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Tytuł:
The level of knowledge of, attitude toward and emphasis given to HBV and HCV infections among healthcare professionals: Data from a tertiary hospital in Turkey
Autorzy:
Cekin, Ayhan H.
Cekin, Yesim
Ozdemir, Aygul
Powiązania:
https://bibliotekanauki.pl/articles/2179797.pdf
Data publikacji:
2013-03-01
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
knowledge
attitude
HBV infection
HCV infection
healthcare workers
Opis:
Objectives: To evaluate the level of knowledge of, to investigate the attitudes toward, and to determine the emphasis given to the national prevalence of HBV/HCV infections among healthcare professionals. Materials and Methods: A total of 206 healthcare professionals (mean (SD) age: 37.0 (6.3) years; 86.9% – females) including medical laboratory technicians (N = 54) and nurses (N = 152) employed in the Antalya Training and Research Hospital, Antalya, Turkey. Laboratory (N = 53), operating room (N = 41) and in-patient clinic (N = 112) staff were included in this descriptive study. A 33-questionnaire composed of questions related to their level of knowledge and attitudes toward HBV/HCV infections, the sources of their knowledge of HBV/HCV infections and the emphasis given to the national and global importance of the diseases was administered via a face–to-face interview method with each subject; participation was volunteer based. Results: The participants working in the in-patient clinic (18.0 (3.2)) had the highest mean (SD) knowledge level compared to the laboratory (16.4 (3.1), p < 0.05) and operating room (17.0 (2.8), p < 0.05) staff. The participants from the in-patient clinic (44.6%) had a more advanced level of knowledge compared to the participants working in the laboratory (27.8%, p < 0.05) and the operating room (30.0%, p < 0.05). Most of the subjects (60.7%) had education concerning HBV/HCV infections in the past. There was no signifi cant difference between the hospital units in terms of the attitudes of healthcare workers (HCWs) toward HBV/HCV infections and the level of education concerning them. Conclusions: Our fi ndings revealed a moderate level of knowledge in most HCWs, regardless of their exposure to risk. While the highest knowledge scores and vaccination rates were noted among the in-patient clinic staff, there was no signifi cant difference between the hospital units in terms of the attitudes of HCWs towards a patient or a colleague with an HBV/HCV infection.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2013, 26, 1; 122-131
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Utajone zakażenie gruźlicą u polskich funkcjonariuszy służby więziennej
Latent tuberculosis infection in the Polish prison staff
Autorzy:
Filipek-Czerska, Aneta
Karczewski, Jan K.
Gładysz, Iwona
Powiązania:
https://bibliotekanauki.pl/articles/2081865.pdf
Data publikacji:
2021-08-31
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
gruźlica
zakłady karne
latentne zakażenie prątkami gruźlicy
zakażenie Mycobacterium tuberculosis
infekcja utajona
służba więzienna
tuberculosis
penitentiaries
latent tuberculosis infection
Mycobacterium tuberculosis infection
latent infection
prison employees
Opis:
Gruźlica jest chorobą zakaźną wywoływaną przez prątki kwasooporne z grupy Mycobacterium tuberculosis complex. Choroba rozprzestrzenia się, gdy chorzy na gruźlicę płucną wydalają bakterie podczas kaszlu, kichania, śmiania się czy mówienia. Więzienia, które są często nazywane rezerwuarami chorych na gruźlicę, stwarzają duże zagrożenie dla zatrudnionych w nich osób. Dłuższy czas pracy w więzieniu i ośrodkach penitencjarnych sprzyja zakażeniu latentnemu wśród personelu więziennego. Dotychczas opublikowano niewiele prac dotyczących zagadnienia latentnego zakażenia prątkami gruźlicy wśród pracowników zakładów karnych.Materiał i metodyPrzebadano łącznie 84 pracowników zakładów karnych zlokalizowanych w województwie lubelskim. Zastosowano test QuantiFERON-TB Gold In-Tube (QFT-GIT), który w 2005 r. został zatwierdzony do użytku przez amerykańską Agencję ds. Żywności i Leków jako pomoc w diagnozowaniu zakażenia M. tuberculosis. Materiał do badań stanowiły próbki krwi pobrane metodą testu QFT-GIT.WynikiLatentne zakażenie gruźlicą stwierdzono u 16,6% funkcjonariuszy. Największy odsetek wyników dodatnich zaobserwowano wśród badanych funkcjonariuszek z zakładu karnego, w wieku 36–57 lat, stanu cywilnego wolnego. Nie wykazano istotnych statystycznie różnic między stanowiskiem pracy funkcjonariuszy służby więziennej a czynnikami ryzyka zakażenia gruźlicą latentną. Okazało się, że na ryzyko zakażenia gruźlicą wpływają staż pracy i kontakt z osadzonymi.Wnioski Wyniki badań częściowo potwierdzają obserwacje innych autorów dotyczące oddziaływania czynników ryzyka latentnego zakażenia gruźlicą pracowników zakładów karnych. W badanych zakładach karnych staż i kontakt miały wpływ na zakażenie. Med. Pr. 2021;72(4):415–422
