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刚果医护人员乙型肝炎认知度低且预防意识薄弱:急需政策落实。

Low level of awareness and prevention of hepatitis B among Congolese healthcare workers: urgent need for policy implementation.

机构信息

Université Catholique de Bukavu, Bukavu, Democratic Republic of Congo.

Hôpital Provincial Général de Référence de Bukavu, Bukavu, Democratic Republic of Congo.

出版信息

Front Public Health. 2024 Oct 8;12:1463455. doi: 10.3389/fpubh.2024.1463455. eCollection 2024.

Abstract

The Democratic Republic of Congo (DRC) is a country with many public health challenges, including those related to the prevention and management of viral hepatitis B. Healthcare workers, who are at the frontline of patient care, are particularly at risk of contracting and spreading this virus, especially given its high prevalence in the general population. This paper examines the level of awareness and preventive measures among Congolese healthcare workers. Overall, the data show that health workers are under-immunized and lack formal training in hepatitis B prevention and management. In addition to limited awareness, health facilities are insufficiently involved in the implementation of standardized infection control protocols, the provision of personal protective equipment and routine hepatitis B vaccination programmes. There also appears to be a lack of clear and effective national policies outlining the main axes of infection control targets by 2030. This calls for urgent policy implementation focusing on mandatory vaccination, training, resource availability, adherence to infection control practices and comprehensive post-exposure management.

摘要

刚果民主共和国(DRC)面临许多公共卫生挑战,包括预防和管理乙型病毒性肝炎。医护人员处于患者护理的第一线,因此特别容易感染和传播这种病毒,尤其是考虑到其在普通人群中的高患病率。本文研究了刚果医护人员的认知水平和预防措施。总体而言,数据显示卫生工作者免疫不足,缺乏乙型肝炎预防和管理方面的正规培训。除了认知有限外,卫生机构也没有充分参与实施标准化感染控制方案、提供个人防护设备和常规乙型肝炎疫苗接种方案。此外,似乎也缺乏明确有效的国家政策,概述到 2030 年感染控制目标的主要方向。这呼吁紧急实施政策,重点是强制性疫苗接种、培训、资源可用性、坚持感染控制实践和全面的接触后管理。

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