{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T01:32:09Z","timestamp":1760059929989,"version":"build-2065373602"},"reference-count":22,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2025,7,25]],"date-time":"2025-07-25T00:00:00Z","timestamp":1753401600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Division of Global Health Protection (DGHP), Global Health Center (GHC), Centers for Disease Control and Prevention (CDC)","award":["5U01GH002084"],"award-info":[{"award-number":["5U01GH002084"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["COVID"],"abstract":"<jats:p>Background: This study examined risk factors for syndrome novel coronavirus 2 virus (SARS-CoV-2) infection and self-reported adherence to infection prevention and control (IPC) measures among healthcare workers (HCWs) at a hospital in Thailand near the Myanmar border. Methods: From March to July 2022, HCWs aged \u2265 18 with COVID-19 exposure at Mae Sot General Hospital completed a questionnaire on IPC adherence, training, and COVID-19 knowledge. Nasopharyngeal samples were collected bi-weekly for SARS-CoV-2 testing. A mobile application was used for real-time monitoring of daily symptoms and exposure risks. Chi-square, Fisher\u2019s exact tests, and log-binomial regression were performed to investigate association. Results: Out of 289 (96.3%) participants, 27 (9.9%) tested positive for SARS-CoV-2, with cough reported by 85.2% of cases. Nurse assistants (NAs) had a higher risk of infection (adjusted relative risk [aRR] 3.87; 95% CI: 0.96\u201315.6). Working in inpatient departments (aRR 2.37; 95% CI: 1.09\u20135.15) and COVID-19 wards (aRR 5.97; 95% CI: 1.32\u201326.9) was also associated with increased risk. While 81.7% reported consistent hand hygiene, 37% indicated inadequate IPC knowledge. Conclusions: HCWs, especially NAs and those in high-risk departments, should receive enhanced IPC training. Real-time digital monitoring tools can enhance data collection and HCW safety and are likely to be useful tools for supporting surveillance and data collection efforts.<\/jats:p>","DOI":"10.3390\/covid5080115","type":"journal-article","created":{"date-parts":[[2025,7,25]],"date-time":"2025-07-25T14:40:02Z","timestamp":1753454402000},"page":"115","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Risk of SARS-CoV-2 Infection Among Hospital-Based Healthcare Workers in Thailand at Myanmar Border, 2022"],"prefix":"10.3390","volume":"5","author":[{"given":"Narumol","family":"Sawanpanyalert","sequence":"first","affiliation":[{"name":"Department of Medical Services (DMS), Ministry of Public Health (MoPH), Nonthaburi 11000, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nuttagarn","family":"Chuenchom","sequence":"additional","affiliation":[{"name":"Mae Sot General Hospital, Tak 63110, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7391-4581","authenticated-orcid":false,"given":"Meng-Yu","family":"Chen","sequence":"additional","affiliation":[{"name":"Center for Vaccine Equity, The Task Force for Global Health, Decatur, GA 30030, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peangpim","family":"Tantilipikara","sequence":"additional","affiliation":[{"name":"Department of Medical Services (DMS), Ministry of Public Health (MoPH), Nonthaburi 11000, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suchin","family":"Chunwimaleung","sequence":"additional","affiliation":[{"name":"Division of Global Health Protection (DGHP), Thailand MoPH\u2014U.S. CDC Collaboration (TUC), Nonthaburi 11000, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tussanee","family":"Nuankum","sequence":"additional","affiliation":[{"name":"Mae Sot General Hospital, Tak 63110, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuthana","family":"Samanmit","sequence":"additional","affiliation":[{"name":"Department of Medical Services (DMS), Ministry of Public Health (MoPH), Nonthaburi 11000, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brett W.","family":"Petersen","sequence":"additional","affiliation":[{"name":"Division of Global Health Protection (DGHP), Thailand MoPH\u2014U.S. CDC Collaboration (TUC), Nonthaburi 11000, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James D.","family":"Heffelfinger","sequence":"additional","affiliation":[{"name":"Division of Global Health Protection (DGHP), Thailand MoPH\u2014U.S. CDC Collaboration (TUC), Nonthaburi 11000, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily","family":"Bloss","sequence":"additional","affiliation":[{"name":"Division of Global Health Protection (DGHP), Thailand MoPH\u2014U.S. CDC Collaboration (TUC), Nonthaburi 11000, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Somsak","family":"Thamthitiwat","sequence":"additional","affiliation":[{"name":"Division of Global Health Protection (DGHP), Thailand MoPH\u2014U.S. CDC Collaboration (TUC), Nonthaburi 11000, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5402-1849","authenticated-orcid":false,"given":"Woradee","family":"Lurchachaiwong","sequence":"additional","affiliation":[{"name":"Division of Global Health Protection (DGHP), Thailand MoPH\u2014U.S. CDC Collaboration (TUC), Nonthaburi 11000, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,7,25]]},"reference":[{"key":"ref_1","unstructured":"World Health Organization (2023, July 12). 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