Generic placeholder image

Recent Advances in Inflammation & Allergy Drug Discovery

Editor-in-Chief

ISSN (Print): 2772-2708
ISSN (Online): 2772-2716

Research Article

Olfactory Dysfunction in Healthcare Workers with COVID-19: Prevalence and Associated Factors

Author(s): Kacem Imène*, Kahloul Mohamed, Ghenim Amal, Ajmi Mohamed, Chouchane Asma, Aloui Asma, Khalefa Wael, H. Kalboussi, El Maalel Olfa, Naija Walid, Maoua Maher and Mrizak Nejib

Volume 18, Issue 1, 2024

Published on: 20 October, 2023

Page: [67 - 77] Pages: 11

DOI: 10.2174/0127722708249126231006061438

Price: $65

Abstract

Background: The COVID-19 pandemic is a real global health crisis. Its clinical presentation has evolved over time with an increasing number of symptoms. Olfactory dysfunction (OD) has recently been recognized as a frequent symptom relevant to screening for COVID-19, especially in pauci-asymptomatic forms. However, the underlying mechanisms of OD are not yet fully understood.

Aim: To determine the prevalence of OD in healthcare workers with SARS-CoV-2 and to identify its associated factors.

Methods: This is a cross-sectional, analytical study, carried out during a period of six months and including all healthcare workers at Farhat Hached Academic Hospital (Tunisia) who were diagnosed with SARS-CoV-2 by PCR, RAT, or chest CT scan.

Results: A total of 474 healthcare workers were included, representing a participation rate of 85.4%. The mean age was 41.02±10.67 years with a sex ratio of 0.2. The distribution of this population by department noted that it was mainly maternity (13.9%). The most presented workstation was nursing (31.4%). OD represented 39.2% of the reasons for consultation. Hospitalization was indicated in 16 patients (3.4%). The average duration of hospitalization was 8.87 ± 7.8 days. The average time off work was 17.04 ± 11.6 days. OD persisted for more than 90 days in 35 patients (7.4%). After multiple binary logistic regression, OD was statistically associated with female gender (p =0.001; OR 95% CI: 2.46 [1.4-4.2]) and blue-collar occupational category (p =0.002; OR IC95%:3.1 [1.5-6.5]). A significant association was also noted between OD and professional seniority and absence from work duration (p =0.019; OR 95% CI: 0.97 [0.95-0.99] and p =0.03; OR 95% CI: 0.97 [0.95-0.99]) respectively.

Conclusion: OD is common in COVID-19 patients. The identification of its associated factors may contribute to enhancing the understanding of its mechanism and drive therapeutic options.

