与血源性病原体相关的工作事故漏报。
Underreporting of work accidents associated with blood-borne risk factors.
机构信息
Serviço de Saúde Ocupacional, Centro Hospitalar São João, E.P.E, Porto, Portugal .
Faculty of Engineering, University of Porto, Centre for Natural Resources and the Environment, Porto, Portugal.
出版信息
Med Lav. 2022 Jun 28;113(3):e2022028. doi: 10.23749/mdl.v113i3.13257.
BACKGROUND
Work accidents (WA) due to percutaneous or mucocutaneous injury are extremely frequent among health professionals. The notification of these accidents ensures not only the compliance with legal requirements, but it also enables health institutions to develop, implement and evaluate strategies to prevent them. This study aimed to estimate the proportion of underreporting of work accidents caused by percutaneous and mucocutaneous lesions in a hospital setting, as well as its determinants.
METHODS
A self-administered questionnaire was made available to all hospital employees. Age, gender, professional category and type of service adjusted odds ratios (OR) and 95% confidence intervals (95%CI) were computed by multivariate logistic regression models.
RESULTS
Underreporting of WA associated with biological risk factors was high, particularly in accidents by mucocutaneous injury (80.9%). Physicians were the professional category that least reported this type of work accidents (OR=4.64; 95%CI 2.20-9.78). The main determinants of underreporting were the underestimation of the risk of transmission and the excessive bureaucracy.
CONCLUSIONS
The underreporting of work accidents associated with biological risk factors was considerable and it contributes to a high degree of uncertainty on accidents' characterization.
背景
在卫生专业人员中，由于经皮或黏膜损伤导致的工作事故（WA）极为频繁。这些事故的通知不仅确保了法律要求的遵守，还使卫生机构能够制定、实施和评估预防这些事故的策略。本研究旨在估计医院环境中经皮和黏膜损伤引起的工作事故漏报的比例及其决定因素。
方法
向所有医院员工提供了一份自我管理问卷。通过多变量逻辑回归模型计算了年龄、性别、职业类别和服务类型调整后的比值比（OR）和 95%置信区间（95%CI）。
结果
与生物危险因素相关的 WA 漏报率很高，尤其是黏膜损伤引起的事故（80.9%）。医生是最不报告这种工作事故的职业类别（OR=4.64；95%CI 2.20-9.78）。漏报的主要决定因素是低估传播风险和过度官僚主义。
结论
与生物危险因素相关的工作事故漏报率相当高，这导致对事故特征的高度不确定性。
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