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兽医接触物理和化学危害的趋势以及防护措施的使用情况。

Trends in exposure of veterinarians to physical and chemical hazards and use of protection practices.

作者信息

Fritschi Lin, Shirangi Adeleh, Robertson Ian D, Day Lesley M

机构信息

Laboratory for Cancer Medicine, Western Australian Institute for Medical Research, Perth 6009, Australia.

出版信息

Int Arch Occup Environ Health. 2008 Jan;81(3):371-8. doi: 10.1007/s00420-007-0221-0. Epub 2007 Jul 21.

Abstract

OBJECTIVES

To determine whether exposure to physical and chemical occupational hazards and use of protective practices has changed in recent veterinary graduates, and to describe trends in exposure to occupational hazards and use of protective practices over time.

METHODS

This paper reports on a retrospective cohort study of veterinarians who graduated from any of the four Australian veterinary schools between 1960 and 2000 and were currently in clinical practice. A self-completed postal questionnaire was used to collect personal details, professional history since graduation, and details of occupational hazards and protective practices used. The prevalence of occupational hazards and use of protective practices was examined by decade of graduation adjusting for gender, type of practice and number of hours worked.

RESULTS

After adjusting for other factors, recent graduates tended to take more X-rays than early graduates-graduates since 1990 were 2.59 times more likely to take more than seven X-rays a week compared with graduates before 1970. Recent graduates were also more likely to personally restrain animals during X-rays but were more likely to use X-ray protection. Of those who undertook surgery, recent graduates were more likely to use anaesthetic waste gas scavengers. Over time, veterinary jobs have become more likely to involve longer hours of surgery, but shorter periods of driving. The use of scavengers for waste anaesthetic gas has increased markedly over time from 3.8% of jobs commencing in the 1960s to over 70% for jobs commencing since 1997.

CONCLUSIONS

This survey is, to our knowledge, the first to examine trends in the occupational health and safety practices of veterinarians. We have shown that occupational health issues are still important in veterinary practice, with most veterinarians exposed to a number of physical and chemical hazards and many using inadequate protection.

摘要

目的

确定近期兽医毕业生接触物理和化学职业危害的情况以及防护措施的使用是否发生了变化,并描述职业危害接触情况和防护措施使用随时间的变化趋势。

方法

本文报告了一项对1960年至2000年间从澳大利亚四所兽医学校中的任何一所毕业且目前从事临床工作的兽医进行的回顾性队列研究。通过一份自我填写的邮政问卷收集个人详细信息、毕业后的职业经历以及职业危害和所采用防护措施的详细情况。根据毕业年代对职业危害的患病率和防护措施的使用情况进行了检查,并对性别、执业类型和工作时长进行了调整。

结果

在对其他因素进行调整后,近期毕业生比早期毕业生更倾向于进行更多的X光检查——1990年以后毕业的毕业生每周进行超过七次X光检查的可能性是1970年以前毕业的毕业生的2.59倍。近期毕业生在进行X光检查时也更有可能亲自约束动物,但更有可能使用X光防护措施。在进行手术的人员中,近期毕业生更有可能使用麻醉废气清除装置。随着时间的推移,兽医工作越来越有可能涉及更长时间的手术,但驾驶时间缩短。麻醉废气清除装置的使用随着时间的推移显著增加,从20世纪60年代开始工作的人员中的3.8%增加到1997年以后开始工作的人员中的70%以上。

结论

据我们所知,这项调查是首次对兽医职业健康与安全实践的趋势进行研究。我们已经表明,职业健康问题在兽医实践中仍然很重要,大多数兽医接触到多种物理和化学危害,而且许多人使用的防护措施不足。

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