Monitoring of COVID-19 in medical internship: experience of a federal university (2021-2023)/ Seguimiento del COVID-19 en el internado médico: experiencia de una universidad federal (2021-2023)/ Monitoramento da COVID-19 no internato médico em uma universidade federal brasileira (2021-2023)
DOI:
https://doi.org/10.30681/2526101013388Palavras-chave:
COVID-19, Estudantes de Medicina, Internato e Residência , Monitoramento Remoto de Pacientes, Isolamento SocialResumo
Objetivo: estimar a frequência de COVID-19 e sintomas clínicos entre estudantes de medicina matriculados a partir do início do internato. Método: foi realizado um estudo descritivo em uma coorte de estudantes de internato médico de uma Faculdade de Medicina no Brasil. A coleta de dados durou de março/2021 a março/2023, quando a equipe de monitoramento forneceu instruções sobre a transmissão do SARS-CoV2. Dois formulários foram usados: um inicial e outro usado para monitoramento semanal. Resultados: o estudo avaliou 520 estudantes de medicina. A prevalência de casos suspeitos de COVID-19 foi de 27,59% (143/520) e de testes positivos de 12,11% (63/520). Durante o período de monitoramento, 72,5% (377/520) foram assintomáticos. Dos casos suspeitos, 44,05% (63/143) positivaram, 35,66% (51/143) negativaram e 20,28% (29/143) não realizaram o teste ou não retornaram o formulário de monitoramento semanal. Houve 55,26% (63/114) de diagnóstico confirmado de COVID-19 com diferenças estatisticamente significativas nas queixas quanto à febre (p=0,023), fadiga (p=0,0037), dor de cabeça (p=0,042) e perda do paladar (p=0,005). Conclusão: o estudo mostrou alta prevalência de COVID-19, sendo os sintomas citados anteriormente os mais importantes. O protocolo de intervenções comportamentais pode ser eficaz para proteger os alunos em cenários de pandemia.
Referências
1. World Health Organization. Infection prevention and control during health care when novel coronavirus (nCoV) infection is suspected. [cited 20 May 2024]. Available from: https://www.who.int/publications-detail/infection-prevention-and-control-during-health-care-when-novel-coronavirus-(ncov)-infection-is-suspected-20200125
2. Dedeilia A, Sotiropoulos MG, Hanrahan JG, Janga D, Dedeilias P, Sideris M. Medical and Surgical Education Challenges and Innovations in the COVID-19 Era: A Systematic Review. In Vivo. 2020; 34(3 Suppl):1603-1611.
3. UNICEF. COVID-19 and School Closures. March 2021.COVID-19 and School Closures: One year of education disruption - UNICEF DATA.
4. Ministério da Educação (BR). Portaria nº 343, de 17 de março de 2020 - Dispõe sobre a substituição das aulas presenciais por aulas em meios digitais enquanto durar a situação de pandemia do Novo Coronavírus - COVID-19. [cited 21September 2024]. Availablefrom:https://www.planalto.gov.br/ccivil_03/portaria/prt/portaria%20n%C2%BA%20343-20-mec.htm
5. Ministério da Educação (BR). Portaria Nº 356, de 20 de março de 2020. Dispõe sobre a atuação dos alunos dos cursos da área de saúde no combate à pandemia do COVID-19 (coronavírus). [cited 27 September 2024]. Available from: https://www.planalto.gov.br/ccivil_03/Portaria/PRT/Portaria%20n%C2%BA%20356-20-mec.htm
6. Lasheras I, Gracia-García P, Lipnicki DM, Bueno-Notivol J, López-Antón R, de la Cámara C, et al. Prevalence of Anxiety in Medical Students during the COVID-19 Pandemic: A Rapid Systematic Review with Meta-Analysis. Int J Environ Res Public Health. 2020; 17(18):6603.
7. Alsoufi A, Alsuyihili A, Msherghi A, Elhadi A, Atiyah H, Ashini A, et al. Impact of the COVID-19 pandemic on medical education: Medical students’ knowledge, attitudes, and practices regarding electronic learning. PLoS ONE. 2020; 15(11):e0242905.
8. Meister GS, Milanez MAG, Peper-Nascimento J, Sipriano ES, Machado LV, Frassetto M, et al. Qualidade de vida de estudantes universitários durante a pandemia da COVID-19 em Santa Catarina. J Health NPEPS. 2023; 8(1):e10572.
9. Wong TW, Lee CK, Tam W, Lau JT, Yu TS, Lui SF, et al. Cluster of SARS among medical students exposed to single patient, Hong Kong. Emerg Infect Dis. 2004; 10(2):269-76.
10. Silva GS, Avila GO, Lubianca FN, Lubianca JPN, Michelon VMM, Kalil DP, et al. Prevalence of COVID-19 in medical school and residency in Porto Alegre, RS. Rev Assoc Med Bras. 2022; 68(2):206-211.
