430 - Frontline doctors infected with Covid-19 during a hospital outbreak in Veracruz, Mexico.

The ePoster content is available to users who are logged in.<br><br>Please log in and then come back here to use this button.

Presenting Author(s)

Luis Del Carpio-Orantes

Researcher
Grupo de Estudio para el Diagnóstico y Tratamiento de COVID-19 en Veracruz, México
Veracruz, Veracruz-Llave, Mexico
Disclosure: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Co-Author(s)

AM

Alvaro Efren Munguia-Sereno

Dr Alvaro Efren Munguia-Sereno
Instituto Mexicano del Seguro Social
Veracruz, Veracruz-Llave, Mexico
Disclosure: I do not have any relevant financial / non-financial relationships with any proprietary interests.
ZG

Zeltzin Olivia Guerrero-Mancinas

Dra Zeltzin Olivia Guerrero-Mancinas
Instituto Mexicano del Seguro Social
Veracruz, Veracruz-Llave, Mexico
Disclosure: I do not have any relevant financial / non-financial relationships with any proprietary interests.
EA

Elisa Estefanía Aparicio-Sánchez

Dra Elisa Estefanía Aparicio-Sánchez
Instituto Mexicano del Seguro Social
Veracruz, Veracruz-Llave, Mexico
Disclosure: I do not have any relevant financial / non-financial relationships with any proprietary interests.
OS

Orlando Israel Segura-Rodríguez

Dr Orlando Israel Segura-Rodríguez
Instituto Mexicano del Seguro Social
Veracruz, Veracruz-Llave, Mexico
Disclosure: I do not have any relevant financial / non-financial relationships with any proprietary interests.
OG

Omar García-Hernández

Dr Omar García Hernández
Instituto Mexicano del Seguro Social
Veracruz, Veracruz-Llave, Mexico
Disclosure: I do not have any relevant financial / non-financial relationships with any proprietary interests.
AE

Alejandro Escobar-Huerta

Dr Alejandro Escobar-Huerta
Instituto Mexicano del Seguro Social
Veracruz, Veracruz-Llave, Mexico
Disclosure: I do not have any relevant financial / non-financial relationships with any proprietary interests.
CD

Claudia Leticia Dorantes-Nava

Dra Claudia Leticia Dorantes Nava
Instituto Mexicano del Seguro Social
Veracruz, Veracruz-Llave, Mexico
Disclosure: I do not have any relevant financial / non-financial relationships with any proprietary interests.
EG

Eustaquio Garcés-García

Dr Eustaquio Garcés-García
Instituto Mexicano del Seguro Social
Veracruz, Veracruz-Llave, Mexico
Disclosure: I do not have any relevant financial / non-financial relationships with any proprietary interests.
CO

Cirilo Ortiz-Espinoza

Dr Cirilo Ortiz Espinoza
Instituto Mexicano del Seguro Social
Veracruz, Veracruz-Llave, Mexico
Disclosure: I do not have any relevant financial / non-financial relationships with any proprietary interests.
JT

José Luis Torres-Sánchez

Dr José Luis Torres-Sánchez
Instituto Mexicano del Seguro Social
Veracruz, Veracruz-Llave, Mexico
Disclosure: I do not have any relevant financial / non-financial relationships with any proprietary interests.
LL

Luis Daniel López-Varela

Dr Luis Daniel López-Varela
Instituto Mexicano del Seguro Social
Veracruz, Veracruz-Llave, Mexico
Disclosure: I do not have any relevant financial / non-financial relationships with any proprietary interests.
SP

Samuel Pascual-Epigmenio

Dr Samuel Pascual Epigmenio
Instituto Mexicano del Seguro Social
Veracruz, Veracruz-Llave, Mexico
Disclosure: I do not have any relevant financial / non-financial relationships with any proprietary interests.
LM

Luis Alberto Márquez-Rodríguez

Dr Luis Alberto Márquez-Rodríguez
Instituto Mexicano del Seguro Social
Veracruz, Veracruz-Llave, Mexico
Disclosure: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Background: The current Covid-19 pandemic has affected health workers, some estimates mention more than 90,000 affected, even with deaths throughout the world.Population characteristics

General symptoms

Methods: Descriptive, analytical and cross-sectional study. The cases of front-line doctors infected with Covid-19 during a hospitalary outbreak, in the General Hospital 71 “Lic. Benito Coquet Lagunes” of Veracruz, dependent on the Mexican Institute of Social Security, from April 1 to May 31, 2020.Treatments

Oxygen therapy

Results: Seven doctors were entered into the study, with an average age of 42.4 years, all of them male. The affectation by service was: Internal medicine 5 of 17 doctors (29.4%), Emergencies 1 of 15 doctors (6.6%) and Intensive care 1 of 6 doctors (16.6%) infected by Covid-19. Laboratory studies were only performed in 5 cases, the presence of leukopenia in 1 case (20%), leukocytosis in 2 cases (40%), lymphopenia in 4 cases (80%) stand out. Impaired fasting glucose was reported in all cases. There was no alteration in kidney function; in liver function, transaminemia was reported in 80%. Regarding the acute phase reactants, the intake of these was very inconsistent since it was not uniform in all cases, but the most representative was elevated ESR in 4 of 4 cases (100%), positive PCR in 3 of 4 cases ( 75%), procalcitonin negative in 3 of 3 cases (100%), elevated DHL in 2 of 5 cases (40%), elevated D-dimer in 1 of 3 cases (33.3%), elevated ferritinemia in 1 of 2 cases (50 %). The rest of the characteristics in the table and graphs.

Conclusion: The present cohort of doctors affected by Covid during a hospital outbreak shows that there are several factors to take into account, on the one hand, factors specific to the population (obesity, diabetes, hypertension), as well as the institutions that are in charge of medical personnel. they must identify the risk factors mentioned, influence them and protect said population that is vulnerable per se to a pandemic; Another constantly identified factor is occupational exposure to the pathogen without sufficient and adequate personal protective equipment.