Diagnosing occupational COVID-19 in Croatian healthcare workers

  • Roko Žaja University of Zagreb School of Medicine, Andrija Štampar School of Public Health, Department of Environmental Health and Occupational and Sports Medicine, Zagreb, Croatia
  • Ivana Kerner Bonifarm zdravlje, Zagreb, Croatia
  • Milan Milošević University of Zagreb School of Medicine, Andrija Štampar School of Public Health, Zagreb, Croatia
  • Jelena Macan Institute for Medical Research and Occupational Health, Zagreb, Croatia
Keywords: asymptomatic infection, guideline, job description, nurses, SARS-CoV-2

Abstract

Coronavirus disease 2019 (COVID-19) can be diagnosed as occupational disease by an occupational health physician (OHP), if supported by relevant work-related and medical documentation. The aim of this study was to analyse such documentation submitted by Croatian healthcare workers (HCWs) and discuss its relevance in view of European and Croatian guidelines. The study included 100 Croatian HCWs who were SARS-CoV-2-positive and requested that their infection be diagnosed as occupational disease by their OHPs from 1 May 2020 to 10 March 2021. As participants they were asked to fill out our online Occupational COVID-19 in Healthcare Workers Questionnaire. For the purpose of this study we analysed answers about the type of close contact at the workplace, COVID-19 symptoms, and enclosed work-related (job description, employer statement about exposure to SARS-CoV-2) and medical documentation (positive SARS-CoV-2 polymerase chain reaction test and patient history confirming the diagnosis of COVID-19). Most participants were working in hospitals (N=95), mostly nurses (N=75), who became infected by a patient (N=68) or colleague (N=31), and had at least one COVID-19 symptom (N=87). Eighty participants did not enclose obligatory documents, 41 of whom failed to submit job description and 31 both job description and employer statement. These findings confirm that the major risk of occupational COVID-19 in HCWs is close contact with patients and colleagues, and points out the need for better cooperation between OHPs, occupational safety experts, employers, and diseased workers.

Published
2021-12-23
How to Cite
1.
Žaja R, Kerner I, Milošević M, Macan J. Diagnosing occupational COVID-19 in Croatian healthcare workers. Arh Hig Rada Toksikol [Internet]. 2021Dec.23 [cited 2024Mar.19];72(4). Available from: https://arhiv.imi.hr/index.php/arhiv/article/view/1452
Section
Original article

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