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spelling Albuquerque, Maria de Fátima Pessoa Militão deSouza, Wayner Vieira deMontarroyos, Ulisses RamosPereira, Cresio RomeuBraga, CynthiaAraújo, Thalia Velho Barreto deXimenes, Ricardo Arraes de AlencarMiranda-Filho, Demócrito de BarrosSzwarcwald, Celia LandmannSouza-Junior, Paulo Roberto Borges deXavier, Morgana NascimentoMorais, Clarice Neuenschwander Lins deAlbuquerque, Gabriela Diniz Militão deBresani-Salvi, CristianeMariz, Carolline AraújoSiqueira-Filha, Noemia Teixeira deGalindo, Jadson MendonçaFrança-Neto, Cláudio LuizBarbosa, Jessyka Mary VasconcelosVeras, Maria Amelia Sousa MascenaLima, Luana Nepomuceno Gondim CostaCruz, Luciane NascimentoKendall, CarlKerr, Ligia Regina Franco SansigoloMartelli, Celina Maria Turchi2022-10-10T17:41:20Z2022-10-10T17:41:20Z2022ALBUQUERQUE, Maria de Fátima Pessoa Militão de et al. Risk of SARS-CoV-2 infection among front-line healthcare workers in Northeast Brazil: a respondent-driven sampling approach. British Medical Journal (BMJ), v. 12, n. e058369, p. 1-13, 6 June 2022.1759-2151https://www.arca.fiocruz.br/handle/icict/5508810.1136/bmjopen-2021-0583690959-8138This investigation was funded by Health Technology Assessment Institute (IATS) and by MCTIC/CNPq/FNDCT/MS/SCTIE/Decit Nº 07/2020.Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Departamento de Saúde Coletiva. Recife, PE, Brasil.Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Departamento de Saúde Coletiva. Recife, PE, Brasil.Universidade de Pernambuco. Recife, PE, Brasil.Ministério da Saúde. São Paulo, SP, Brasil.Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Departamento de Parasitologia. Recife, PE, Brasil.Universidade Federal de Pernambuco. Centro de Ciências da Saúde. Departamento de Medicina Social. Recife, PE, Brasil.Universidade Federal de Pernambuco. Centro de Ciências da Saúde. Departamento de Medicina Social. Recife, PE, Brasil.Universidade de Pernambuco. Recife, PE, Brasil.Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Departamento de Saúde Coletiva. Recife, PE, Brasil.Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Departamento de Virologia e Terapia Experimental. Recife, PE, Brasil.Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Departamento de Saúde Coletiva. Recife, PE, Brasil.Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Departamento de Virologia e Terapia Experimental. Recife, PE, Brasil.Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Departamento de Saúde Coletiva. Recife, PE, Brasil / Faculdade de Medicina de Olinda. Olinda, PE, Brasil.University of York. Department of Health Sciences. York, North Yorkshire, UK.Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Departamento de Saúde Coletiva. Recife, PE, Brasil.Universidade de Pernambuco. Recife, PE, Brasil.Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Departamento de Saúde Coletiva. Recife, PE, Brasil.Santa Casa de São Paulo. Faculdade de Ciências Médicas. São Paulo, SP, Brasil.Universidade do Estado do Pará. Belém, PA, Brasil.Instituto de Avaliação de Tecnologia em Saúde. Porto Alegre, RS, Brasil.Tulane University. School of Public Health and Tropical Medicine. New Orleans, Louisiana, USA / Universidade Federal do Ceará. Faculdade de Medicina. Departamento de Saúde Comunitária. Fortaleza, CE, Brasil.Universidade Federal do Ceará. Faculdade de Medicina. Departamento de Saúde Comunitária. Fortaleza, CE, Brasil.Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Departamento de Saúde Coletiva. Recife, PE, Brasil.Objectives: We assessed the prevalence of SARS-CoV-2 infection, personal protective equipment (PPE) shortages and occurrence of biological accidents among front-line healthcare workers (HCW). Design, setting and participants Using respondentdriven sampling, the study recruited distinct categories of HCW attending suspected or confirmed patients with COVID-19 from May 2020 to February 2021, in the Recife metropolitan area, Northeast Brazil. Outcome measures The criterion to assess SARS-CoV-2 infection among HCW was a positive self-reported PCR test. Results: We analysed 1525 HCW: 527 physicians, 471 registered nurses, 263 nursing assistants and 264 physical therapists. Women predominated in all categories (81.1%; 95%CI: 77.8% to 84.1%). Nurses were older with more comorbidities (hypertension and overweight/obesity) than the other staff. The overall prevalence of SARS-CoV-2 infection was 61.8% (95% CI: 55.7% to 67.5%) after adjustment for the cluster random effect, weighted by network, and the reference population size. Risk factors for a positive RT-PCR test were being a nursing assistant (OR adjusted: 2.56; 95%CI: 1.42 to 4.61), not always using all recommended PPE while assisting patients with COVID-19 (OR adj: 2.15; 95%CI: 1.02 to 4.53) and reporting a splash of biological fluid/respiratory secretion in the eyes (OR adj: 3.37; 95%CI: 1.10 to 10.34). Conclusions: This study shows the high frequency of SARS-CoV2 infection among HCW presumably due to workplace exposures. In our setting, nursing assistant comprised the most vulnerable category. Our findings highlight the need for improving healthcare facility environments, specific training and supervision to cope with public health emergencies.engBMJ Publishing GroupRisk of SARS-CoV-2 infection among front-line healthcare workers in Northeast Brazil: a respondent-driven sampling approachinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleSARS-CoV-2Healthcare workersNortheast BrazilCOVID-19info:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83132https://www.arca.fiocruz.br/bitstream/icict/55088/1/license.txt33967fcc8ef681b8f5c2c34178ebc114MD51ORIGINALAlbuquerque_Maria_etal_IAM_2022_COVID-19.pdfAlbuquerque_Maria_etal_IAM_2022_COVID-19.pdfapplication/pdf2259363https://www.arca.fiocruz.br/bitstream/icict/55088/2/Albuquerque_Maria_etal_IAM_2022_COVID-19.pdfe6b590365c37ab3f8312716d0999faabMD52icict/550882023-10-27 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dc.title.en_US.fl_str_mv Risk of SARS-CoV-2 infection among front-line healthcare workers in Northeast Brazil: a respondent-driven sampling approach
title Risk of SARS-CoV-2 infection among front-line healthcare workers in Northeast Brazil: a respondent-driven sampling approach
spellingShingle Risk of SARS-CoV-2 infection among front-line healthcare workers in Northeast Brazil: a respondent-driven sampling approach
Albuquerque, Maria de Fátima Pessoa Militão de
SARS-CoV-2
Healthcare workers
Northeast Brazil
COVID-19
title_short Risk of SARS-CoV-2 infection among front-line healthcare workers in Northeast Brazil: a respondent-driven sampling approach
title_full Risk of SARS-CoV-2 infection among front-line healthcare workers in Northeast Brazil: a respondent-driven sampling approach
title_fullStr Risk of SARS-CoV-2 infection among front-line healthcare workers in Northeast Brazil: a respondent-driven sampling approach
title_full_unstemmed Risk of SARS-CoV-2 infection among front-line healthcare workers in Northeast Brazil: a respondent-driven sampling approach
title_sort Risk of SARS-CoV-2 infection among front-line healthcare workers in Northeast Brazil: a respondent-driven sampling approach
author Albuquerque, Maria de Fátima Pessoa Militão de
author_facet Albuquerque, Maria de Fátima Pessoa Militão de
Souza, Wayner Vieira de
Montarroyos, Ulisses Ramos
Pereira, Cresio Romeu
Braga, Cynthia
Araújo, Thalia Velho Barreto de
Ximenes, Ricardo Arraes de Alencar
Miranda-Filho, Demócrito de Barros
Szwarcwald, Celia Landmann
Souza-Junior, Paulo Roberto Borges de
Xavier, Morgana Nascimento