11. Bawadi H, Shami R, El-Awaisi A, Al-Moslih A, Abdul Rahim H, et al. Exploring the challenges of virtual internships during the COVID-19 pandemic and their potential influence on the professional identity of health professions students: A view from Qatar University. Front Med (Lausanne). 2023; 10:1107693.
12. Paltiel AD, Zheng A, Walensky RP. Assessment of SARS-CoV-2 Screening Strategies to Permit the Safe Reopening of College Campuses in the United States. JAMA Netw Open. 2020; 3(7):e2016818.
13. National Center for Chronic Disease Prevention and Health Promotion (US). Interim infection prevention and control recommendations for patients with suspected or confirmed coronavirus disease 2019 (COVID-19) in healthcare settings. [cited 27 September 2024]. Available from: https://stacks.cdc.gov/view/cdc/86043
14. Chen Y, Klein SL, Garibaldi BT, Li H, Wu C, Osevala NM, et al. Aging in COVID-19: Vulnerability, immunity and intervention. Ageing Res Rev. 2021; 65:101205.
15. COVID-19 Outbreak Among College Students After a Spring Break Trip to Mexico - Austin, Texas, March 26-April 5, 2020. MMWR Morb Mortal Wkly Rep. 2020; 69(26):830-35.
16. Boehmer TK, DeVies J, Caruso E, van Santen KL, Tang S, Black CL, et al. Changing age distribution of the COVID-19 pandemic - United States, May-August 2020. MMWR Morb Mortal Wkly Rep. 2020; 69(39):1404-09.
17. Soda KJ, Chen X, Feinn R, Hill DR. Monitoring and responding to emerging infectious diseases in a university setting: A case study using COVID-19. PLoS One. 2023; 18(5):e0280979.
18. Frantz JM, Erasmus P, Magidigidi-Mathiso L. Assessment of SDG 3 Research Priorities and COVID-19 Recovery Pathways: A Case Study from University of the Western Cape, South Africa. Int J Environ Res Public Health. 2025; 22(7):1057.
19. United Nations. Transforming our world: The 2030 Agenda for Sustainable Development Goals. [cited 8 March 2024]. Available from: https://sdgs.un.org/#goal_section.
20. Fiocruz Genomic Network. [(accessed on 03 October 2025)]. Available online: http://www.genomahcov.fiocruz.br/
21. Malta M, Cardoso LO, Bastos FI, Magnanini MF, Silva CMFPP. Iniciativa STROBE: subsídios para a comunicação de estudos observacionais. Rev Saúde Pública. 2010; 44(3):559-565.
22. Ban Hani A, Alaridah N, Abu Abeeleh M, Shatarat A, Rayyan R, Kamal A, et al. Medical students and risk of COVID-19 infection: A descriptive cross-sectional study from the University of Jordan. Ann Med Surg (Lond). 2021; 70:102775.
23. Rebmann T, Loux TM, Gomel A, Lugo KA, Bafageeh F, Elkins H, et al. Assessing classroom and laboratory spread of COVID-19 in a university after elimination of physical distancing. PLoS One. 2023; 18(3):e0283050.
24. Hu K, Godfrey K, Ren Q, Wang S, Yang X, Li Q. The impact of the COVID-19 pandemic on college students in USA: Two years later. Psychiatry Res. 2022; 315:114685. Erratum in: Psychiatry Res. 2024; 339:116082.
25. Pruc M, Golik D, Szarpak L, Adam I, Smereka J. COVID-19 in healthcare workers. Am J Emerg Med. 2021; 39:236.
26. Al Maskari Z, Al Blushi A, Khamis F, Al Tai A, Al Salmi I, Al Harthi H, et al. Characteristics of healthcare workers infected with COVID-19: A cross-sectional observational study. Int J Infect Dis. 2021; 102:32-36.
27. Colaneri M, Novelli V, Cutti S, Muzzi A, Resani G, Monti MC, et al. The experience of the health care workers of a severely hit SARS-CoV-2 referral Hospital in Italy: incidence, clinical course and modifiable risk factors for COVID-19 infection. J Public Health (Oxf). 2021; 43(1):26-34.
28. Theuring S, Thielecke M, van Loon W, Hommes F, Hülso C, Von der Haar A, et al. SARS-CoV-2 infection and transmission in school settings during the second COVID-19 wave: a cross-sectional study, Berlin, Germany, November 2020. Euro Surveill. 2021; 26(34):2100184.
29. Children’s Task and Finish Group (TFC). Children’s task and Finish group: update to 4th Nov 2020 paper on children, schools and transmission. [cited 27 September 2024]. Available from: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/948617/s0998-tfc-update-to-4-november-2020-paper-on-children-schools-transmission.pdf
30. Hunter LA, Wyman S, Packel LJ, Facente, SN, Li Y., Harte A, et al. Monitoring SARS-CoV-2 incidence and seroconversion among university students and employees: a longitudinal cohort study in California, June-August 2020. BMJ Open. 2023; 13(4):e063999.
