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Guidelines for Infection Control and Burnout Prevention in Healthcare Workers Responding to COVID-19

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초록

During the coronavirus disease 2019 (COVID-19) pandemic, frontline healthcare workers (HCWs) suffered more distress from the possibility of contracting the virus, quarantine, social stigma, and prejudice against their families. Many studies have investigated the impact of the pandemic on HCWs; however, studies or guidelines presenting strategies to overcome these challenges are lacking. As part of a 2020 research project supported by the Ministry of Health and Welfare, titled “Health impact assessment of healthcare workers undertaking coronavirus disease 2019 treatment and management in Korea: Identifying problems and researching effective solutions” (HC20C0003), we created guidelines to respond to serious problems posed by infection control. and burnout among HCWs during COVID-19 response measures throughout the extended pandemic period. We formulated the guidelines by means of a systematic review and collated them with the latest literature. The guidelines will highlight the gravity and impact of infection control and burnout among HCWs responding to COVID-19 and include potential prevention strategies, and they can be used as a reference in the event of another emerging infectious disease outbreak in the future.

Abstract

During the coronavirus disease 2019 (COVID-19) pandemic, frontline healthcare workers (HCWs) suffered more distress from the possibility of contracting the virus, quarantine, social stigma, and prejudice against their families. Many studies have investigated the impact of the pandemic on HCWs; however, studies or guidelines presenting strategies to overcome these challenges are lacking. As part of a 2020 research project supported by the Ministry of Health and Welfare, titled “Health impact assessment of healthcare workers undertaking coronavirus disease 2019 treatment and management in Korea: Identifying problems and researching effective solutions” (HC20C0003), we created guidelines to respond to serious problems posed by infection control. and burnout among HCWs during COVID-19 response measures throughout the extended pandemic period. We formulated the guidelines by means of a systematic review and collated them with the latest literature. The guidelines will highlight the gravity and impact of infection control and burnout among HCWs responding to COVID-19 and include potential prevention strategies, and they can be used as a reference in the event of another emerging infectious disease outbreak in the future.

참고문헌 (100)

  1. "Coronavirus (COVID-19), Republic of Korea"[URL]
  2. Bongyoung Kim, "What should we prepare for the next coronavirus disease 2019 outbreak? A survey on the opinions of infectious diseases specialists in South Korea", The Korean Journal of Internal Medicine, 35(6), pp.1270~1278 (2020), 대한내과학회[DOI]
  3. 장영은, "Infectious Diseases Physician Workforce in Korea", Journal of Korean Medical Science, 35(49), pp.1~6 (2020), 대한의학회[DOI]
  4. Kwon Hyun Hee, "Healthcare Workforce Response to The Coronavirus Disease Outbreak in Daegu, Korea: A Multi-Center, Cross-Sectional Survey", Infection and Chemotherapy, 54(2), pp.298~307 (2022), 대한감염학회[DOI]
  5. Billings J, "Experiences of frontline healthcare workers and their views about support during COVID-19 and previous pandemics : a systematic review and qualitative meta-synthesis", BMC Health Serv Res, 21, pp.923~ (2021)
  6. Guyatt GH, "Incorporating considerations of resources use into grading recommendations", BMJ, 336, pp.1170~1173 (2008)
  7. Busch IM, "What we have learned from two decades of epidemics and pandemics : a systematic review and meta-analysis of the psychological burden of frontline healthcare workers", Psychother Psychosom, 90, pp.178~190 (2021)
