Control and Prevention of SARS-CoV-2 Outbreaks among Healthcare Workers from 129 Healthcare Facilities in Mexico

César Pineda-Santoyo, Abraham Campos-Romero, Marco A. Luna-Ruiz Esparza, Liliana E. López-Luna, Martha E. Sánchez-Zarate, Abraham Zepeda-González, Miguel A. Fernández-Rojas and Jonathan Alcántar-Fernández
Additional contact information
César Pineda-Santoyo: Hygiene and Occupational Safety Department, Salud Digna, Culiacan 80000, Mexico
Abraham Campos-Romero: Innovation and Research Department, Salud Digna, Culiacan 80000, Mexico
Marco A. Luna-Ruiz Esparza: Innovation and Research Department, Salud Digna, Culiacan 80000, Mexico
Liliana E. López-Luna: Tijuana Centro Clinic, Salud Digna, Tijuana 22000, Mexico
Martha E. Sánchez-Zarate: Gustavo A. Madero Clinic, Salud Digna, Ciudad de Mexico 07020, Mexico
Abraham Zepeda-González: Institutional Relations Department, Salud Digna, Culiacan 80000, Mexico
Miguel A. Fernández-Rojas: Innovation and Research Department, Salud Digna, Culiacan 80000, Mexico
Jonathan Alcántar-Fernández: Innovation and Research Department, Salud Digna, Culiacan 80000, Mexico

IJERPH, 2021, vol. 18, issue 22, 1-13

Abstract: Few reports have shared the workflows to reduce SARS-CoV-2 infections among risk groups, including healthcare workers (HCWs). This study describes an occupational health program implemented to reduce the incidence of COVID-19 and establishes a back-to-work algorithm in HCWs of 129 Salud Digna outpatient care clinics in Mexico. This program was composed of training plans, screening SARS-CoV-2 infections, the containment of infections, follow-up COVID-19 cases, and continuing supervision in addition to the steady supply and training for the correct use of PPE. From 16 April 2020 to 15 April 2021, 7376 individuals were enrolled, of which 423 were excluded because they did not meet the inclusion criteria or refused the follow-up. In the cohort studied, we found a COVID-19 incidence of 35.4% (2610 individuals), lower hospitalization (0.11%), ICU (0.04%) and lethality rate (0.04%). Additionally, 85.9% of COVID-19 cases tested negative for SARS-CoV-2 after 14 days of the first positive test with an average isolation time of 26–33 days. Finally, 99% of people received personal protective equipment and adequate training to use it. Our results show that the program implemented reduced the hospitalization ICU admission and lethality in HCWs; we consider this workflow to help other workplaces offer safe conditions for HCWs and patients.

Keywords: healthcare workers; SARS-CoV-2; COVID-19; occupational health program; workflow (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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