Kutlu Murat, Ergonul Onder, Sayin-Kutlu Selda, Guven Tumer, Ustun Cemal, Alp-Cavus Sema, Ozturk Serife Barcın, Acicbe Ozlem, Akalin Serife, Tekin Recep, Tekin-Koruk Suda, Demiroglu Yusuf Ziya, Keskiner Ramazan, Gönen Ibak, Sapmaz-Karabag Sevil, Bosnak Vuslat, Kazak Esra
Department of Infectious Diseases and Clinical Microbiology (IDCM), Pamukkale University, Faculty of Medicine, Denizli, Turkey.
Department of Infectious Diseases, Koc University, School of Medicine, Istanbul, Turkey.
Prev Vet Med. 2014 Nov 1;117(1):52-8. doi: 10.1016/j.prevetmed.2014.07.010. Epub 2014 Jul 27.
Veterinarians and veterinary technicians are at risk for occupational brucellosis. We described the risk factors of occupational brucellosis among veterinary personnel in Turkey. A multicenter retrospective survey was performed among veterinary personnel who were actively working in the field. Of 712 veterinary personnel, 84 (11.8%) had occupational brucellosis. The median number of years since graduation was 7 (interquartile ranges [IQR], 4-11) years in the occupational brucellosis group, whereas this number was 9 (IQR, 4-16) years in the non-brucellosis group (p<0.001). In multivariable analysis, working in the private sector (odds ratio [OR], 2.8; 95% confidence interval [95% CI], 1.55-5.28, p=0.001), being male (OR, 4.5; 95% CI, 1.05-18.84, p=0.041), number of performed deliveries (OR, 1.01; 95% CI, 1.002-1.02, p=0.014), and injury during Brucella vaccine administration (OR, 5.4; 95% CI, 3.16-9.3, p<0.001) were found to be risk factors for occupational brucellosis. We suggest that all veterinary personnel should be trained on brucellosis and the importance of using personal protective equipment in order to avoid this infection.
兽医和兽医技术人员面临职业性布鲁氏菌病的风险。我们描述了土耳其兽医人员中职业性布鲁氏菌病的风险因素。对在该领域积极工作的兽医人员进行了一项多中心回顾性调查。在712名兽医人员中,84人(11.8%)患有职业性布鲁氏菌病。职业性布鲁氏菌病组自毕业以来的中位年数为7年(四分位间距[IQR],4 - 11年),而非布鲁氏菌病组这一数字为9年(IQR,4 - 16年)(p<0.001)。在多变量分析中,在私营部门工作(比值比[OR],2.8;95%置信区间[95%CI],1.55 - 5.28,p = 0.001)、男性(OR,4.5;95%CI,1.05 - 18.84,p = 0.041)、接生数量(OR,1.01;95%CI,1.002 - 1.02,p = 0.014)以及在布鲁氏菌疫苗接种过程中受伤(OR,5.4;95%CI,3.16 - 9.3,p<0.001)被发现是职业性布鲁氏菌病的风险因素。我们建议所有兽医人员都应接受关于布鲁氏菌病以及使用个人防护设备以避免这种感染的重要性的培训。