  8. 박철용, "COVID-19 Outbreak and Its Association with Healthcare Workers' Emotional Stress: a Cross-Sectional Study", Journal of Korean Medical Science, 35(41), pp.1~10 (2020), 대한의학회[DOI]
  9. Park SY, "Psychological distress among infectious disease physicians during the response to the COVID-19 outbreak in the Republic of Korea", BMC Public Health, 20, pp.1811~ (2020)
  10. Patel RS, "Factors related to physician burnout and its consequences : a review", Behav Sci(Basel), 8, pp.98~ (2018)
  11. Theorell T, "COVID-19 and working conditions in health care", Psychother Psychosom, 89, pp.193~194 (2020)
  12. Dalmasso G, "Effectiveness of psychological support to healthcare workers by the occupational health service : a pilot experience", Healthcare(Basel), 9, pp.732~ (2021)
  13. Geoffroy PA, "Psychological support system for hospital workers during the Covid-19 outbreak : rapid design and implementation of the Covid-Psy hotline", Front Psychiatry, 11, pp.511~ (2020)
  14. Stratton E, "Effectiveness of eHealth interventions for reducing mental health conditions in employees : a systematic review and metaanalysis", PLoS One, 12, pp.e0189904~ (2017)
  15. Kisely S, "Occurrence, prevention, and management of the psychological effects of emerging virus outbreaks on healthcare workers : rapid review and meta-analysis", BMJ, 369, pp.m1642~ (2020)
  16. Lee So Hee, "Expert Consensus on Measures to Promote Physical and Psychological Health among COVID-19-Related Healthcare Workers in Korea using Delphi Technique", Infection and Chemotherapy, 54(2), pp.247~257 (2022), 대한감염학회[DOI]
  17. 민혜숙, "The Use of Personal Protective Equipment among Frontline Nurses in a Nationally Designated COVID-19 Hospital during the Pandemic", Infection and Chemotherapy, 53(4), pp.705~717 (2021), 대한감염학회[DOI]
  18. Chan AO, "Psychological impact of the 2003 severe acute respiratory syndrome outbreak on health care workers in a medium size regional general hospital in Singapore", Occup Med(Lond), 54, pp.190~196 (2004)
  19. Blake H, "Mitigating the psychological impact of COVID-19 on healthcare workers : a digital learning package", Int J Environ Res Public Health, 17, pp.2997~ (2020)
  20. Lan J, "Skin damage among health care workers managing coronavirus disease-2019", J Am Acad Dermatol, 82, pp.1215~1216 (2020)
  21. Youakim S, "Adverse reactions associated with respirator fit testing of healthcare workers in British Columbia, Canada : a review of compensation claim cases", Arch Environ Occup Health, 62, pp.197~200 (2007)
  22. Hu K, "The adverse skin reactions of health care workers using personal protective equipment for COVID-19", Medicine(Baltimore), 99, pp.e20603~ (2020)
  23. Long H, "Protecting medical staff from skin injury", disease caused by personal protective equipment during epidemic period of COVID-19 : experience from China, 2020, pp.34, 919~921
  24. Pacis M, "Prophylactic dressings for maintaining skin integrity of healthcare workers when using N95 respirators while preventing contamination due to the novel coronavirus : a quality improvement project", J Wound Ostomy Continence Nurs, 47, pp.551~557 (2020)
  25. Chowdhury MM, "Covid-19 : virtual occupational skin health clinics for healthcare workers", BMJ, 369, pp.m2281~ (2020)
  26. Choudhury A, "Physiological effects of N95 FFP and PPE in healthcare workers in COVID intensive care unit : a prospective cohort study", Indian J Crit Care Med, 24, pp.1169~1173 (2020)
  27. Jose S, "Health problems and skin damages caused by personal protective equipment : experience of frontline nurses caring for critical COVID-19 patients in intensive care units", Indian J Crit Care Med, 25, pp.134~139 (2021)
  28. Lim EC, "Headaches and the N95 face-mask amongst healthcare providers", Acta Neurol Scand, 113, pp.199~202 (2006)
  29. Battista RA, "Personal protective equipment(PPE)in COVID 19 pandemic : related symptoms and adverse reactions in healthcare workers and general population", J Occup Environ Med, 63, pp.e80~5 (2021)
