Competence Centre for Epidemiology and Health Services Research for Healthcare Professionals (CVcare), University Medical Centre Hamburg-Eppendorf (UKE), Martinistraße 52, 20246 Hamburg, Germany.
Department of Occupational Medicine, Hazardous Substances and Public Health, Institution for Statutory Accident Insurance and Prevention in the Health and Welfare Services (BGW), Hamburg, Germany.
Int J Environ Res Public Health. 2018 Nov 26;15(12):2656. doi: 10.3390/ijerph15122656.
Health workers (HWs) run an increased risk of infection. The standardised data set of an accident insurer was used to analyse the time trends of infection-related claims and confirmed occupational diseases (ODs) in HWs. The numbers of claims and confirmed claims for different infections were analysed for the years 1996 to 2017. The rate of claims and confirmed ODs were calculated per 100,000 full-time workers. The number of claims was relatively stable over time. However, the rate per 100,000 full-time workers decreased from 25.2 to 15.4. The decrease was most pronounced for hepatitis B and hepatitis C infections, which were the most frequent infections for which claims were made at the start of the period. In 2017, tuberculosis (TB)-related claims were more frequent than those related to blood-borne virus infections. However, the growing number of TB claims does not reflect an increased infection risk, but rather improved methods for the diagnosis of latent TB infection (LTBI). Measures to prevent blood-borne virus infections in HWs were successful in the last 22 years, but attention should be paid to newly emerging infections.
医护人员（HWs）感染的风险增加。利用事故保险公司的标准化数据集，分析了与感染相关的理赔和确诊职业病（ODs）在 HWs 中的时间趋势。分析了 1996 年至 2017 年不同感染的理赔和确诊理赔的数量。按每 10 万名全职员工计算理赔率和确诊 ODs。理赔数量随时间相对稳定。然而，每 10 万名全职员工的比率从 25.2 降至 15.4。降幅最明显的是乙型肝炎和丙型肝炎感染，这是该时期开始时最常发生的感染，也是提出理赔的最常见原因。2017 年，与结核病（TB）相关的理赔比与血源性病毒感染相关的理赔更为常见。然而，TB 理赔数量的增加并不反映感染风险的增加，而是反映了潜伏性 TB 感染（LTBI）诊断方法的改进。在过去的 22 年中，预防 HWs 血源性病毒感染的措施取得了成功，但应注意新出现的感染。
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