关键词: COVID-19 Comorbidity Comorbilidad Coronavirus infections Evaluación de síntoma Family physicians Médicos de familia Symptom assessment

Mesh : Adult COVID-19 / diagnosis epidemiology etiology COVID-19 Testing Case-Control Studies Female Humans Logistic Models Male Middle Aged Occupational Diseases / diagnosis epidemiology etiology Physicians, Family Primary Health Care Spain / epidemiology

来  源:   DOI:10.1016/j.aprim.2020.12.001   PDF(Sci-hub)   PDF(Pubmed)

Abstract:
To identify the sociodemographic, clinical and epidemiological characteristics associated with the presence of infection by the SARS-CoV-2 virus in family physicians who carry out their work in Primary Care (PC) or in Hospital Emergencies.
Observational analytical case-control study. SITE: Primary care.
969 Primare Care Physicians, Hospital Emergency physicians and other extrahospitalry centers that had PCR for the detection of the SARS-CoV-2. Of these, 133 participated as cases (PCR positive) and 836 as controls (PCR negative).
No.
Sociodemographic and work, contact with a COVID-19 patient, symptoms present during the process, first manifested symptom, previous chronic pathologies, and tobacco use.
13.7% (95% CI: 11.6-16.0) were cases infected with SARS-CoV-2. The most frequently declared symptoms by those infected were a feeling of fatigue/tiredness (69.2%; 95% CI: 60.9-77.4%), cough (56.4%; 95% CI: 47.6-65.2%) and headache (55.6%; 95% CI: 46.8-64.4%).Using logistic regression, the variables independently associated with SARS-CoV-2 virus infection in Family Physicians were: previous contact with a COVID-19 patient (OR: 2.3; 95% CI: 1.2-4.2), present fatigue / tiredness (OR: 2.2; 95% CI: 1.2-3.9), smell alteration (4.6; 95% CI: 1.7-12.5), taste alteration (OR: 32.0; 95% CI: 9.6-106.8), cough (OR: 3.0; 95% CI: 1.7-5.3) and fever (OR: 6.1; 95% CI: 3.2-11.4).
Symptoms independently related to SARS-CoV-2 virus infection in Family Physicians were fatigue, fever, cough, and altered taste and smell. The presence of these symptoms could facilitate the diagnosis of suspected COVID-19 disease and the earlier selection of those that require confirmatory tests.
摘要:
为了识别社会人口统计学,在初级保健(PC)或医院紧急情况下开展工作的家庭医生中,与SARS-CoV-2病毒感染有关的临床和流行病学特征。
观察性分析病例对照研究。网站:初级保健。
969名Primare护理医师,医院急诊医生和其他医院外中心,使用PCR检测SARS-CoV-2。其中,133人作为病例参与(PCR阳性),836人作为对照(PCR阴性)。
没有。
社会人口统计学和工作,与COVID-19患者接触,过程中出现的症状,首先表现出的症状,以前的慢性病理,烟草使用。
13.7%(95%CI:11.6-16.0)为SARS-CoV-2感染病例。感染者最常见的症状是疲劳/疲倦感(69.2%;95%CI:60.9-77.4%),咳嗽(56.4%;95%CI:47.6-65.2%)和头痛(55.6%;95%CI:46.8-64.4%)。使用逻辑回归,家庭医生中与SARS-CoV-2病毒感染独立相关的变量是:以前与COVID-19患者接触过(OR:2.3;95%CI:1.2-4.2),目前的疲劳/疲劳(OR:2.2;95%CI:1.2-3.9),气味改变(4.6;95%CI:1.7-12.5),味道改变(OR:32.0;95%CI:9.6-106.8),咳嗽(OR:3.0;95%CI:1.7-5.3)和发热(OR:6.1;95%CI:3.2-11.4)。
在家庭医生中,与SARS-CoV-2病毒感染独立相关的症状是疲劳,发烧,咳嗽,改变了味道和气味。这些症状的存在可以促进疑似COVID-19疾病的诊断和早期选择需要确证试验的那些。
公众号