  30. Sprecher AG, "Personal protective equipment for filovirus epidemics : a call for better evidence", J Infect Dis, 212(Suppl 2), pp.S98~100 (2015)
  31. "Occupational safety and health in public health emergencies: a manual for protecting health workers and responders"[URL]
  32. "Guidance for managing worker fatigue during disaster operations: technical assistance document"[URL]
  33. Jones Y, "Collateral damage : how COVID-19 is adversely impacting women Physicians", J Hosp Med, 15, pp.507~509 (2020)
  34. Çağlar A, "Symptoms associated With personal protective equipment among frontline health care professionals during the COVID-19 pandemic", Disaster Med Public Health Prep, 16, pp.987~990 (2022)
  35. "COVID data tracker"[URL]
  36. "COVID-19 integrated surveillance data in Italy"[URL]
  37. "Number of nurses confirmed COVID-19, followed by doctors, dentists, and oriental doctors"[URL]
  38. Gómez-Ochoa SA, "COVID-19 in health-care workers : a living systematic review and meta-analysis of prevalence, risk factors, clinical characteristics, and outcomes", Am J Epidemiol, 190, pp.161~175 (2021)
  39. Suárez-García I, "SARS-CoV-2 infection among healthcare workers in a hospital in Madrid, Spain", J Hosp Infect, 106, pp.357~363 (2020)
  40. Wu Z, "Characteristics of and important lessons from the coronavirus disease 2019(COVID-19)outbreak in China : summary of a report of 72 314 cases from the Chinese Center for Disease Control and Prevention", JAMA, 323, pp.1239~1242 (2020)
  41. The Lancet, "COVID-19 : protecting health-care workers", Lancet, 395, pp.922~ (2020)
  42. Abbas M, "Nosocomial transmission and outbreaks of coronavirus disease 2019 : the need to protect both patients and healthcare workers", Antimicrob Resist Infect Control, 10, pp.7~ (2021)
  43. Sikkema RS, "COVID-19 in health-care workers in three hospitals in the south of the Netherlands : a cross-sectional study", Lancet Infect Dis, 20, pp.1273~1280 (2020)
  44. Labetoulle R, "COVID-19 in health-care workers : lessons from SARS and MERS epidemics and perspectives for chemoprophylaxis and vaccines", Expert Rev Vaccines, 19, pp.937~947 (2020)
  45. Dimcheff DE, "Seroprevalence of severe acute respiratory syndrome coronavirus-2(SARS-CoV-2)infection among Veterans Affairs healthcare system employees suggests higher risk of infection when exposed to SARS-CoV-2 outside the work environment", Infect Control Hosp Epidemiol, 42, pp.392~398 (2021)
  46. Schneider S, "SARS-Coronavirus-2 cases in healthcare workers may not regularly originate from patient care : lessons from a university hospital on the underestimated risk of healthcare worker to healthcare worker transmission", Antimicrob Resist Infect Control, 9, pp.192~ (2020)
  47. Chen Y, "High SARS-CoV-2 antibody prevalence among healthcare workers exposed to COVID-19 patients", J Infect, 81, pp.420~426 (2020)
  48. Ran L, "Risk factors of healthcare workers with coronavirus disease 2019 : a retrospective cohort study in a designated hospital of Wuhan in China", Clin Infect Dis, 71, pp.2218~2221 (2020)
  49. Chatterjee P, "Healthcare workers & SARS-CoV-2 infection in India : a case-control investigation in the time of COVID-19", Indian J Med Res, 151, pp.459~467 (2020)
  50. Liu M, "Use of personal protective equipment against coronavirus disease 2019 by healthcare professionals in Wuhan, China: cross sectional study", BMJ, 369, pp.m2195~ (2020)
  51. Stubblefield WB, "Seroprevalence of SARS-CoV-2among frontline healthcare personnel during the first month of caring for patients with COVID-19-Nashville, Tennessee", Clin Infect Dis, 72, pp.1645~1648 (2021)
  52. "Response Guideline of healthcare facilities for COVID-19"[URL]
  53. He X, "Temporal dynamics in viral shedding and transmissibility of COVID-19", Nat Med, 26, pp.672~675 (2020)