« Previous
Graphical Abstract

[1]
Lehrich BM, Goshtasbi K, Raad RA, et al. Aggregate prevalence of chemosensory and sinonasal dysfunction in SARS‐CoV‐2 and related coronaviruses. Otolaryngol Head Neck Surg 2020; 163(1): 156-61.
[http://dx.doi.org/10.1177/0194599820929278] [PMID: 32423285]
[2]
COVID-19 Coronavirus Pandemic. 2022. Available from: www.worldometers.info/coronavirus/
[3]
Ministry of Health. Main numbers recorded during the week 2022. Available from: www.santetunisie.rns.tn/fr/ (Accessed on: 12/04/2022).
[4]
Hunter E, Price DA, Murphy E, et al. First experience of COVID-19 screening of health-care workers in England. Lancet 2020; 395(10234): e77-8.
[http://dx.doi.org/10.1016/S0140-6736(20)30970-3] [PMID: 32333843]
[5]
Aghaizu A, Elam G, Ncube F, et al. Preventing the next ‘SARS’ - European healthcare workers’ attitudes towards monitoring their health for the surveillance of newly emerging infections: Qualitative study. BMC Public Health 2011; 11(1): 541.
[http://dx.doi.org/10.1186/1471-2458-11-541] [PMID: 21740552]
[6]
Kim JH, An JAA, Min PK, Bitton A, Gawande AA. How South Korea responded to the COVID-19 outbreak in Daegu. N Engl J Med 2020; 1(4): 1-14.
[7]
Sedaghat AR, Gengler I, Speth MM. Olfactory dysfunction: A highly prevalent symptom of COVID-19 with public health significance. Otolaryngol Head Neck Surg 2020; 163(1): 12-5.
[http://dx.doi.org/10.1177/0194599820926464] [PMID: 32366160]
[8]
Hummel T, Whitcroft KL, Andrews P, et al. Position paper on olfactory dysfunction. Rhinology 2016; 56(1): 1-30.
[PMID: 28623665]
[9]
Sjölund S, Larsson M, Olofsson JK, Seubert J, Laukka EJ. Phantom smells: Prevalence and correlates in a population-based sample of olderadults. Chem Senses 2017; 42(4): 309-18.
[http://dx.doi.org/10.1093/chemse/bjx006] [PMID: 28334095]
[10]
Hoffman HJ, Rawal S, Li CM, Duffy VB. New chemosensory component in the U.S. National Health and Nutrition Examination Survey (NHANES): First-year results for measured olfactory dysfunction. Rev Endocr Metab Disord 2016; 17(2): 221-40.
[http://dx.doi.org/10.1007/s11154-016-9364-1] [PMID: 27287364]
[11]
Landis BN, Hummel T. New evidence for high occurrence of olfactory dysfunctions within the population. Am J Med 2006; 119(1): 91-2.
[http://dx.doi.org/10.1016/j.amjmed.2005.07.039] [PMID: 16431204]
[12]
Welge-Lüssen A, Wolfensberger M. Olfactory disorders following upper respiratory tract infections. Adv Otorhinolaryngol 2006; 63: 125-32.
[http://dx.doi.org/10.1159/000093758] [PMID: 16733337]
[13]
Gaines AD. Anosmia and hyposmia. Allergy Asthma Proc 2010; 31(3): 185-9.
[http://dx.doi.org/10.2500/aap.2010.31.3357] [PMID: 20615320]
[14]
Hopkins CKN. Loss of sense of smell as marker of COVID-19 infection 2020. 2022. Available from: https://www.entuk.org/sites/default/files/files/Loss%20of%20sense%20of%20smell%20as%20marker%20of%20COVID.pdf (Accessedon: 12/05/2022).
[15]
Lechner M, Chandrasekharan D, Jumani K, et al. Anosmia as a presenting symptom of SARS-CoV-2 infection in healthcare workers – A systematic review of the literature, case series, and recom mendations for clinical assessment and management. Rhinology 2020; 0(0): 0.
[http://dx.doi.org/10.4193/Rhin20.189] [PMID: 32386285]
[16]
Slama D, Bartier S, Hautefort C, et al. Anosmia: specific criterion for COVID-19 damage “Coranosmia1». Med Mal Infect 2020; 50(6): S78.
[http://dx.doi.org/10.1016/j.medmal.2020.06.155]
[17]
Qiu C, Cui C, Hautefort C, et al. Olfactory and gustatory dysfunction as an early identifier of COVID-19 in adults and children: An international multicenter study. Otolaryngol Head Neck Surg 2020; 163(4): 714-21.
[http://dx.doi.org/10.1177/0194599820934376] [PMID: 32539586]
[18]
WHO. Obesity and overweight 2022. Available from: www.who.int/fr/news-room/fact-sheets/detail/obesity-and-overweight (Accessed on: 13/04/2022).
[20]