Tuberculosis is a chronic infectious disease caused by acid-fast mycobacteria from the Mycobacterium tuberculosis complex group. The disease spreads when people with pulmonary tuberculosis excrete bacteria when they cough, sneeze, laugh or speak. Prisons are often called reservoirs of patients with tuberculosis, posing a great threat to their staff. Longer working hours in prison and penitentiary facilities aid latent contamination among the prison staff. So far, there have been few works discussing latent tuberculosis infection issues among the prisoners and prison staff.Material and MethodsA total of 84 employees of penitentiary facilities located in the Lublin Voivodship were examined using the QuantiFERON-TB Gold In-Tube (QFT-GIT) test which was approved for use in 2005 by the U.S. Food and Drug Administration as an aid in the diagnosis of Mycobacterium tuberculosis. The material for the research included blood samples collected using the QFT-GIT.ResultsPositive test results of latent tuberculosis infections were found in 16.6% of officers. The highest percentage with positive results of tuberculosis infections was found among the surveyed single women aged 36–57, working in penitentiary facilities. There have been no statistically significant differences between the position of officers and the risk factors increasing the chance of the latent tuberculosis infection. Work experience and contact with inmates were found to have an impact on tuberculosis infection.ConclusionsThe obtained results partially confirm other authors’ observations concerning the influence of the risk factors of latent tuberculosis infections in prisons. Work experience and contact with inmates have an impact on tuberculosis infections among the prison staff in the Lublin Voivodeship. Med Pr. 2021;72(4):415–22
Źródło:
Medycyna Pracy; 2021, 72, 4; 415-422
0465-5893
2353-1339
Pojawia się w:
Medycyna Pracy
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Prevalence of blood-borne viruses among Iranian dentists: Results of a national survey
Autorzy:
Ahmad Akhoundi, Mohammad Sadegh
Momeni, Nafiseh
Norouzi, Mehdi
Ghalichi, Leila
Shamshiri, Ahmad Reza
Alavian, Seyed Moayed
Poortahmasebi, Vahdat
Jazayeri, Seyed Mohammad
Powiązania:
https://bibliotekanauki.pl/articles/2177368.pdf
Data publikacji:
2015-05-18
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
infection control
blood-borne viruses
dentists
Health care workers
occult hepatitis B infection
HBV vaccine
Opis:
Objectives Health care workers, including dentists, are at the front line for acquiring blood-borne virus infections. This study aimed to investigate the prevalence of hepatitis B, hepatitis C and human immunodeficiency viruses among Iranian dentists. Material and Methods The survey included 1628 dental health care workers who attended the 51st annual Congress of the Iranian Dental Association. Data on the risk of blood-borne virus transmission during health care and infection control practices were gathered from self-administered questionnaires. Sera were screened serologically by enzyme-linked immunosorbent assay (ELISA). The positive samples were examined by polymerase chain reaction (PRC) followed by direct sequencing. Results Six (0.36%) and 81 (5.0%) were positive for hepatitis B surface antigen (HBsAg) and (anti-hepatitis B virus core antigen (anti-HBc), respectively. Only 1 (0.061%) was positive for anti-hepatitis C virus (anti-HCV). No case was positive for anti-human immunodeficiency virus (anti-HIV). One case was diagnosed as being occult hepatitis B virus (HBV) infection. One thousand five hundred thirty-five (94.3%) of participants had received at least 1 dose of HBV vaccine. One thousand three hundred fifty-nine (88.5%) contained hepatitis B surface antibody (anti-HBs) > 10 IU/ml, of whom 55 (4.0%) were anti-HBc positive, suggesting that they had been infected with HBV in the past. Anti-HBc positive cases had past histories of hepatitis, either their own or their spouses’. Individuals with inadequate anti-HBs levels (< 10 IU/ml) were significantly more prevalent among anti-HBc positive cases (p < 0.001). Conclusions The prevalence of blood-borne viruses among dental HCWs found in this study was lower than past reports from Iranian dentists and general population. The implementation of HBV vaccination together with improvement in infection control procedures has reduced the potential for risk infection among Iranian dentists.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2015, 28, 3; 593-602
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
COVID-19 and dentistry – safety issues regarding doctor and patient situation in time of vaccine availability
Autorzy:
Pietrzak, Patrycja
Hanke, Wojciech
Powiązania:
https://bibliotekanauki.pl/articles/2108219.pdf
Data publikacji:
2021-12-22