31. Maiorano E, Calastri A, Robotti C, Cassaniti I, Baldanti F, Zuccaro V, et al. Clinical, virological and immunological evolution of the olfactory and gustatory dysfunction in COVID-19. Am J Otolaryngol. 2022; 43(1):103170.
32. Rocke J, Hopkins C, Philpott C, Kumar N. Is loss of sense of smell a diagnostic marker in COVID-19: a systematic review and meta-analysis. Clin Otolaryngol. 2020; 45(6):914-922.
33. Rothan HA, Byrareddy SN. The epidemiology and pathogenesis of coronavirus disease (COVID-19) outbreak. J Autoimmun. 2020; 109:102433.
34. Temperoni C, Grieco S, Pasquini Z, Canovari B, Polenta A, Gnudi U, et al. Clinical characteristics, management and health related quality of life in young to middle age adults with COVID-19. BMC Infect Dis. 2021; 21(1):134.
35. Altman J, Padilla C, Merchant A, Freshwater K, Weinsztok S, Clugston JR, et al. COVID-19 prevalence and presenting symptoms in a college student population: A retrospective chart review. J Am Coll Health. 2023; 71(5):1356-60.
36. Meng X, Deng Y, Dai Z, Meng Z. COVID-19 and anosmia: A review based on up-to-date knowledge. Am J Otolaryngol. 2020; 41(5):102581.
37. Lee Y, Min P, Lee S, Kim SW. Prevalence and duration of acute loss of smell or taste in COVID-19 patients. J Korean Med Sci. 2020; 35(18):e174.
38. Giacomelli A, Pezzati L, Conti F, Bernacchia D, Siano M, Oreni L, et al. Self-reported olfactory and taste disorders in patients with severe acute respiratory Coronavirus 2 infection: A cross-sectional study. Clin Infect Dis. 2020; 71(15):889-90.
39. Ferreira AMS, Nascimento JAD, Travassos LCP, Pernambuco LA. Olfactory and taste disorders in COVID-19: a cross-sectional study in primary health care. Rev Assoc Med Bras. 2024; 70(2):e20231018.
40. Thomas J, Kneale D, O’Mara-Eves A, Rees R. School closure in response to epidemic outbreaks: systems-based logic model of downstream impacts. F1000Res. 2020; 9:352.
41. Silva AA, Baggio É, Martins VA, Hattori TY, Nascimento VF, Terças-Trettel ACP. Vivências de estudantes de enfermagem sobre a preceptoria em saúde. J Health NPEPS. 2022; 7(1):e6378.
42. Chou R, Dana T, Buckley DI, Selph S, Fu R, Totten AM. Epidemiology of and risk factors for coronavirus infection in health care workers: a living rapid review. Ann Intern Med. 2020; 173(2):120-36.
43. Cunha QB, Freitas EO, Pai DD, Santos JLG, Silva RM, Camponogara S. Adherence to standard precautions in university hospitals during the COVID-19 pandemic: a mixed study. Rev Esc Enferm USP. 2024; 58:e20230289.
44. Rebmann T, Loux TM, Arnold LD, Charney R, Horton D, Gomel A. SARS-CoV-2 transmission to masked and unmasked close contacts of university students with COVID-19 - St. Louis, Missouri, January-May 2021. MMWR Morb Mortal Wkly Rep. 2021; 70(36):1245-48.
45. Teran RA, Ghinai I, Gretsch S, Cable T, Black SR, Green SJ, et al. COVID-19 outbreak among a university's men's and women's soccer teams - Chicago, Illinois, July-August 2020. MMWR Morb Mortal Wkly Rep. 2020; 69(43):1591-94.
46. Segaloff HE, Cole D, Rosenblum HG, Lee CC, Morgan CN, Remington P, et al. Risk factors for severe acute respiratory syndrome Coronavirus 2 (SARS-CoV-2) infection and presence of anti-SARS-CoV-2 antibodies among university student dormitory residents, September-November 2020. Open Forum Infect Dis. 2021; 8(9):ofab405.
47. Morens DM, Fauci AS. Emerging pandemic diseases: How we got to COVID-19. Cell. 2020; 182(5):1077-1092. Erratum in: Cell. 2020; 183(3):837.
48. Zhao X, Tatapudi H, Corey G, Gopalappa C. Threshold analyses on combinations of testing, population size, and vaccine coverage for COVID-19 control in a university setting. PLoS One. 2021; 16(8):e0255864.
49. Ministério da Saúde (BR). Protocolo de manejo clínico da Covid-19 na Atenção Especializada [recurso eletrônico]. [cited 27 September 2024]. Available from: https://www.gov.br/saude/pt-br
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