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人乳头瘤病毒与职业暴露:为医护人员提供疫苗接种的必要性。

Human papillomavirus and occupational exposure: The need for vaccine provision for healthcare providers.

机构信息

Medical & Surgical Gynecology Department, Mayo Clinic, Phoenix, AZ, USA.

NeuroScience & Cognitive Science Department, University of Arizona, Tucson, AZ, USA.

出版信息

Hum Vaccin Immunother. 2024 Dec 31;20(1):2342622. doi: 10.1080/21645515.2024.2342622. Epub 2024 May 21.

Abstract

To probe the understanding of healthcare providers regarding occupational exposure to human papillomavirus and their knowledge about human papillomavirus vaccination in relation to the American Society for Colposcopy and Cervical Pathology (ASCCP) recommendations. In this cross-sectional study, the healthcare providers at Mayo Clinic Arizona, Florida, and Minnesota were delivered an electronic survey. The survey was completed by 349 healthcare providers, with one respondent excluded for inconsistent entry. The mean age of respondents was 42.7 ± 10.9, and of those, 68% were female and 32% were male. Of the unvaccinated respondents, 43.3% were ≤ 45 y of age (eligible for vaccination), while those vaccinated formed 41% of the respondents. Healthcare providers are highly concerned about their cancer safety, as shown by their awareness of occupational human papillomavirus hazards and broad knowledge about vaccine efficacy. The use of personal protective equipment varied widely, including eyewear, double gloving, procedural face mask, N95 face mask, and/or nothing. Human papillomavirus and cancer risk was clearly perceived by healthcare providers. For professions, pairwise comparisons revealed that nurse practitioners, physician assistants, certified registered nurse anesthetists, and allied healthcare providers had lower scores than medical doctors. Despite the high level of understanding among healthcare providers of occupational human papillomavirus exposure, only a few of them knew of the recommendations of the ASCPP for vaccination of healthcare providers treating human papillomavirus-related diseases. In such cases, most of those surveyed embraced vaccination, which was considered 100% safe by medical doctors and allied health professionals.

摘要

为了探究医疗保健提供者对人乳头瘤病毒职业暴露的理解,以及他们对人乳头瘤病毒疫苗接种的了解与美国阴道镜和宫颈病理学会 (ASCCP) 建议的相关性。在这项横断面研究中,向亚利桑那州、佛罗里达州和明尼苏达州梅奥诊所的医疗保健提供者发送了一份电子调查。该调查由 349 名医疗保健提供者完成,其中 1 名受访者因输入不一致而被排除。受访者的平均年龄为 42.7±10.9 岁,其中 68%为女性,32%为男性。在未接种疫苗的受访者中,43.3%的人年龄在 45 岁以下(有资格接种疫苗),而接种疫苗的人占受访者的 41%。医疗保健提供者非常关注自己的癌症安全,这表明他们意识到职业性人乳头瘤病毒危害,并广泛了解疫苗的疗效。个人防护设备的使用差异很大,包括护目镜、双层手套、程序面罩、N95 口罩和/或什么都不戴。人乳头瘤病毒和癌症风险被医疗保健提供者清楚地认识到。对于职业,两两比较显示,执业护士、医师助理、注册麻醉师和联合保健提供者的得分低于医生。尽管医疗保健提供者对职业性人乳头瘤病毒暴露有很高的理解,但只有少数人了解 ASCCP 关于接种人乳头瘤病毒相关疾病治疗医护人员的建议。在这种情况下,大多数接受调查的人都接受了疫苗接种,医生和联合卫生专业人员认为疫苗接种是 100%安全的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/567c/11110707/7fb2735d461f/KHVI_A_2342622_F0001_OC.jpg

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