zurniimtpeМедицина труда и промышленная экологияRussian Journal of Occupational Health and Industrial Ecology1026-94282618-8945FSBSI “Izmerov Research Institute of Occupational Health”10.31089/1026-9428-2021-61-11-720-725zurniimtpe-2849Research ArticleОРИГИНАЛЬНЫЕ СТАТЬИORIGINAL ARTICLESНовая коронавирусная инфекция как профессиональное заболевание: сложные экспертные случаиNew coronavirus infection as an occupational disease: complex expert caseshttps://orcid.org/0000-0001-8986-8030ГариповаРаиля ВалиевнаGaripovaRailya V.

Профессор кафедры гигиены, медицины труда ФГБОУ ВО «Казанский ГМУ» Минздрава России, д-р. мед. наук.

e-mail: railyagaripova@mail.ru

Professor of the Department of hygiene, occupational health, Kazan State Medical University, Ministry of Health, Russian Federation, Dr. of Sci. (Med.).

e-mail: railyagaripova@mail.ru

railyagaripova@mail.ruhttps://orcid.org/0000-0002-2291-6453СтрижаковЛ. А.StrizhakovLeonid A.noemail@neicon.ruhttps://orcid.org/0000-0002-9107-7964ГорблянскийЮ. Ю.GorblyanskyYuri Yu.noemail@neicon.ruhttps://orcid.org/0000-0002-1667-737XБабановС. А.BabanovSergey A.noemail@neicon.ruФГБОУ ВО «Казанский государственный медицинский университет» Минздрава РоссииРоссияKazan State Medical UniversityRussian FederationФГАОУ ВО «Первый Московский государственный медицинский университет имени И.М. Сеченова» Минздрава РоссииРоссияSechenov First Moscow State Medical UniversityRussian FederationФГБОУ ВО «Ростовский государственный медицинский университет» Минздрава РоссииРоссияRostov-on-Don State Medical UniversityRussian FederationФГБОУ ВО «Самарский государственный медицинский университет» МЗ РФРоссияSamara State Medical UniversityRussian Federation2021081220216111720725Copyright © Гарипова Р.В., Стрижаков Л.А., Горблянский Ю.Ю., Бабанов С.А., 20212021Гарипова Р.В., Стрижаков Л.А., Горблянский Ю.Ю., Бабанов С.А.Garipova R.V., Strizhakov L.A., Gorblyansky Y.Y., Babanov S.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.journal-irioh.ru/jour/article/view/2849Введение

Введение. Профессиональная деятельность медицинских работников (МР) связана с ежедневным контактом с различными факторами производственной среды: физическими, химическими, биологическими и трудового процесса. До 2020 г. в структуре профессиональных заболеваний (ПЗ) МР Российской Федерации преобладали туберкулёз и вирусные гепатиты. По данным Государственного доклада «О состоянии санитарно-эпидемиологического благополучия населения в Российской Федерации в 2020 году» впервые второе ранговое место в структуре профессиональной патологии в зависимости от воздействующего вредного производственного фактора заняли заболевания, связанные с действием биологических факторов, — 20,19%, при этом основной причиной роста является заболеваемость работников здравоохранения коронавирусной инфекцией COVID-19 (далее — COVID-19).

Цель исследования — выявление проблемных моментов при установлении связи COVID-19 с профессией у МР.

Материалы и методы

Материалы и методы. Приведены описания клинических случаев, а также применён ретроспективный анализ случаев ПЗ по данным регистров больных следующих медицинских учреждений: Центра профпатологии Сеченовского Университета, республиканского центра профпатологии Минздрава Республики Татарстан, областного центра профпатологии Самарской области.

Результаты

Результаты. В 2020 г. наиболее распространённым ПЗ у работников здравоохранения оказалась COVID-19 с летальными исходами и развитием осложнений. На сегодняшний день трудности с определением связи COVID-19 с профессией возникают при оценке эпидемиологического анамнеза, последствий после перенесённой коронавирусной инфекции, формулировке диагноза.

Заключение

Заключение. Для качественного проведения экспертизы связи COVID-19 с профессией следует разработать перечень клинических состояний, которые можно рассматривать как осложнения, а также определить сроки формирования осложнений.

Introduction

Introduction. The professional activity of medical workers (MW) is in close contact with daily contact with various factors of the production environment: physical, chemical, biological, and labor processes.

Until 2020, tuberculosis and viral hepatitis prevailed in the structure of occupational diseases (OD) of the medical workers in the Russian Federation. 

According to the State report "On the state of sanitary and epidemiological welfare of the population in the Russian Federation in 2020," the first ranking the second place in the structure of occupational diseases, depending on the impact of harmful production factor took the illnesses associated with the action of biological factors — 20,19%, while the main reason for the growth in the incidence of healthcare workers in coronavirus infection COVID-19 (further COVID-19).

The study aims were to identify problematic aspects in the establishment of the COVID-19 work from MW.

Materials and methods

Materials and methods. We have given descriptions of clinical cases, as well as a retrospective analysis of issues of OD according to the patient registers of the following medical institutions: the Center of Occupational Pathology of Sechenov University, the Republican Center of Occupational Pathology of the Ministry of Health, Republic of Tatarstan, the Regional Center of Occupational Pathology of the Samara Region.

Results

Results. In 2020, COVID-19 was the most common OD with fatal outcomes and complications in healthcare workers.

Today, difficulties in determining the connection of COVID-19 with the profession arise when assessing the epidemiological history, the consequences after a coronavirus infection, and the formulation of the diagnosis.

Conclusions

Conclusions. For a qualitative examination of the connection of COVID-19 with the profession, it is necessary to develop a list of clinical conditions with the definition of the timing of complications.

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The authors declare that there are no conflicts of interest present.