Wynants L, Van Calster B, Collins GS, et al. Prediction models for diagnosis and prognosis of covid-19: Systematic review and critical appraisal. BMJ 2020; 369: m1328.
[http://dx.doi.org/10.1136/bmj.m1328] [PMID: 32265220]
[21]
Eliezer M, Hautefort C, Hamel AL, et al. Sudden and complete olfactory loss of function as a possible symptom of COVID-19. JAMA Otolaryngol Head Neck Surg 2020; 146(7): 674-5.
[http://dx.doi.org/10.1001/jamaoto.2020.0832] [PMID: 32267483]
[22]
Gane SB, Kelly C, Hopkins C. Isolated sudden onset anosmia in COVID-19 infection. A novel syndrome? Rhinology 2020; 58(3): 299-301.
[http://dx.doi.org/10.4193/Rhin20.114] [PMID: 32240279]
[23]
Hopkins C, Surda P, Kumar N. Presentation of new onset anosmia during the COVID-19 pandemic. Rhinology 2020; 58(3): 295-8.
[http://dx.doi.org/10.4193/Rhin20.116] [PMID: 32277751]
[24]
Keyhan SO, Fallahi HR, Cheshmi B. Dysosmia and dysgeusia due to the 2019 Novel Coronavirus; a hypothesis that needs further investigation. Maxillofac Plast Reconstr Surg 2020; 42(1): 9.
[http://dx.doi.org/10.1186/s40902-020-00254-7] [PMID: 32289035]
[25]
Antolín Amérigo D, Cubero JL, Colás C, Alobid I, Mullol J, Valero A. High frequency of smell and taste dysfunction in health care professionals with COVID-19 working in allergy departments. J Investig Allergol Clin Immunol 2021; 31(2): 151-61.
[http://dx.doi.org/10.18176/jiaci.0670] [PMID: 33876736]
[26]
Nielsen KJ, Vestergaard JM, Schlünssen V, et al. Day-by-day symptoms following positive and negative PCR tests for SARS-CoV-2 in non-hospitalized healthcare workers: A 90-day follow-up study. Int J Infect Dis 2021; 108: 382-90.
[http://dx.doi.org/10.1016/j.ijid.2021.05.032] [PMID: 34022336]
[27]
Bussière N, Mei J, Lévesque-Boissonneault C, et al. Chemosensory dysfunctions induced by COVID-19 can persist up to 7 months: A study of over 700 healthcare workers. Chem Senses 2021; 46: bjab038.
[http://dx.doi.org/10.1093/chemse/bjab038] [PMID: 34423831]
[28]
Villarreal IM, Morato M, Martínez-RuizCoello M, et al. Olfactory and taste disorders in healthcare workers with COVID-19 infection. Eur Arch Otorhinolaryngol 2021; 278(6): 2123-7.
[http://dx.doi.org/10.1007/s00405-020-06237-8] [PMID: 32725271]
[29]
Weiss JJ, Attuquayefio TN, White EB, et al. Tracking smell loss to identify healthcare workers with SARS-CoV-2 infection. PLoS One 2021; 16(3): e0248025.
[http://dx.doi.org/10.1371/journal.pone.0248025] [PMID: 33657167]
[30]
Lan FY, Filler R, Mathew S, et al. COVID-19 symptoms predictive of healthcare workers’ SARS-CoV-2 PCR results. PLoS One 2020; 15(6): e0235460.
[http://dx.doi.org/10.1371/journal.pone.0235460] [PMID: 32589687]
[31]
Carrillo-Larco RM, Altez-Fernandez C. Anosmia and dysgeusia in COVID-19: A systematic review. Wellcome Open Res 2020; 5: 94.
[http://dx.doi.org/10.12688/wellcomeopenres.15917.1] [PMID: 32587902]
[32]
Tong JY, Wong A, Zhu D, Fastenberg JH, Tham T. The prevalence of olfactory and gustatory dysfunction in COVID-19 patients: a systematic review and meta-analysis. Otolaryngol Otolaryngol Head Neck Surg 2020; 163(1): 3-11.
[http://dx.doi.org/10.1177/0194599820926473] [PMID: 32369429]
[33]
Wang D, Hu B, Hu C, et al. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus–infected pneumonia in Wuhan, China. JAMA 2020; 323(11): 1061-9.
[http://dx.doi.org/10.1001/jama.2020.1585] [PMID: 32031570]
[34]
Huang C, Wang Y, Li X, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet 2020; 395(10223): 497-506.
[http://dx.doi.org/10.1016/S0140-6736(20)30183-5] [PMID: 31986264]
[35]
Guan W, Ni Z, Hu Y, et al. Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med 2020; 382(18): 1708-20.
[http://dx.doi.org/10.1056/NEJMoa2002032] [PMID: 32109013]
[36]
Medscape. Sudden Loss of Taste and Smell Should Be Part of COVID-19 Screen. 2022. Available from: https://www.medscape.com/viewarticle/929116?src=soc_fb_200422_mscpedt_news_mdscp_coronavirus&faf=1 (Accessed on:12/05/2022).
