (95% CI 0.13–0.49) and zoonoses – 0.05% (95% 0.01–0.19), diseases caused by spirochetes – 0.2% (95% 0.07–0.38); viral fevers transmitted by arthropods, including hemorrhagic fevers, –0.03% (95% 0.00–0.15).
Conclusion. The high proportion of infections in the structure and the lack of registration of occupational forms indicate the need to refine approaches to prevention, study susceptibility, establish the link between disease and occupation, and develop diagnostic criteria for healthcare-associated infections among healthcare workers.
Keywords
infectious morbidity
healthcare workers
COVID-19
tuberculosis
pertussis
measles
hepatitis B
biological risk
health status
biological factor
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About the Authors
Gulnara G. Badamshin, МD, Associate Professor, Department of Hygiene and Occupational Medicine, Kazan State Medical University, Ministry of Health of the Russia; Leading Researcher, Ufa Research Institute of Occupational Medicine and Human Ecology, Ufa, Russia; ggbadamshina@yandex.ru; https://orcid.org/0000-0003-0088-6422Professor Liliya M. Fatkhutdinova, MD, Head, Department of Hygiene and Occupational Medicine, Kazan State Medical University, Ministry of Health of the Russia; Kazan, Russia; liliya.fatkhutdinova@gmail.com; https://orcid.org/0000-0001-9506-563X
Professor Alexey V. Tutelyan, Academician of the Russian Academy of Sciences, MD, Head, Laboratory of Medical Care-Related Infections, Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being, Moscow, Russia; bio-tav@yandex.ru; https://orcid.org/0000-0002-2706-6689
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