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Salazar, Miguel Ángel; Chavez-Galan, Leslie; Castorena-Maldonado, Armando; Mateo-Alonso, Maribel; Diaz-Vazquez, Nadia Otilia; Vega-Martínez, Ana María; Martínez-Orozco, José Arturo; Becerril-Vargas, Eduardo; Sosa-Gómez, Fernando Manuel; Patiño-Gallegos, Hilda; Alonso-Martínez, Delfino; López-Segundo, Enrique; Vidal, Fernando; Velasco-González, Luis Joan; Pérez-Pulido, Silvia; Santillán-Doherty, Patricio; Regalado-Pineda, Justino; Salas-Hernández, Jorge; Buendía-Roldán, Ivette
Frontiers in public health, 04/2021, Volume: 9Journal Article
Coronavirus disease 2019 (COVID-19) is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Healthcare workers (HCWs) constitute a population which is significantly affected by SARS-CoV-2 infection worldwide. In Mexico, the (INER) is the principal national reference of respiratory diseases. To evaluate the efficiency of the INER-POL-TRAB-COVID19 program to mitigate the SARS-CoV-2 infection risk among the INER-healthcare workers (INER-HCW). Currently, the INER has 250 beds and 200 respiratory ventilators to support COVID-19 patients in critical condition. On March 1st, 2020, the INER-POL-TRAB-COVID19 program was launched to mitigate the SARS-CoV-2 infection risk among the INER-HCW. From March 1st to October 1st, 2020, 71.5% of INER-HCWs were tested for SARS-CoV-2 infection, and 77% of them were frontline workers. Among the tested INER-HCWs, 10.4% were positive for SARS-CoV-2 infection. Nonetheless, nosocomial infection represented only 3.8% of the cases and the mortality was null. Fifty-three of INER-HCWs positive to SARS-CoV-2 had a negative test 42-56 days post-diagnosis and were returned to service. Finally, although a change in the PPE implemented on May 11th, 2020, the incidence of SARS-CoV-2 infection was not affected. INER has a lower incidence of HCWs infected with SARS-CoV-2 as compared to the mean of the national report. The implementation of the INER-POL-TRAB-COVID19 program is efficient to decrease the risk of infection among the HCWs. Our findings suggest that the implementation of a similar program at a national level can be helpful to provide a safe environment to HCWs and to prevent the collapse of health institutions.
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