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葡萄牙兽医中血液污染针刺伤的流行病学情况。

The epidemiology of blood-contaminated needlestick injuries among veterinarians in Portugal.

作者信息

Mesquita João R, Sousa Sofia I V, Vala Helena, Nascimento Maria S J

机构信息

a Instituto Politécnico de Viseu , Escola Superior Agrária , Viseu , Portugal.

出版信息

J Agromedicine. 2015;20(2):160-6. doi: 10.1080/1059924X.2015.1010061.

Abstract

Needlestick injuries (NIs) are considered a substantial occupational health and safety hazard in contemporary health care practice. Unlike human medicine where much effort has been devoted to reduce the incidence of these events, the same aggressive approach has not been used in veterinary medicine. This study investigated the occurrence of blood-contaminated NIs in Portuguese veterinarians. Participants of a veterinary meeting were asked to complete a questionnaire-based survey. Univariate and multivariate logistic regression analyses were performed to produce predicted probabilities for NI episodes in veterinarians. From the total of 373 enrolled veterinarians, 293 (78.5%) reported having had at least one NI during their professional life. Veterinarians working with dogs were more likely to have experienced a NI (adjusted odds ratio [aOR]: 145.74, P < .001). The high level of NIs observed in these professionals shows that NIs are a potential occupational health problem in Portuguese veterinarians, with the possibility for transmission of haematogenous zoonosis.

摘要

在当代医疗实践中,针刺伤(NIs)被认为是重大的职业健康与安全隐患。与人类医学领域投入大量精力降低此类事件发生率不同,兽医医学并未采取同样积极的措施。本研究调查了葡萄牙兽医中血液污染针刺伤的发生情况。在一次兽医会议上,要求参会者完成一项基于问卷的调查。进行单因素和多因素逻辑回归分析,以得出兽医针刺伤事件的预测概率。在总共373名登记的兽医中,293名(78.5%)报告在其职业生涯中至少发生过一次针刺伤。从事犬类工作的兽医更有可能经历过针刺伤(调整后的优势比[aOR]:145.74,P < .001)。在这些专业人员中观察到的高水平针刺伤表明,针刺伤是葡萄牙兽医潜在的职业健康问题,存在血源性病原体传播的可能性。

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