[37]
Proclaim Cauca and Valle. Smell test to check coronavirus symptoms 2022. Available from: https://www.proclamadelcauca.com/prueba-de-olfato-paracomprobar-sintomas-de-coronavirus/ (Accessed on: 14/05/2022).
[38]
Xydakis MS, Dehgani-Mobaraki P, et al. Smell and taste dysfunction in patients with COVID-19. Lancet Infect Dis 2020; 20(9)
[39]
Moein ST, Hashemian SM, Mansourafshar B, Khorram-Tousi A, Tabarsi P, Doty RL. Smell dysfunction: A biomarker for COVID-19. Int Forum Allergy Rhinol 2020; 10(8): 944-50.
[http://dx.doi.org/10.1002/alr.22587] [PMID: 32301284]
[40]
Lechien JR, Chiesa-Estomba CM, De Siati DR, et al. Olfactory and gustatory dysfunctions as a clinical presentation of mild-to moderate forms of the coronavirus disease (COVID-19): A multicenter European study. Eur Arch Otorhinolaryngol 2020; 277(8): 2251-61.
[http://dx.doi.org/10.1007/s00405-020-05965-1] [PMID: 32253535]
[41]
La Torre G, Massetti AP, Antonelli G, et al. Anosmia and ageusia as predictive signs of COVID-19 in healthcare workers in Italy: A prospective case-control study. J Clin Med 2020; 9(9): 2870.
[http://dx.doi.org/10.3390/jcm9092870] [PMID: 32899778]
[42]
Vaira LA, Hopkins C, Salzano G, et al. Olfactory and gustatory function impairment in COVID-19 patients: Italian objective multicenter‐study. Head Neck 2020; 42(7): 1560-9.
[http://dx.doi.org/10.1002/hed.26269] [PMID: 32437022]
[43]
Lechner M, Counsell N, Liu J, et al. Anosmia and hyposmia in health-care workers with undiagnosed SARS-CoV-2 infection. Lancet Microbe 2020; 1(4): e150.
[http://dx.doi.org/10.1016/S2666-5247(20)30096-3] [PMID: 33521715]
[44]
Menni C, Valdes A, Freydin MB, Ganesh S, et al. Loss of smell and taste in combination with other symptoms is a strong predictor of COVID-19 infection. medRxiv 2020; 20048421.
[http://dx.doi.org/10.1101/2020.04.05.20048421]
[45]
Beltran-Corbellini A, Chico-Garcıa JL, Martinez-Poles J, Rodríguez-Jorge F, Natera-Villalba E, Gómez-Corral J. et al. Acute-onset smell and taste disorders in the context of Covid19: A pilot multicenter PCR-based case-control study. Eur J Neurol 2020; 27(9): 1738-41.
[http://dx.doi.org/10.1111/ene.14273] [PMID: 32320508]
[46]
Wee LE, Chan YFZ, Teo NWY, et al. The role of self-reported olfactory and gustatory dysfunction as a screening criterion for suspected COVID-19. Eur Arch Otorhinolaryngol 2020; 277(8): 2389-90.
[http://dx.doi.org/10.1007/s00405-020-05999-5] [PMID: 32328771]
[47]
Sun Y, Koh V, Marimuthu K, et al. Epidemiological and clinical predictors of COVID-19. Clin Infect Dis 2020; 71(15): 786-92.
[http://dx.doi.org/10.1093/cid/ciaa322] [PMID: 32211755]
[48]
Spinato G, Fabbris C, Polesel J, et al. Alterations in smell or taste in mildly symptomatic outpatients with SARS-CoV-2 infection. JAMA 2020; 323(20): 2089-90.
[http://dx.doi.org/10.1001/jama.2020.6771] [PMID: 32320008]
[49]
Yan CH, Faraji F, Prajapati DP, Ostrander BT, DeConde AS. Self reported olfactory loss associates with outpatient clinical course in COVID-19. Int Forum Allergy Rhinol 2020; 10(7): 821-31.
[http://dx.doi.org/10.1002/alr.22592] [PMID: 32329222]
[50]
Boscolo-Rizzo P, Guida F, Polesel J, et al. Self-reported smell and taste recovery in coronavirus disease 2019 patients: a one-year prospective study. Eur Arch Otorhinolaryngol 2022; 279(1): 515-20.
[http://dx.doi.org/10.1007/s00405-021-06839-w] [PMID: 33963433]
[51]
Wei G, Gu J, Gu Z, Du C, Huang X, Xing H, et al. Olfactory dysfunction in patients with coronavirus disease. Front Neurol 2019 2019.
[52]
Jain A, Kumar L, Kaur J, et al. Olfactory and taste dysfunction in coronavirus disease 2019 patients: its prevalence and outcomes. J Laryngol Otol 2020; 134(11): 987-91.
[http://dx.doi.org/10.1017/S0022215120002467] [PMID: 33190657]
[53]
