Department of Infectious Diseases, Dicle University Hospital, Diyarbakir, Turkey.
Med Hypotheses. 2011 Dec;77(6):1079-82. doi: 10.1016/j.mehy.2011.09.007. Epub 2011 Oct 2.
Blood-borne pathogens (BBP) represent remarkable occupational risks for healthcare workers (HCWs). Avoiding occupational blood exposure is a basis of prevention of the blood-borne pathogens (BBP). The effectiveness of the prevention strategies depends on the compliance and adherence to the program by healthcare-facility personnel. The aim of this study was to evaluate Turkish HCWs' compliance with Universal Precautions (UP). An analytic, cross-sectional, countrywide survey study was performed in hospital settings, (n = 5145) in 30 hospitals in 19 cities. In total, 1726 of the 5143 (33.6%) participants' behaviors were accepted as satisfactory for compliance with UP. The hepatitis knowledge levels of 2,650 (51.5%) participants were found to be satisfactory. In the multivariate analysis, working at a surgical site (P = 0.004), living in a rich region (P = .007) and the existence of a health office for HCWs (p = .000) were found to be contributor factors for HCWs' compliance with UP. Conversely, being a nurse (P = .000) and HBV/HCV carrier status (P = .039) were significant preventing predictors for HCWs' compliance with UP. Along with the other well-known predictive factors, regional economic status and a health office for HCWs are contributors for compliance with UP.
血液传播病原体 (BBP) 对医护人员 (HCWs) 来说是一项显著的职业风险。避免职业性血液暴露是预防血液传播病原体 (BBP) 的基础。预防策略的有效性取决于医疗保健机构人员对该计划的遵守和坚持。本研究的目的是评估土耳其 HCWs 对普遍预防措施 (UP) 的遵守情况。在医院环境中进行了一项分析性、横断面、全国性调查研究，涉及 30 家医院的 5143 名（n = 5143）参与者。在总共 5143 名参与者中，有 1726 名（33.6%）的行为被认为符合 UP 的要求。2650 名（51.5%）参与者的肝炎知识水平被认为是令人满意的。在多变量分析中，在外科部位工作（P = 0.004）、居住在富裕地区（P =.007）和 HCWs 健康办公室的存在（p =.000）被发现是 HCWs 遵守 UP 的促成因素。相反，作为护士（P =.000）和 HBV/HCV 携带者状态（P =.039）是 HCWs 遵守 UP 的显著预防预测因子。除了其他众所周知的预测因素外，区域经济状况和 HCWs 的健康办公室是遵守 UP 的促成因素。
