Clinical characteristics, outcomes, area of work, and return to work of healthcare workers with COVID-19 infection: An experience of a tertiary care renal hospital in Pakistan
DOI:
https://doi.org/10.61529/idjp.v33i4.167Abstract
Background: The COVID-19 pandemic caused significant loss to healthcare systems across the world. Patients usually presented with fever and cough as the primary symptoms. This paper aims to discuss the clinical features, outcomes, areas of work, and duration of absence from work in employees working at a tertiary care renal hospital in Pakistan.
Material and Methods: Data of employees who were suspected of having COVID-19 was compiled and divided into waves according to the COVID-19 waves in Pakistan. The clinical characteristics and duration till return to work was calculated and compared among waves using Chi-square test.
Results: Five waves of COVID-19 were observed during the study. A total of 620 employees were tested during the waves, of which 216 (35%) tested positive. Of those who tested positive, most were healthcare workers (n=165 [76%], p-value <0.01). The most common symptom among positive cases was fever and least common was a combination of fever cough (p-value <0.01). The duration of absence from work dropped from a maximum of 43 days in the first wave to five days in the fifth wave. A total of 4763 employee days were lost during the pandemic.
Conclusion: Strict implication of safety protocols in the workplace followed by astute management strategies must be maintained. Now that the pandemic is nearly over, strategies to mitigate outbreaks in the hospital should be limited to screening employees with fever and cough to preserve resources and reduce employees’ absence from work.
Keywords: COVID-19, Healthcare workers, Absence of employees, Fever and cough, Duration of absence
References
Abid K, Bari YA, Younas M, Tahir Javaid S, Imran A. Progress of COVID-19 Epidemic in Pakistan. Asia Pac J Public Health. 2020; 32(4): 154-6. DOI: https://doi.org/10.1177/1010539520927259
Desk W. Azad Jammu and Kashmir PM announces three-week lockdown to combat the virus, in ARY News. 2020: Karachi. Available from: https://arynews.tv/azad-jammu-and-kashmir-pm-lockdown/
Desk W. CM Punjab Usman Buzdar announces lockdown in Punjab, in ARY News. 2020: Karachi. Available from: https://arynews.tv/cm-punjab-usman-buzdar-lockdown-punjab/
Rao V, Ahmed HTT. Sindh decides to go into COVID-19 lock down, in The Express Tribune. 2020: Karachi. Available from: https://tribune.com.pk/story/2181138/sindh-govt-mulls-total-lockdown-provincial-covid-19-tally-crosses-350
Zafar M. Balochistan goes into lockdown until April 7, in The Express Tribune. 2020: Karachi. Available from: https://tribune.com.pk/story/2181138/sindh-govt-mulls-total-lockdown-provincial-covid-19-tally-crosses-350
Screening of hospital-admitted non-COVID patients and healthcare personnel, R.A.C. Ministry of National Health Services, Government of Pakistan, Editor. 2020: Islamabad. Available from: https://www.nih.org.pk/wp-content/uploads/2020/07/20200720-Guidelines-for-Screening-of-Hospital-Admitted-Non-COVID-Patients-and-Healthcare-Personnel_3701.pdf
Clinical Management Guidelines for COVID-19 Infections, R.A.C. Ministry of National Health Services, Government of Pakistan, Editor. 2020: Islamabad. Available from: https://nhsrc.gov.pk/SiteImage/Misc/files/20200704%20Clinical%20Management%20Guidelines%20for%20COVID-19%20infections_1203.pdf
Westercamp, M. Operational considerations for the identification of healthcare workers and inpatients with suspected COVID-19. 2020. Available from: https://echo.unm.edu/doc/covid/Westercamp_HCW%20Inpatient_Identification_Global_Webinar_v2.pdf
Gavidia, M. Lost time from work due to COVID-19 could cost employers billions, study Finds. 2020 April 6, 2020 [cited; Available from: https://www.ajmc.com/view/lost-time-from-work-could-cost-employers-billions-study-finds.
Walker PGT, Whittaker C, Watson O, Baguelin M, Ainslie KEC, Bhatia S, et al. The Global Impact of COVID-19 and strategies for mitigation and suppression. Imperial College London. 2020; DOI: https://doi.org/10.25561/77735
McKibbin W, Fernando R. The global macroeconomic impacts of COVID-19: Seven scenarios. 2010. Available at: https://www.brookings.edu/wp-content/uploads/2020/03/20200302_COVID19.pdf
Sim MR. The COVID-19 pandemic: Major risks to healthcare and other workers on the front line. Occup Environ Med. 2020; 77(5): 281-2. DOI: https://doi.org/10.1136/oemed-2020-106567
Lima, CMAO. Information about the new coronavirus disease (COVID-19). Radiol Bras. 2020; 53(2).
DOI: https://doi.org/10.1590/0100-3984.2020.53.2e1
Guan WJ, Ni Z, Hu Y, Linag W, Ou C, He J. Clinical characteristics of 2019 novel coronavirus infection in China. N Engl J Med. 2020; 382(18): 1708-20. DOI: https://doi.org/10.1056/nejmoa2002032
Miyamae, Y., et al., Duration of viral shedding in asymptomatic or mild cases of novel coronavirus disease 2019 (COVID-19) from a cruise ship: A single-hospital experience in Tokyo, Japan. Int J Infect Dis. 2020; 97: 293-5.
DOI: https://doi.org/10.1016/j.ijid.2020.06.020
Qi L, Yang Y, Jiang D, Tu C, Wan L, Chen X, et al. Factors associated with the duration of viral shedding in adults with COVID-19 outside of Wuhan, China: A retrospective cohort study. Int J Infect Dis. 2020; 96: 531-7. DOI: https://doi.org/10.1016/j.ijid.2020.05.045
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Dr Fizza Farooqi, Dr. Safia Qureshi, Dr. Aasim Ahmad, Dr. Saeed Chishty

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.