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兽医职业暴露于动物源性传染病的风险调查。

A survey of the risk of zoonoses for veterinarians.

机构信息

Department of Clinical Sciences, College of Veterinary Medicine, Oregon State University, Corvallis, OR 97331, USA.

出版信息

Zoonoses Public Health. 2012 May;59(3):193-201. doi: 10.1111/j.1863-2378.2011.01432.x. Epub 2011 Aug 26.

Abstract

The objectives of this study were to identify factors associated with zoonotic infections in veterinarians, the incidence of physician consultation and treatment and the incidence of diagnostic and treatment errors. Veterinarians in any area of practice were solicited to participate in an online survey through an invitation letter sent to the Oregon Veterinary Medical Association. Proportions of respondents to various factors were analyzed for differences among gender, age, time since graduation and type of practice in which they worked. In all, 216 complete responses were received. In all, 13.9% of respondents had never been vaccinated against rabies, and 20.8% had been exposed to suspect rabid animals, mostly (64.4%) a single time. Other zoonoses were reported by 47.2% of respondents: mostly diseases transmitted via contact (57.4%) especially ringworm, followed by those with oral transmission (21.7%). Most zoonotic infections were reportedly acquired by young veterinarians working in primary care veterinary practice. Cats were the species most commonly reported as the animal source of a zoonotic infection. Veterinarians likely self-diagnosed zoonotic diseases, especially those transmitted by contact. Medical care providers were consulted for diagnosis of more serious diseases. Diagnosis and treatment errors were uncommon. Results of this study emphasize the need to educate future veterinarians during their early years in veterinary school about the risks associated with their future jobs.

摘要

本研究的目的是确定与兽医的人畜共患病感染、医生咨询和治疗的发生率以及诊断和治疗错误的发生率相关的因素。通过向俄勒冈兽医协会发送邀请函,邀请任何领域的兽医参与在线调查。对不同性别、年龄、毕业时间以及工作类型的受访者对各种因素的比例进行了分析。共有 216 份完整的回复。共有 13.9%的受访者从未接种过狂犬病疫苗,20.8%的受访者接触过疑似狂犬病动物,大多数(64.4%)仅接触过一次。47.2%的受访者报告了其他人畜共患病:主要是通过接触传播的疾病(57.4%),尤其是癣,其次是通过口腔传播的疾病(21.7%)。据报道,大多数人畜共患病感染是在初级保健兽医实践中工作的年轻兽医获得的。猫是报告中最常见的人畜共患病感染动物源。兽医可能会自行诊断人畜共患病,尤其是通过接触传播的疾病。更严重的疾病则会寻求医疗服务提供者进行诊断。诊断和治疗错误并不常见。这项研究的结果强调了在兽医学校的早期阶段,需要对未来的兽医进行教育,让他们了解与未来工作相关的风险。

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