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人类免疫缺陷病毒和乙型肝炎病毒感染的职业危害。II. 职别、年龄、性别及就业地区对麻醉师感知风险及所采取预防措施的影响。

The occupational hazard of human immunodeficiency virus and hepatitis B virus infection. II. Effect of grade, age, sex and region of employment on perceived risks and preventive measures adopted by anaesthetists.

作者信息

O'Donnell N G, Asbury A J

机构信息

Department of Anaesthetics, Western Infirmary, Glasgow.

出版信息

Anaesthesia. 1992 Nov;47(11):929-35. doi: 10.1111/j.1365-2044.1992.tb03192.x.

Abstract

The effect of grade, age, sex and region of employment on the attitude of anaesthetists to the possible risk of Human Immunodeficiency Virus (HIV) and Hepatitis B Virus (HBV) infection and the measures adopted to minimise the risk were assessed. As a group, anaesthetists in training were more concerned than consultants about the risk of HIV or HBV infection and, as a consequence, were more likely to adopt protective measures. A similar variation was seen with age, younger anaesthetists being more concerned about the risk of infection and adopting preventive measures in greater numbers than their older colleagues. The sex of the anaesthetist had minimal effect on their attitude. Despite the marked variation in the incidence of both HIV and HBV, the attitude of anaesthetists to the risk of infection and the numbers adopting simple preventive measures did not vary significantly on a regional basis throughout the country. However, there was a significant inter-regional variation in the availability and uptake of HBV immunisation (p < 0.01) and knowledge of the existence of local policy guidelines for the management of known HIV or HBV positive patients (p < 0.01).

摘要

评估了麻醉医生的职别、年龄、性别和工作地区对其关于人类免疫缺陷病毒(HIV)和乙型肝炎病毒(HBV)感染潜在风险的态度以及为将风险降至最低所采取措施的影响。总体而言,与顾问级麻醉医生相比,实习麻醉医生更担心感染HIV或HBV的风险,因此更有可能采取保护措施。年龄方面也有类似差异,年轻麻醉医生更担心感染风险,采取预防措施的人数比年长同事更多。麻醉医生的性别对其态度影响极小。尽管HIV和HBV的发病率存在显著差异,但在全国范围内,麻醉医生对感染风险的态度以及采取简单预防措施的人数在地区层面上并无显著差异。然而,在HBV免疫接种的可获得性和接受率(p < 0.01)以及对已知HIV或HBV阳性患者管理的当地政策指南的知晓情况(p < 0.01)方面,存在显著的地区间差异。

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