Effect of Occupational Exposure on A(H1N1)pdm09 Infection and Hospitalization
Por:
Pujol J, Godoy P, Soldevila N, Castilla J, González-Candelas F, Mayoral JM, Astray J, García S, Martín V, Tamames S, Delgado M and García ÁD
Publicada:
1 oct 2016
Ahead of Print:
18 jul 2016
Resumen:
To analyze relationships between occupational exposure and influenza infection and hospitalization during the 2009-2010 pandemic wave and the 2010-2011 influenza seasonal epidemic in Spain.
Occupations were classified as high, medium, or low risk of influenza exposure. To assess the risk of infection, 588 outpatient cases of influenza confirmed by reverse-transcription polymerase-chain-reaction (RT-PCR) were compared with 588 outpatients without influenza symptoms. To assess the risk of hospitalization, 337 outpatient influenza cases were compared with 337 inpatient influenza cases.
The high risk of occupational exposure group was composed only of health care workers. After adjustment for age, sex, vaccination status, and predictive variables of influenza infection, patients with a high risk of occupational exposure had an aOR of 2.14 (95%CI: 1.25-3.66) of being an outpatient influenza case and an aOR of 0.43 (95%CI: 0.20-0.95) of being an inpatient influenza case, compared with those with a low risk.
A high risk of occupational exposure is a risk factor for influenza infection but not for hospitalization.
Filiaciones:
Pujol J:
Departament de Cirurgia, Universitat de Lleida, Lleida, Spain
Departament de SalutPública, Universitat de Barcelona, Barcelona, Spain
jesus.pujol
Godoy P:
Public Health Agency, Generalitat de Catalunya, Barcelona, Spain
CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
Soldevila N:
Departament de Cirurgia, Universitat de Lleida, Lleida, Spain
CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
Castilla J:
CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
Instituto de Salud Pública, Instituto de Investigación Sanitaria de Navarra, Pamplona, Spain
:
CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
UnidadMixta "Infección y Salud Pública" FISABIO-Universidad de Valencia, Valencia, Spain
Mayoral JM:
Servicio de Vigilancia de Andalucía, Sevilla, Spain
Astray J:
Área de Epidemiología, Consejería de Sanidad de Madrid, Madrid, Spain
García S:
Unidad de Investigación, Hospital Galdakao-Usansolo, Bizkaia, Redissec, Spain
Martín V:
CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
MedicinaPreventiva y Salud Pública, Universidad de Leon, León, Spain
Tamames S:
Dirección General de Salud Pública, Investigación, Desarrollo e Innovación, Junta de Castilla y León, Spain
Delgado M:
CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
Universidad de Jaén, Jaén, Spain
García ÁD:
Departament de SalutPública, Universitat de Barcelona, Barcelona, Spain
CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
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