Nugraha, Aditya Satriya and Dr. dr. Cesarius Singgih Wahono, SpPD., K-R; and dr. Mirza Zaka Pratama, M.Biomed., SpPD (2024) “Faktor Yang Berhubungan Dengan Kejadian Infeksi Covid-19 Pasca Vaksinasi Pada Tenaga Kesehatan Di Rumah Sakit Dr Saiful Anwar Malang”. Magister thesis, Universitas Brawijaya.
Abstract
Pendahuluan : Tenaga kesehatan sangat berisiko terinfeksi virus SARS -CoV2. Meskipun telah divaksinasi secara lengkap, masih ada kemungkinan untuk mendapatkan infeksi Covid-19 di rumah sakit. Tujuan: Mengetahui faktor apa yang memiliki hubungan dengan kejadian infeksi Covid-19 di kalangan tenaga kesehatan pasca vaksinasi Metode: Prospective cohort study kepada responden yang diteliti yaitu 184 tenaga kesehatan yang menerima dua dosis injeksi vaksin SARS-CoV2 yang tidak aktif (CoronaVac, Sinovac Life Science). Semua partisipan diikuti selama enam bulan. Kasus Covid-19 yang terkonfirmasi ditentukan sebagai SARS-CoV2 positif dengan pemeriksaan RT-PCR. Sebelum menjalani RT-PCR, kuesioner dibagikan untuk mendapatkan data demografi, profesi, kontak dengan kasus Covid-19, alat pelindung diri, kepatuhan terhadap protokol kesehatan, olahraga, dan kebiasaan makan. Hasil: Lima puluh tujuh partisipan (31%) dinyatakan positif Covid-19. Dokter residen (adjusted RR 4.72, 95% CI: 1.11-20.11, P=0.036), kontak sebelumnya dengan kasus Covid-19 (adjusted RR 6.82, 95% CI: 1.97-47.98, P=0.044), dan penggunaan masker yang kurang baik (adjusted RR 2.36, 95% CI: 1.15-4.85, P=0.019) meningkatkan risiko infeksi pasca vaksinasi. Dibandingkan dengan masker bedah tunggal, KN95 dan N95 secara signifikan mengurangi risiko Covid- 19 (adjusted RR 0,27, 95% CI: 0,07-0,97, P=0,045 dan adjusted RR 0,25, 95% CI: 0,07-0,87, P=0,029). Kesimpulan: Risiko terinfeksi di kalangan tenaga kesehatan di rumah sakit meningkat karena faktor sebagai dokter residen, kontak dekat dengan kasus COVID-19 yang positif dan ketidakpatuhan terhadap protokol Kesehatan. Untuk mencegah infeksi SARS-CoV-2 di kalangan tenaga kesehatan, perlu pendekatan yang lebih baik terutama pada faktor risiko tersebut.
English Abstract
Background: Healthcare workers (HCWs) are at high risk of being infected with the SARS-CoV2 virus. Despite being fully vaccinated, there is still a possibility getting infection with Covid-19 in the hospital. Objective: To find out factors that associated with the incidence of Covid-19 infection among HCWs after vaccination. Methods: Prospective cohort study with 184 HCWs who received two doses of inactivated SARS-CoV2 vaccine (CoronaVac, Sinovac Life Science). All participants were followed for six months. Confirmed Covid-19 cases were determined as SARS-CoV2 positive by RT-PCR. Before undergoing RT-PCR, questionnaires were distributed to obtain data on demographics, profession, contact with Covid-19 cases, personal protective equipment, adherence to health protocols, exercise, and dietary habits. Results: Fifty-seven participants (31%) positive for Covid-19. Resident doctors (adjusted RR 4.72, 95% CI: 1.11, 20.11, P=0.036), previous contact with Covid-19 cases (adjusted RR 6.82, 95% CI: 1.97, 47.98, P=0.044), and poor mask use (adjusted RR 2. 36, 95% CI: 1.15-4.85, P=0.019) increased the risk of postvaccination infection. Compared with single surgical masks, KN95 and N95 significantly reduced the risk of Covid-19 (adjusted RR 0.27, 95% CI: 0.07-0.97, P=0.045 and adjusted RR 0.25, 95% CI: 0.07-0.87, P=0.029). Conclusion: Being a resident doctor, close contact with positive COVID-19, and non-compliance with health protocols are associated with the risk of infection. Appropriate strategies are needed to prevent the risk of SARS-CoV-2 infection among healthcare workers.
| Item Type: | Thesis (Magister) |
|---|---|
| Identification Number: | 0424060155 |
| Uncontrolled Keywords: | Covid-19, Tenaga Kesehatan, Infeksi Pasca Vaksinasi, Rumah Sakit |
| Divisions: | Profesi Kedokteran > Spesialis Ilmu Penyakit Dalam, Fakultas Kedokteran |
| Depositing User: | Unnamed user with username nova |
| Date Deposited: | 14 Jan 2025 03:19 |
| Last Modified: | 14 Jan 2025 03:19 |
| URI: | http://repository.ub.ac.id/id/eprint/234705 |
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