Mandić Bojana, Mandić-Rajčević Stefan, Marković-Denić Ljiljana, Bulat Petar
1Clinic of Hematology, Clinical Center Serbia, Dr. Koste Todorovića 2, Belgrade, Serbia.
2Innovation Centre of the Faculty of Technology and Metallurgy, University of Belgrade, Belgrade, Serbia.
Arh Hig Rada Toksikol. 2018 Mar 1;69(1):61-68. doi: 10.2478/aiht-2018-69-3047.
The risk of occupational bloodborne infections (HBV, HCV, and HIV) among healthcare workers remains a serious issue in developing countries. The aim of this study was to estimate occupational exposure to bloodborne infections among general hospital workers in Serbia. This cross-sectional study was conducted in the spring of 2013 and included 5,247 healthcare workers from 17 general hospitals. The questionnaire was anonymous, self-completed, and included sociodemographic information with details of blood and bodily fluid exposure over the career and in the previous year (2012). Significant predictors of sharps injuries were determined with multiple logistic regressions. The distribution of accidents in 2012 was equal between the genders (39 %), but in entire career it was more prevalent in women (67 %). The most vulnerable group were nurses. Most medical doctors, nurses, and laboratory technicians reported stabs or skin contact with patients' blood/other bodily fluid/tissue as their last accident. Healthcare workers from the north/west part of the country reported a significantly lower number of accidents over the entire career than the rest of the country (p<0.001). The south of Serbia stood out as the most accident-prone in 2012 (p=0.042).
在发展中国家，医护人员面临的职业血源性病原体感染（乙肝病毒、丙肝病毒和艾滋病毒）风险仍是一个严重问题。本研究旨在评估塞尔维亚综合医院工作人员的职业血源性病原体感染暴露情况。这项横断面研究于2013年春季开展，纳入了来自17家综合医院的5247名医护人员。问卷采用匿名、自行填写方式，内容包括社会人口统计学信息以及整个职业生涯和前一年（2012年）血液和体液暴露的详细情况。通过多重逻辑回归确定锐器伤的显著预测因素。2012年事故在性别间的分布相同（39%），但在整个职业生涯中女性更为普遍（67%）。最易受伤的群体是护士。大多数医生、护士和实验室技术人员报告称，他们上一次事故是被刺伤或皮肤接触了患者的血液/其他体液/组织。该国北部/西部的医护人员在整个职业生涯中报告的事故数量明显低于该国其他地区（p<0.001）。塞尔维亚南部在2012年是事故发生率最高的地区（p=0.042）。
