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医护人员的职业暴露与乙肝疫苗接种

Occupational exposure and hepatitis B vaccination among health care workers.

作者信息

Souza Fernanda de Oliveira, de Araújo Tânia Maria

机构信息

Health Department, Health, Education and Work Unit, Federal University of Recôncavo da Bahia (Universidade Federal do Recôncavo da Bahia - UFRB) - Santo Antônio de Jesus (BA), Brazil.

Health Department, Epidemiology Unit, Graduate Program in Collective Health, State University of Feira de Santana (Universidade Estadual de Feira de Santana - UEFS)- Feira de Santana (BA), Brazil.

出版信息

Rev Bras Med Trab. 2018 Mar 1;16(1):36-43. doi: 10.5327/Z1679443520180091. eCollection 2018.

DOI:10.5327/Z1679443520180091
PMID:32270072
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7104817/
Abstract

BACKGROUND

Through its vaccination schedules, the National Immunization Program ensures immunization against hepatitis B gratis to health care professionals at high risk for infection at the workplace.

OBJECTIVE

To analyze the association between variables related to occupational exposure and complete hepatitis B vaccination schedule.

METHOD

Cross-sectional study with 3,084 primary care and medium complexity health care workers from five municipalities in the state of Bahia, Brazil.

RESULTS

The factors associated with complete hepatitis B vaccination schedule on bivariate analysis were: contact with biological materials, preparation of medications, use of personal protective equipment (PPE), search for orientation after a work accident and skill demands.

CONCLUSIONS

Workers in the health sector resist adhering to some preventive measures. Strategies to encourage vaccination might be enhanced by creating room for discussion at work on the burden to which employees are exposed. Plans and policies for workers' health should be formulated in the light of governmental policies set for the overall population.

摘要

背景

通过其疫苗接种计划,国家免疫规划确保为工作场所感染风险高的医护人员免费接种乙肝疫苗。

目的

分析与职业暴露相关的变量与完整乙肝疫苗接种计划之间的关联。

方法

对来自巴西巴伊亚州五个市的3084名初级保健和中等复杂程度的医护人员进行横断面研究。

结果

在双变量分析中,与完整乙肝疫苗接种计划相关的因素有:接触生物材料、配制药物、使用个人防护设备(PPE)、工作事故后寻求指导以及技能要求。

结论

卫生部门的工作人员抵制遵守一些预防措施。通过在工作中为讨论员工所面临的负担创造空间,可能会加强鼓励接种疫苗的策略。应根据为全体民众制定的政府政策来制定工人健康计划和政策。

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本文引用的文献

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Population-Based Multicentric Survey of Hepatitis B Infection and Risk Factors in the North, South, and Southeast Regions of Brazil, 10-20 Years After the Beginning of Vaccination.巴西北部、南部和东南部地区疫苗接种开始10至20年后基于人群的乙型肝炎感染及危险因素多中心调查。
Am J Trop Med Hyg. 2015 Dec;93(6):1341-1348. doi: 10.4269/ajtmh.15-0216. Epub 2015 Oct 26.
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Durability of antibody response against hepatitis B virus in healthcare workers vaccinated as adults.成年后接种疫苗的医护人员针对乙型肝炎病毒的抗体反应持久性
Clin Infect Dis. 2015 Feb 15;60(4):505-13. doi: 10.1093/cid/ciu867. Epub 2014 Nov 10.
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The hepatitis B vaccine protects re-exposed health care workers, but does not provide sterilizing immunity.乙肝疫苗可保护再次暴露的卫生保健工作者,但不能提供绝育性免疫。
Gastroenterology. 2013 Nov;145(5):1026-34. doi: 10.1053/j.gastro.2013.07.044. Epub 2013 Jul 31.
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Hepatitis B vaccination and associated factors among dentists.牙科医生中的乙肝疫苗接种情况及相关因素
Rev Bras Epidemiol. 2012 Jun;15(2):315-23. doi: 10.1590/s1415-790x2012000200009.
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[Hepatitis B vaccination and occupation exposure in the healthcare sector in Belo Horizonte, Minas Gerais].[米纳斯吉拉斯州贝洛奥里藏特市医疗保健部门的乙肝疫苗接种与职业暴露]
Rev Saude Publica. 2012 Aug;46(4):665-73. doi: 10.1590/s0034-89102012005000042. Epub 2012 Jun 26.
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