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[医护人员中的职业性乙肝病毒和丙肝病毒感染]

[Occupational HBV and HCV infections among health care workers].

作者信息

Parszuto Jacek, Jaremin Bogdan, Bardoń Aneta, Obuchowska Anna

机构信息

Wojewódzki Ośrodek Medycyny Pracy w Gdáńsku/Regional Center of Occupational Medicine, Gdańsk, Poland.

出版信息

Med Pr. 2012;63(4):441-52.

PMID:22994074
Abstract

BACKGROUND

Analysis of the number of reported occupational hepatitis cases in the years 1971-2009 reveals a clear upward trend in the late 1980's, followed by a downward trend that has continued to the present. The aim of this study was to determine the number of recorded occupational hepatitis B and C in the Pomorskie voivodeship in the years 1999-2009 by the type and location of health care institutions and workpost category.

MATERIALS AND METHODS

To analyze the epidemiological situation of occupational hepatitis among health care workers in the Pomorskie voivodeship, the data from 338 occupational disease certificates were obtained.

RESULTS

In the period under study 341 cases of occupational hepatitis B and C (hepatitis B, 229; hepatitis C 112) were recorded in the province of Pomerania. The number of occupational hepatitis B decreased by 96.6% in the years 1999-2009, and hepatitis C by 90.5% in the years 2000-2009. The majority of infections occurred in large cities (Gdańsk, Gdynia and Słupsk). The total number of cases included 301 (89%) women and 37 (11%) men. The largest number of infections was observed among nurses and midwives (155 and 10 cases, respectively). Definitely the highest incidence was observed in hospitals (230 cases), analytical laboratories (42 cases), medical and dental clinics (20 cases).

CONCLUSIONS

The obtained data show a significant decrease in the incidence of occupational hepatitis during the discussed period. The highest number of infections was found among employees of hospitals and laboratories. A high number of cases in a small occupational group, employees of analytical laboratories, attracted our attention.

摘要

背景

对1971 - 2009年报告的职业性肝炎病例数量分析显示,在20世纪80年代后期呈明显上升趋势,随后呈下降趋势并持续至今。本研究的目的是按医疗机构类型、地点及工作岗位类别确定1999 - 2009年波美拉尼亚省记录的职业性乙型和丙型肝炎病例数。

材料与方法

为分析波美拉尼亚省医护人员职业性肝炎的流行病学情况,获取了338份职业病证书的数据。

结果

在研究期间,波美拉尼亚省记录了341例职业性乙型和丙型肝炎病例(乙型肝炎229例;丙型肝炎112例)。1999 - 2009年职业性乙型肝炎病例数减少了96.6%,2000 - 2009年丙型肝炎病例数减少了90.5%。大多数感染发生在大城市(格但斯克、格丁尼亚和斯武普斯克)。病例总数包括301名女性(89%)和37名男性(11%)。护士和助产士中观察到的感染人数最多(分别为155例和10例)。肯定是在医院(230例)、分析实验室(42例)、医疗和牙科诊所(20例)观察到的发病率最高。

结论

所获得的数据显示,在讨论期间职业性肝炎发病率显著下降。医院和实验室员工中发现的感染人数最多。分析实验室员工这一较小职业群体中的大量病例引起了我们的关注。

相似文献

1
[Occupational HBV and HCV infections among health care workers].[医护人员中的职业性乙肝病毒和丙肝病毒感染]
Med Pr. 2012;63(4):441-52.
2
[Viral hepatitis type C among medical workers in Silesian voivodeship in years 1996-2003].1996 - 2003年西里西亚省医务人员中的丙型病毒性肝炎
Przegl Epidemiol. 2005;59(3):661-70.
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[Age and duration of employment of health care workers with occupational viral hepatitis B and C].[职业性乙型和丙型病毒性肝炎医护人员的年龄及工作年限]
Med Pr. 2013;64(1):19-28. doi: 10.13075/mp.5893/2013/0003.
4
[Prevalence and risk factors of chronic hepatitis C virus infection among health-care workers in Pomeranian voivodeship].[波美拉尼亚省医护人员慢性丙型肝炎病毒感染的患病率及危险因素]
Przegl Epidemiol. 2009;63(1):39-43.
5
[Epidemiology of occupational infectious diseases in health care workers].[医护人员职业性传染病流行病学]
Med Pr. 2003;54(6):535-41.
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Viral hepatitis in health service workers in the Province of Wielkopolska.大波兰省卫生服务工作者中的病毒性肝炎
Int J Occup Med Environ Health. 2002;15(4):347-52.
7
[Assessment of occupational exposure to HBV, HCV and HIV in gynecologic and obstetric staff].[妇产科工作人员中乙肝病毒、丙肝病毒和艾滋病毒职业暴露的评估]
Med Pr. 2012;63(1):11-7.
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[Is healthcare personnel the only professional group exposed tothe risk of occupational HBV, HCV or HIV infections?].医疗保健人员是唯一面临职业性乙肝、丙肝或艾滋病毒感染风险的专业群体吗?
Med Pr. 2010;61(1):15-22.
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Occupation and cancer - follow-up of 15 million people in five Nordic countries.职业与癌症 - 五个北欧国家的 1500 万人随访研究。
Acta Oncol. 2009;48(5):646-790. doi: 10.1080/02841860902913546.
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[Risk bloodborne infections in health care workers].医疗工作者血源感染风险
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