Morais, Clarice Neuenschwander Lins de
Albuquerque, Gabriela Diniz Militão de
Bresani-Salvi, Cristiane
Mariz, Carolline Araújo
Siqueira-Filha, Noemia Teixeira de
Galindo, Jadson Mendonça
França-Neto, Cláudio Luiz
Barbosa, Jessyka Mary Vasconcelos
Veras, Maria Amelia Sousa Mascena
Lima, Luana Nepomuceno Gondim Costa
Cruz, Luciane Nascimento
Kendall, Carl
Kerr, Ligia Regina Franco Sansigolo
Martelli, Celina Maria Turchi
author_role author
author2 Souza, Wayner Vieira de
Montarroyos, Ulisses Ramos
Pereira, Cresio Romeu
Braga, Cynthia
Araújo, Thalia Velho Barreto de
Ximenes, Ricardo Arraes de Alencar
Miranda-Filho, Demócrito de Barros
Szwarcwald, Celia Landmann
Souza-Junior, Paulo Roberto Borges de
Xavier, Morgana Nascimento
Morais, Clarice Neuenschwander Lins de
Albuquerque, Gabriela Diniz Militão de
Bresani-Salvi, Cristiane
Mariz, Carolline Araújo
Siqueira-Filha, Noemia Teixeira de
Galindo, Jadson Mendonça
França-Neto, Cláudio Luiz
Barbosa, Jessyka Mary Vasconcelos
Veras, Maria Amelia Sousa Mascena
Lima, Luana Nepomuceno Gondim Costa
Cruz, Luciane Nascimento
Kendall, Carl
Kerr, Ligia Regina Franco Sansigolo
Martelli, Celina Maria Turchi
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Albuquerque, Maria de Fátima Pessoa Militão de
Souza, Wayner Vieira de
Montarroyos, Ulisses Ramos
Pereira, Cresio Romeu
Braga, Cynthia
Araújo, Thalia Velho Barreto de
Ximenes, Ricardo Arraes de Alencar
Miranda-Filho, Demócrito de Barros
Szwarcwald, Celia Landmann
Souza-Junior, Paulo Roberto Borges de
Xavier, Morgana Nascimento
Morais, Clarice Neuenschwander Lins de
Albuquerque, Gabriela Diniz Militão de
Bresani-Salvi, Cristiane
Mariz, Carolline Araújo
Siqueira-Filha, Noemia Teixeira de
Galindo, Jadson Mendonça
França-Neto, Cláudio Luiz
Barbosa, Jessyka Mary Vasconcelos
Veras, Maria Amelia Sousa Mascena
Lima, Luana Nepomuceno Gondim Costa
Cruz, Luciane Nascimento
Kendall, Carl
Kerr, Ligia Regina Franco Sansigolo
Martelli, Celina Maria Turchi
dc.subject.en.en_US.fl_str_mv SARS-CoV-2
Healthcare workers
Northeast Brazil
COVID-19
topic SARS-CoV-2
Healthcare workers
Northeast Brazil
COVID-19
description This investigation was funded by Health Technology Assessment Institute (IATS) and by MCTIC/CNPq/FNDCT/MS/SCTIE/Decit Nº 07/2020.
publishDate 2022
dc.date.accessioned.fl_str_mv 2022-10-10T17:41:20Z
dc.date.available.fl_str_mv 2022-10-10T17:41:20Z
dc.date.issued.fl_str_mv 2022
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv ALBUQUERQUE, Maria de Fátima Pessoa Militão de et al. Risk of SARS-CoV-2 infection among front-line healthcare workers in Northeast Brazil: a respondent-driven sampling approach. British Medical Journal (BMJ), v. 12, n. e058369, p. 1-13, 6 June 2022.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/55088
dc.identifier.issn.en_US.fl_str_mv 1759-2151
dc.identifier.doi.none.fl_str_mv 10.1136/bmjopen-2021-058369
dc.identifier.eissn.none.fl_str_mv 0959-8138
identifier_str_mv ALBUQUERQUE, Maria de Fátima Pessoa Militão de et al. Risk of SARS-CoV-2 infection among front-line healthcare workers in Northeast Brazil: a respondent-driven sampling approach. British Medical Journal (BMJ), v. 12, n. e058369, p. 1-13, 6 June 2022.
1759-2151
10.1136/bmjopen-2021-058369
0959-8138
url https://www.arca.fiocruz.br/handle/icict/55088
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv BMJ Publishing Group
publisher.none.fl_str_mv BMJ Publishing Group
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
bitstream.url.fl_str_mv https://www.arca.fiocruz.br/bitstream/icict/55088/1/license.txt
https://www.arca.fiocruz.br/bitstream/icict/55088/2/Albuquerque_Maria_etal_IAM_2022_COVID-19.pdf
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repository.name.fl_str_mv Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)
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