Clinical Ophthalmology (Oct 2021)
The Role of Infection Control Measures in Ophthalmology: Do They Prevent COVID-19 Infection Among Ophthalmologists in Egypt? A Survey-Based Study
Abstract
Sara M Esmat,1 Mohammad R Aboulfotouh,1 Moushira H Ezzelarab,2 Shaimaa A Abdalgeleel,3 Doaa A Tolba1 1Department of Ophthalmology, Faculty of Medicine, Cairo University, Cairo, Egypt; 2Department of Clinical and Chemical Pathology, Faculty of Medicine, Cairo University, Cairo, Egypt; 3Department of Biostatistics and Epidemiology, National Cancer Institute, Cairo University, Cairo, EgyptCorrespondence: Sara M EsmatDepartment of Ophthalmology, Faculty of Medicine, Cairo University, Cairo, 11562, EgyptTel +201069186501Email [email protected]: Ophthalmologists are at a high risk of coronavirus disease 2019 (COVID-19) infection owing to their working environments and proximity to patients during examinations. Compliance with infection control measures in examination offices can lessen the risk of infection to this group. In Egypt, several deaths from COVID-19 have been reported among ophthalmologists; therefore, we studied the prevalence of COVID-19 infections in this group and assessed ophthalmologists’ commitments to recommended infection control measures.Aim: To evaluate the rate of COVID-19 infections among ophthalmologists, identify risk factors for infections, and evaluate ophthalmologists’ commitments to infection control measures in their medical facilities.Methods: An online questionnaire was designed and distributed to ophthalmologists in the Cairo Governorate from May 1, 2021 to mid-June 2021.Results: Out of 161 responders, the percentage of COVID-19 infections was 52.8% (85 responders). This was significantly higher among younger ophthalmologists (P-value = 0.019) and those with fewer years of experience (P-value = 0.010). Adopting full precautions while examining patients with or without respiratory illness were significantly associated with a lower infection rate (P-value = 0.019 and 0.046, respectively). A significantly higher infection rate was reported for ophthalmologists who examined known COVID-19 patients at outpatient clinics, even when taking precautions (P-value = 0.032). A lower rate of COVID-19 infection was significantly associated with adopting full precautions while operating on suspected or nonsuspected COVID-19 patients (P-value = 0.007 and 0.003, respectively).Conclusion: Both young age and limited experience were significant infection risk factors in our study. The most important infection control measures that significantly decreased infection risks were adherence to full protective measures while working in outpatient clinics and operating rooms.Keywords: COVID-19, infection control, ophthalmologists
