South London Specialist Virology Centre, King's College Hospital NHS Foundation Trust, London, UK.
J Hosp Infect. 2012 Sep;82(1):36-9. doi: 10.1016/j.jhin.2012.05.013. Epub 2012 Jul 9.
Healthcare workers (HCWs) are at significant risk of exposure to blood-borne viruses (BBV).
To investigate HCW perceptions concerning occupational exposures to BBV and possible barriers involved in reporting incidents.
A total of 120 HCWs based at the Dental Institute, King's College Hospital NHS Foundation Trust, completed an anonymous questionnaire as part of a multicentre study.
Eighty-six percent (99/115) of respondents worried about developing a BBV infection at work. Of those who feared hepatitis C virus (HCV) the most, 69% (31/45) also believed that HCV posed the greatest risk to their health, versus 53% (10/19) and 13% (5/40) with regard to hepatitis B virus (HBV) and HIV infection, respectively (P < 0.001). Of respondents with ≥21 years of health service experience, 75% (18/24) knew the risk of HIV transmission versus 13% (2/16) of respondents with <5 years of health service experience (P = 0.002). All (23/23) respondents with ≥21 years of service were aware of HIV PEP versus 20% (12/60) with <21 years of service. Ninety-two percent of respondents (104/113) agreed that it was important to report all body fluid exposure incidents but only 58% (28/48) had reported all their exposure incidents. Fifty-nine percent (60/102) agreed that an electronic reporting system would improve reporting of such incidents.
This study identified a need to improve HCWs' knowledge of BBV infection risks and their management. Data gathered in this study will be used to inform the development of a web-based system for the surveillance of occupational exposures to BBV in the UK.
医疗保健工作者（HCWs）面临着暴露于血源性病原体（BBV）的巨大风险。
调查 HCW 对职业性接触 BBV 的看法以及报告事件中涉及的可能障碍。
在 King's College Hospital NHS Foundation Trust 的牙科研究所工作的 120 名 HCWs 作为多中心研究的一部分完成了匿名问卷调查。
99/115（86%）的应答者担心在工作中感染 BBV。在最担心丙型肝炎病毒（HCV）感染的人中，69%（31/45）还认为 HCV 对他们的健康构成最大威胁，而乙型肝炎病毒（HBV）和 HIV 感染的分别为 53%（10/19）和 13%（5/40）（P<0.001）。在具有≥21 年卫生服务经验的应答者中，75%（18/24）知道 HIV 传播的风险，而具有<5 年卫生服务经验的应答者中为 13%（2/16）（P=0.002）。所有（23/23）具有≥21 年服务经验的应答者都意识到 HIV PEP，而具有<21 年服务经验的应答者中为 20%（12/60）。92%（104/113）的应答者同意报告所有体液暴露事件很重要，但只有 58%（28/48）报告了他们所有的暴露事件。59%（60/102）的应答者同意电子报告系统将改善此类事件的报告。
本研究确定需要提高 HCWs 对 BBV 感染风险及其管理的认识。本研究收集的数据将用于为英国职业性接触 BBV 的监测开发基于网络的系统提供信息。