Speth MM, Singer-Cornelius T, Oberle M, Gengler I, Brockmeier SJ, Sedaghat AR. Olfactory dysfunction and sinonasal symptomatology in COVID-19: Prevalence, severity, timing, and associated characteristics. Otolaryngol Head Neck Surg 2020; 163(1): 114-20.
[http://dx.doi.org/10.1177/0194599820929185] [PMID: 32423357]
[54]
Lechien JR, Cabaraux P, Chiesa-Estomba CM, et al. Objective olfactory evaluation of self‐reported loss of smell in a case series of 86 COVID-19 patients. Head Neck 2020; 42(7): 1583-90.
[http://dx.doi.org/10.1002/hed.26279] [PMID: 32437033]
[55]
Delgado-Losada ML, Bouhaben J, Ruiz-Huerta C, Canto MV, Delgado-Lima AH. Long-lasting olfactory dysfunction in hospital workers due to COVID-19: Prevalence, clinical characteristics, and most affected odorants. Int J Environ Res Public Health 2022; 19(9): 5777.
[http://dx.doi.org/10.3390/ijerph19095777] [PMID: 35565169]
[56]
Castillo-López IY, Govea-Camacho LH, Rodríguez-Torres IA, Recio-Macías DA, Alobid I, Mullol J. Olfactory dysfunction in a Mexican population outside of COVID-19 pandemic: prevalence and associated factors (the OLFAMEX Study). Curr Allergy Asthma Rep 2020; 20(12): 78.
[http://dx.doi.org/10.1007/s11882-020-00975-9] [PMID: 33161494]
[57]
Andrews PJ, Pendolino AL, Ottaviano G, et al. Olfactory and taste dysfunction among mild-to-moderate symptomatic COVID-19 positive health care workers: An international survey. Laryngoscope Investig Otolaryngol 2020; 5(6): 1019-28.
[58]
Lombardi A, Consonni D, Carugno M, et al. Characteristics of 1573 healthcare workers who underwent nasopharyngeal swab testing for SARS-CoV-2 in Milan, Lombardy, Italy. Clin Microbiol Infect 2020; 26(10): 1413.e9-1413.e13.
[59]
Agyeman AA, Chin KL, Landersdorfer CB, Liew D, Ofori-Asenso R. Smell and taste dysfunction in patients with COVID-19: A systematic review and meta-analysis. Mayo Clin Proc 2020; 95(8): 1621-31.
[http://dx.doi.org/10.1016/j.mayocp.2020.05.030] [PMID: 32753137]
[60]
von Bartheld CS, Hagen MM, Butowt R. Prevalence of chemosensory dysfunction in COVID-19 patients: A systematic review and meta-analysis reveals significant ethnic differences. ACS Chem Neurosci 2020; 11(19): 2944-61.
[http://dx.doi.org/10.1021/acschemneuro.0c00460] [PMID: 32870641]
[61]
Cavazzana A, Larsson M, Münch M, Hähner A, Hummel T. Postinfectious olfactory loss: A retrospective study on 791 patients. Laryngoscope 2018; 128(1): 10-5.
[http://dx.doi.org/10.1002/lary.26606] [PMID: 28556265]
[62]
Karamali K, Elliott M, Hopkins C. COVID-19 related olfactory dysfunction. Curr Opin Otolaryngol Head Neck Surg 2022; 30(1): 19-25.
[http://dx.doi.org/10.1097/MOO.0000000000000783] [PMID: 34889850]
[63]
Meinhardt J, Radke J, Dittmayer C, et al. Olfactory transmucosal SARS-CoV-2 invasion as a port of central nervous system entry in individuals with COVID-19. Nat Neurosci 2021; 24(2): 168-75.
[http://dx.doi.org/10.1038/s41593-020-00758-5] [PMID: 33257876]
[64]
Brann DH, Tsukahara T, Weinreb C, Lipovsek M, Van den Berge K, Gong B, et al. Non-neuronal expression of SARS-CoV-2 entry genes in the olfactory system suggests mechanisms underlying COVID-19-associated anosmia. Sci Adv 2020; 6: eabc5801.
[65]
Libby P, Lüscher T. COVID-19 is, in the end, an endothelial disease. Eur Heart J 2020; 41(32): 3038-44.
[http://dx.doi.org/10.1093/eurheartj/ehaa623] [PMID: 32882706]
[66]
Siddiqi HK, Libby P, Ridker PM. COVID-19 – A vascular disease. Trends Cardiovasc Med 2021; 31(1): 1-5.
[http://dx.doi.org/10.1016/j.tcm.2020.10.005] [PMID: 33068723]
[67]
Sardu C, Gambardella J, Morelli MB, Wang X, Marfella R, Santulli G. Hypertension, thrombosis, kidney failure, and diabetes: Is COVID-19 an endothelial disease? A comprehensive evaluation of clinical and basicevidence. J Clin Med 2020; 9(5): 1417.
[http://dx.doi.org/10.3390/jcm9051417] [PMID: 32403217]

Rights & Permissions Print Cite
© 2024 Bentham Science Publishers | Privacy Policy