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暴露于职业生物危害的医护人员的乙肝疫苗接种覆盖率和血清学状况。

Hepatitis B vaccination coverage and serological status among health care workers exposed to occupational biological hazards.

作者信息

Frison Fernanda Sucasas, Alonzo Herling Gregorio Aguilar, Guerreiro Inajara de Cassia, de Oliveira Elaine Cristina Paixão

机构信息

Departamento de Saúde Coletiva, Universidade Estadual de Campinas (Unicamp), Campinas, SP, Brazil.

Centro de Saúde da Comunidade, Unicamp, Campinas, SP, Brazil.

出版信息

Rev Bras Med Trab. 2023 Nov 24;21(3):e2022963. doi: 10.47626/1679-4435-2022-963. eCollection 2023 Jul-Sep.

Abstract

INTRODUCTION

Health care workers are often exposed to hepatitis B infection during the course of their professional roles.

OBJECTIVES

To analyze the hepatitis B vaccination coverage and the presence of antibodies against hepatitis B among health care professionals who were exposed to contaminated biological material at a hospital complex.

METHODS

This descriptive, retrospective, and quantitative study is based on the analysis of accident notification form data (n = 2,466) from a hospital complex covering the period between 2011 and 2020.

RESULTS

Among the affected individuals, women (69.5%), medical residents (35.7%), and nursing staff (25.5%) accounted for the highest proportion of hazards. Regarding vaccination status, 98% of the health care professionals reported being fully immunized, and antibodies were detected in 90.9% of the participants. Percutaneous exposure (76.4%) was the most prevalent type of hazard, with blood being the most commonly involved material (79.4%).

CONCLUSIONS

The findings show that despite the risks of Hepatitis B contamination associated with the incidents, the professionals were protected due to the high vaccination coverage and evidence of immunity.

摘要

引言

医护人员在其职业活动过程中经常接触乙型肝炎感染。

目的

分析在一家综合医院接触受污染生物材料的医护人员中乙型肝炎疫苗接种覆盖率及抗乙型肝炎抗体的存在情况。

方法

本描述性、回顾性定量研究基于对一家综合医院2011年至2020年期间事故报告表数据(n = 2466)的分析。

结果

在受影响个体中,女性(69.5%)、住院医师(35.7%)和护理人员(25.5%)占危险比例最高。关于疫苗接种状况,98%的医护人员报告已完全免疫,90.9%的参与者检测到抗体。经皮暴露(76.4%)是最常见的危险类型,血液是最常涉及的材料(79.4%)。

结论

研究结果表明,尽管这些事件存在乙型肝炎污染风险,但由于高疫苗接种覆盖率和免疫证据,专业人员得到了保护。

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Hepatitis B vaccination coverage among health care workers in China.中国医护人员乙肝疫苗接种率。
PLoS One. 2019 May 7;14(5):e0216598. doi: 10.1371/journal.pone.0216598. eCollection 2019.

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