Characteristics and Transmission Dynamics of COVID-19 in Resident Physicians at a Mexico City Teaching Hospital

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  •   Jessica G. Azcorra-Lopez

  •   Jesus Reyna-Figueroa

  •   Eva M. Luna-Rivera

  •   Berenice Cabañas-Espinosa

  •   Yamile N. Esquivel-Torruco

  •   Arely A. Bejarano-Juvera

  •   Aditi K. Bustamante-Flores

  •   Naomi Aguilar-Martinez

  •   Daniel Lopez-Herrera

  •   Cesar A. Arce-Salinas

Abstract

Introduction: During the COVID-19 pandemic, hospitals have been busy controlling their spread among healthcare workers, including resident doctors. We seek to characterize and know the transmission dynamics of the SARS-COV-2 infection in the personnel of our hospital.


Methodology: 204 resident physicians were followed up, in three parts: Part 1. Training, Part 2. follow-up through the WhatsApp application, Part 3. case-control study; looking for risk factors.


The statistical analysis was carried out using measures of central tendency and dispersion, comparison of proportions and rates. As well as the calculation of the odds ratio with a 95% confidence interval; p <0.05 was considered significant.


Results: 66 resident physicians were included, 31.8% had a positive result. The mean age was 28.9. The most frequent clinical manifestation was myalgia (66.6%), followed by headache (47%). When comparing with symptomatic resident physicians, with a negative test, there was a significant difference in arthralgia (p = 0.01) and dyspnea (0.05).


Noncompliance with training (OR 7.0; 95% CI 2.2-26 and p = 0.000) was significant as a risk factor for infection.


Conclusions: Resident physicians must be mostly supervised during infection prevention and containment training.


Keywords: COVID-19, resident physicians, training

References

Zheng C, Hafezi-Bakhtiari N, Cooper V, Davidson H, Habibi M, Riley P, Breathnach A. Characteristics, and transmission dynamics of COVID-19 in healthcare workers at a London teaching hospital. J Hosp Infect. 2020;106(2):325-329.

Ahmed H, Allaf M, Elghazaly H. COVID-19 and medical education. Lancet Infect Dis. 2020;20(7):777-778.

Cram P, Anderson ML, Shaughnessy EE. All Hands-on Deck: Learning to "Un-specialize" in the COVID-19 Pandemic. J Hosp Med. 2020;15(5):314-315.

Cook TM. Personal protective equipment during the coronavirus disease (COVID) 2019 pandemic - a narrative review. Anaesthesia. 2020;75(7):920-927.

Characteristics and transmission dynamics of COVID-19Journal of Hospital Infection 106 (2020) 325e329.

O'Byrne L, Gavin B, McNicholas F. Medical students and COVID-19: the need for pandemic preparedness. J Med Ethics. 2020;46(9):623-626.

Noorbhai H. A mathematical model to guide the re-opening of economies during the COVID-19 pandemic. Ann Med Surg (Lond). 2020;57:5-6.

Ma H, Zhu J, Liu J, Zhang X, Liu Y, Yang Q. Hospital biosecurity capacitation: Analysis and recommendations for the prevention and control of COVID-19. J Biosaf Biosecur. 2020 ;2(1):5-9.

Shrestha S. Teaching and Training Medical Students at the Midst of COVID-19 Pandemic: Unanswered Questions and the Way Forward. J Nepal Health Res Counc. 2020;18(2):320-323.

Grange ES, Neil EJ, Stoffel M, Singh AP, Tseng E, Resco-Summers K, Fellner BJ, Lynch JB, Mathias PC, Mauritz-Miller K, Sutton PR, Leu MG. Responding to COVID-19: The UW Medicine Information Technology Services Experience. Appl Clin Inform. 2020;11(2):265-275.

Santoro E. Information technology e digital health a supporto della salute ai tempi della CoViD-19 [Information technology and digital health to support health in the time of CoViD-19.]. Recenti Prog Med. 2020;111(7):393-397).

Alpalhão V, Alpalhão M. Impact of COVID-19 on Physical Therapist Practice in Portugal. Phys Ther. 2020 Jul 19;100(7):1052-1053.

Reyna-Figueroa J, Bejarano-Juvera AA, Arce-Salinas CA, Martínez-Arredondo H, Lehmann-Mendoza R. Opportunities in the teaching of medical specialties, regarding influenza and COVID-19. Gac Med Mex. 2020;156(4):321-327.

Sharif S, Amin F, Hafiz M, Benzel E, Peev N, Dahlan RH, Enchev Y, Pereira P, Vaishya S; World Spinal Column Society Executive Board. COVID 19-Depression and Neurosurgeons. World Neurosurg. 2020;140:e401-e410.

Menon A, Klein EJ, Kollars K, Kleinhenz ALW. Medical Students Are Not Essential Workers: Examining Institutional Responsibility During the COVID-19 Pandemic. Acad Med. 2020;95(8):1149-1151.

Baj J, Karakuła-Juchnowicz H, Teresiński G, Buszewicz G, Ciesielka M, Sitarz E, Forma A, Karakuła K, Flieger W, Portincasa P, Maciejewski R. COVID-19: Specific and Non-Specific Clinical Manifestations and Symptoms: The Current State of Knowledge. J Clin Med. 2020;9(6):1753.

Palaiodimos L, Kokkinidis DG, Li W, Karamanis D, Ognibene J, Arora S, Southern WN, Mantzoros CS. Severe obesity, increasing age, and male sex are independently associated with worse in-hospital outcomes, and higher in-hospital mortality, in a cohort of patients with COVID-19 in the Bronx, New York. Metabolism. 2020;108:154262.

Schett G, Manger B, Simon D, Caporali R. COVID-19 revisiting inflammatory pathways of arthritis. Nat Rev Rheumatol. 2020;16(8):465-470.

Joob B, Wiwanitkit V. Arthralgia as an initial presentation of COVID-19: observation. Rheumatol Int. 2020;40(5):823.

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How to Cite
Azcorra-Lopez, J. G., Reyna-Figueroa, J., Luna-Rivera, E. M., Cabañas-Espinosa, B., Esquivel-Torruco, Y. N., Bejarano-Juvera, A. A., Bustamante-Flores, A. K., Aguilar-Martinez, N., Lopez-Herrera, D., & Arce-Salinas, C. A. (2021). Characteristics and Transmission Dynamics of COVID-19 in Resident Physicians at a Mexico City Teaching Hospital. European Journal of Clinical Medicine, 2(3), 72–76. https://doi.org/10.24018/clinicmed.2021.2.3.36