Adeko Oluseun Oloruntoba, Ariba Adekunle Joseph, Olatunji Ayodeji Anike, Toyobo Oluyemisi O
Department of Family Medicine, Olabisi Onabanjo University Teaching Hospital, Sagamu, Nigeria.
Department of Radiology, Olabisi Onabanjo University Teaching Hospital, Sagamu, Nigeria.
Niger Postgrad Med J. 2017 Apr-Jun;24(2):93-96. doi: 10.4103/npmj.npmj_55_17.
Pre-employment medical examination (PEME) sought to evaluate the ability of workers to work without risk to their own or others' health and safety. This is important especially in a hospital environment where the patients may be at risk in case of employees harbouring infectious lung conditions or as a result of occupational exposure. Although not all healthcare workers are at risk or pose risk, they are expected to undergo chest X-ray (CXR) as part of PEME.
The aim of this study is to determine the number of prospective employees with abnormal findings on routine CXR, describe their characteristics and reassess the value of CXR in PEME.
This was a retrospective study of all the staffs employed into the Olabisi Onabanjo University Teaching Hospital, Sagamu, Nigeria, from January 2004 to December 2013.
Of the 633 personnel employed during this period, medical records of 416 staffs were available for analysis. Data extracted included age, gender, and CXR report. Descriptive statistics was used for analysis and presentation.
The mean age of the prospective employees was 26.6 years ± 5 with a range of 20-49 years. Three hundred and ninety-six (95.2%) employees had normal CXR report while 20 (4.8%) had abnormal CXR. The only abnormality reported was cardiomegaly which was found in 66% of those aged ≥41 years. Cardiomegaly was significantly associated with increasing age (P = 0.003).
Routine CXR as part of PEME for prospective employees into this healthcare institution is no longer necessary. It is suggested that its routine use should be limited to older job seekers.
入职前医学检查（PEME）旨在评估工人在不危害自身或他人健康与安全的情况下工作的能力。这一点尤为重要，特别是在医院环境中，若员工患有传染性肺部疾病或因职业暴露，患者可能会面临风险。尽管并非所有医护人员都有风险或构成风险，但他们仍需接受胸部X光检查（CXR）作为入职前医学检查的一部分。
本研究的目的是确定在常规胸部X光检查中发现异常结果的准员工数量，描述他们的特征，并重新评估胸部X光检查在入职前医学检查中的价值。
这是一项对2004年1月至2013年12月期间受雇于尼日利亚萨加穆奥labisi Onabanjo大学教学医院的所有员工的回顾性研究。
在此期间受雇的633名人员中，有416名员工的病历可供分析。提取的数据包括年龄、性别和胸部X光检查报告。采用描述性统计进行分析和呈现。
准员工的平均年龄为26.6岁±5岁，范围为20 - 49岁。396名（95.2%）员工的胸部X光检查报告正常，而20名（4.8%）员工的胸部X光检查异常。报告的唯一异常是心脏肥大，在年龄≥41岁的人员中，66%发现有心脏肥大。心脏肥大与年龄增长显著相关（P = 0.003）。
作为该医疗机构准员工入职前医学检查一部分的常规胸部X光检查不再必要。建议将其常规使用限于年龄较大的求职者。