  54. Hogan CA, "Largescale testing of asymptomatic healthcare personnel for severe acute respiratory syndrome coronavirus 2", Emerg Infect Dis, 27, pp.250~254 (2021)
  55. Roberts SC, "Mass severe acute respiratory coronavirus 2(SARS-CoV-2)testing of asymptomatic healthcare personnel", Infect Control Hosp Epidemiol, 42, pp.625~626 (2021)
  56. Rivett L, "Screening of healthcare workers for SARS-CoV-2 highlights the role of asymptomatic carriage in COVID-19 transmission", eLife, 9, pp.e58728~ (2020)
  57. Black JRM, "COVID-19 : the case for health-care worker screening to prevent hospital transmission", Lancet, 395, pp.1418~1420 (2020)
  58. Grassly NC, "Comparison of molecular testing strategies for COVID-19 control : a mathematical modelling study", Lancet Infect Dis, 20, pp.1381~1389 (2020)
  59. Chin ET, "Frequency of routine testing for coronavirus disease 2019(COVID-19)in high-risk healthcare environments to reduce outbreaks", Clin Infect Dis, 73, pp.e3127~9 (2021)
  60. Lee Unhee, "Source Analysis and Effective Control of a COVID-19 Outbreak in a University Teaching Hospital during a Period of Increasing Community Prevalence of COVID-19", Journal of Korean Medical Science, 36(24), pp.1~13 (2021), 대한의학회[DOI]
  61. Dye TD, "Risk of COVID-19-related bullying, harassment and stigma among healthcare workers : an analytical cross-sectional global study", BMJ Open, 10, pp.e046620~ (2020)
  62. Polack FP, "Safety and efficacy of the BNT162b2 mRNA Covid-19 vaccine", N Engl J Med, 383, pp.2603~2615 (2020)
  63. Baden LR, "Efficacy and safety of the mRNA-1273SARS-CoV-2 vaccine", N Engl J Med, 384, pp.403~416 (2021)
  64. Voysey M, "Safety and efficacy of the ChAdOx1 nCoV-19 vaccine(AZD1222)against SARS-CoV-2 : an interim analysis of four randomised controlled trials in Brazil, South Africa, and the UK", Lancet, 397, pp.99~111 (2021)
  65. Paris C, "Effectiveness of mRNA-BNT162b2, mRNA-1273, and ChAdOx1nCoV-19 vaccines against COVID-19 in healthcare workers : an observational study using surveillance data", Clin Microbiol Infect, 27, pp.1699~ (2021)
  66. Thompson MG, "Interim estimates of vaccine effectiveness of BNT162b2 and mRNA-1273COVID-19 vaccines in preventing SARS-CoV-2 infection among health care personnel, first responders, and other essential and frontline workers-Eight U. S. Locations, December 2020-March 2021", MMWR Morb Mortal Wkly Rep, 70, pp.495~500 (2021)
  67. Hall VJ, "COVID-19 vaccine coverage in health-care workers in England and effectiveness of BNT162b2 mRNA vaccine against infection(SIREN) : a prospective, multicentre, cohort study", Lancet, 397, pp.1725~1735 (2021)
  68. Tartof SY, "Effectiveness of mRNA BNT162b2 COVID-19 vaccine up to 6 months in a large integrated health system in the USA : a retrospective cohort study", Lancet, 398, pp.1407~1416 (2021)
  69. MacDonald NE, "Vaccine hesitancy : Definition, scope and determinants", Vaccine, 33, pp.4161~4164 (2015)
  70. Duong Minh Cuong, "Who Influences the Public Intention to Get a COVID-19 Vaccine and What are the Public References and Concerns? A Population Survey in Vietnam", Infection and Chemotherapy, 53(4), pp.753~766 (2021), 대한감염학회[DOI]
  71. Li M, "Healthcare workers’(HCWs)attitudes and related factors towards COVID-19 vaccination : a rapid systematic review", Postgrad Med J (2021)
  72. Chun JY, "Cancer patients’ willingness to take COVID-19 vaccination : a nationwide multicenter survey in Korea", Cancers(Basel), 13, pp.3883~ (2021)
  73. Shekhar R, "COVID-19 vaccine acceptance among health care workers in the United States", Vaccines(Basel), 9, pp.119~ (2021)
  74. Bagcchi S, "Stigma during the COVID-19 pandemic", Lancet Infect Dis, 20, pp.782~ (2020)
  75. Brewis A, "Stigma, pandemics, and human biology : looking back, looking forward", Am J Hum Biol, 32, pp.e23480~ (2020)
  76. Ransing R, "Infectious disease outbreak related stigma and discrimination during the COVID-19 pandemic : Drivers, facilitators, manifestations, and outcomes across the world", Brain Behav Immun, 89, pp.555~558 (2020)
