• Atencion primaria · Mar 2021

    Observational Study

    [Clinical and epidemiological characteristics of SARS-CoV-2 infections in family physicians: A case-control study].

    • Ignacio Párraga Martínez, Luis Angel Pérula de Torres, Jesús González Lama, Celia Jiménez García, Rosa Sánchez Montero, Faustino Rider Garrido, and en representación del Grupo EPICOVID.
    • Sección de Investigación de la Sociedad Española de Medicina Familiar y Comunitaria (semFYC), Centro de Salud Zona VIII de Albacete, Gerencia Atención Integrada de Albacete, Facultad de Medicina de Albacete, Universidad de Castilla-La Mancha, Albacete, España. Electronic address: iparraga@sescam.jccm.es.
    • Aten Primaria. 2021 Mar 1; 53 (3): 101956101956.

    ObjectiveTo identify the sociodemographic, clinical and epidemiological characteristics associated with the presence of infection by the SARS-CoV-2 virus in family physicians who carry out their work in Primary Care (PC) or in Hospital Emergencies.DesingObservational analytical case-control study. SITE: Primary care.Participants969 Primare Care Physicians, Hospital Emergency physicians and other extrahospitalry centers that had PCR for the detection of the SARS-CoV-2. Of these, 133 participated as cases (PCR positive) and 836 as controls (PCR negative).InterventionsNo.Main MeasurementsSociodemographic and work, contact with a COVID-19 patient, symptoms present during the process, first manifested symptom, previous chronic pathologies, and tobacco use.Results13.7% (95% CI: 11.6-16.0) were cases infected with SARS-CoV-2. The most frequently declared symptoms by those infected were a feeling of fatigue/tiredness (69.2%; 95% CI: 60.9-77.4%), cough (56.4%; 95% CI: 47.6-65.2%) and headache (55.6%; 95% CI: 46.8-64.4%).Using logistic regression, the variables independently associated with SARS-CoV-2 virus infection in Family Physicians were: previous contact with a COVID-19 patient (OR: 2.3; 95% CI: 1.2-4.2), present fatigue / tiredness (OR: 2.2; 95% CI: 1.2-3.9), smell alteration (4.6; 95% CI: 1.7-12.5), taste alteration (OR: 32.0; 95% CI: 9.6-106.8), cough (OR: 3.0; 95% CI: 1.7-5.3) and fever (OR: 6.1; 95% CI: 3.2-11.4).ConclusionsSymptoms independently related to SARS-CoV-2 virus infection in Family Physicians were fatigue, fever, cough, and altered taste and smell. The presence of these symptoms could facilitate the diagnosis of suspected COVID-19 disease and the earlier selection of those that require confirmatory tests.Copyright © 2020. Publicado por Elsevier España, S.L.U.

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