  77. Koh D, "Risk perception and impact of Severe Acute Respiratory Syndrome(SARS)on work and personal lives of healthcare workers in Singapore : what can we learn?", Med Care, 43, pp.676~682 (2005)
  78. Taylor S, "Fear and avoidance of healthcare workers : an important, under-recognized form of stigmatization during the COVID-19 pandemic", J Anxiety Disord, 75, pp.102289~ (2020)
  79. Devi S, "COVID-19 exacerbates violence against health workers", Lancet, 396, pp.658~ (2020)
  80. Almutairi AF, ""It feels like I’m the dirtiest person in the world. " : Exploring the experiences of healthcare providers who survived MERS-CoV in Saudi Arabia", J Infect Public Health, 11, pp.187~191 (2018)
  81. Muhidin S, "Anticipating COVID-19-related stigma in survivors and health-care workers : Lessons from previous infectious diseases outbreaks-an integrative literature review", Psychiatry Clin Neurosci, 74, pp.617~618 (2020)
  82. Ramaci T, "Social Stigma during COVID-19 and its impact on HCWs outcomes", Sustainability, 12, pp.3834~ (2020)
  83. Chaiuk TA, "Fear culture in media : an examination on coronavirus discourse", J Hist Cult Art Res, 9, pp.184~194 (2020)
  84. Wu P, "Alcohol abuse", dependence symptoms among hospital employees exposed to a SARS outbreak, 2008, pp.43, 706~712
  85. Liu X, "Depression after exposure to stressful events : lessons learned from the severe acute respiratory syndrome epidemic", Compr Psychiatry, 53, pp.15~23 (2012)
  86. Gómez-Durán EL, "Psychological impact of quarantine on healthcare workers", Occup Environ Med, 77, pp.666~674 (2020)
  87. Brooks SK, "The psychological impact of quarantine and how to reduce it : rapid review of the evidence", Lancet, 395, pp.912~920 (2020)
  88. Sim MR, "The COVID-19 pandemic : major risks to healthcare and other workers on the front line", Occup Environ Med, 77, pp.281~282 (2020)
  89. Seong SJ, "Differences between the psychiatric symptoms of healthcare workers quarantined at home and in the hospital after contact with a patient with Middle East respiratory syndrome", Front Psychiatry, 12, pp.659202~ (2021)
  90. Sun N, "A qualitative study on the psychological experience of caregivers of COVID-19 patients", Am J Infect Control, 48, pp.592~598 (2020)
  91. Lee SH, "Facing SARS : psychological impacts on SARS team nurses and psychiatric services in a Taiwan general hospital", Gen Hosp Psychiatry, 27, pp.352~358 (2005)
  92. Alzaid EH, "Prevalence of COVID-19-related anxiety among healthcare workers : a cross-sectional study", J Family Med Prim Care, 9, pp.4904~4910 (2020)
  93. Lu W, "Psychological status of medical workforce during the COVID-19 pandemic : a cross-sectional study", Psychiatry Res, 288, pp.112936~ (2020)
  94. Urooj U, "Expectations, fears and perceptions of doctors during Covid-19 pandemic", Pak J Med Sci, 36(COVID19-S4), pp.S37~S42 (2020)
  95. Şahan E, "State and trait anxiety among medical staff during the first month of COVID-19 pandemic : a sample from Turkey", Int J Psychiatry Med, 57, pp.338~356 (2022)
  96. Xu J, "Effect of EAP psychological intervention on improving the mental health of medical workers under the novel coronavirus epidemic in China", Front Public Health, 9, pp.649157~ (2021)
  97. Shanafelt T, "Understanding and addressing sources of anxiety among health care professionals during the COVID-19 pandemic", JAMA, 323, pp.2133~2134 (2020)
  98. 김지수, "Factors Influencing Emergency Nurses' Burnout During an Outbreak of Middle East Respiratory Syndrome Coronavirus in Korea", Asian Nursing Research, 10(4), pp.295~299 (2016), 한국간호과학회
  99. Seo Yae Eun, "Factors Associated with Burnout among Healthcare Workers during an Outbreak of MERS", PSYCHIATRY INVESTIGATION, 17(7), pp.674~680 (2020), 대한신경정신의학회[DOI]

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