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
COVID-19
infection
prevention
epidemiology
dentistry
vaccine
Opis:
Since one of the main mode of the COVID-19 transmission is through close contact with the infected person (<1.5 m distance) and body fluids (saliva, blood, aerosol particles), the dentists have become one of the groups being at most risk of being infected. The aim of this article is to present, based on the research search (publications from the last year 2020 and from the beginning of the current year 2021), the general overview of the situation during the COVID-19 pandemic with regard to patients and dentist as well as supporting personal protection. Authors identified 7 questions related to this topic. They address among others such issues as identification of the COVID-19 patients coming to the dental practice; protection of both the dentist and the patient from infection and a need for guidelines on the scope of emergency dental services during the pandemic. Opinions on the subject, expressed by the experts in the field, including general guidelines were also taken into consideration. In general, based on the literature overview, the COVID-19 pandemic has completely transformed the healthcare system, including dentistry. The identification of the COVID-19 patients coming to the dental practice has become a necessity (including taking epidemiological survey, temperature measurement). Currently, since “the group zero” in significant part has completed the full vaccination process, the health personnel (including dentists) might feel safer. The efficacy of the vaccines is high and provides a certain sense of security.
Źródło:
Medycyna Pracy; 2021, 72, 6; 729-737
0465-5893
2353-1339
Pojawia się w:
Medycyna Pracy
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Biological security of the SARS-CoV-2 (COVID-19) infection in large workplaces outside the healthcare sector – an epidemiologist’s point of view
Autorzy:
Hanke, Wojciech
Pietrzak, Patrycja
Powiązania:
https://bibliotekanauki.pl/articles/2082601.pdf
Data publikacji:
2021-02-03
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
prevention
workplace
workers
viral infection
COVID-19
biological security
Opis:
Populations in large workplaces are particularly susceptible to the risk of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. In the following article, an attempt has been made to identify main problems regarding the biological security in large workplaces outside the healthcare sector, while simultaneously pointing out the possible solutions to these problems. In this article, a literature review was performed with regard to publications that have been published within the last 4 months, concerning the issue of risk factors with regard to SARS-CoV-2 infections in large populations. Experts’ opinions and statements released by institutions working in this field were also taken into consideration. On the basis of the available publications, key procedures to protect workers in large workplaces against COVID-19 were established. One of these key factors is infection prevention. It is commonly known that, due to limited possibilities of identifying infected people that are asymptomatic, physical distance in the whole employee population should be kept; personal protective equipment (PPE) should be used and tele-work should be implemented. The results of recent research have shown that, apart from airborne ways of transmission, there also exists a possibility of getting infected by coming into contact with contaminated surfaces and objects. Therefore, frequent disinfection of rooms and work tools is essential. In the current situation, due to the lack of a vaccine, only going through the COVID-19 disease, either in a symptomatic or asymptomatic form, significantly increases the chances of developing natural immunity. The means of preventing SARS-CoV-2 infections include quickly identifying the infected people on the basis of the symptoms they report, keeping physical distance, using PPE, disinfecting rooms and applying proper ventilation. Limiting the number of workers by implementing a remote work pattern is also recommended.
Źródło:
Medycyna Pracy; 2021, 72, 1; 89-97
0465-5893
2353-1339
Pojawia się w:
Medycyna Pracy
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Pacjent w gabinecie otolaryngologicznym w dobie pandemii COVID-19 w świetle aktualnych wytycznych, przepisów prawnych i własnych doświadczeń
Patient in the otolaryngology office in the time of the COVID-19 pandemic in the light of current recommendations, legal regulations and authors’ own experience
Autorzy:
Obrębski, Jakub
Skorek, Piotr
Tretiakow, Dmitry
Narożny, Waldemar
Skorek, Andrzej
Powiązania:
https://bibliotekanauki.pl/articles/2081924.pdf
Data publikacji:
2021-06-30
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
zakażenie
otolaryngologia
indywidualne środki ochrony
aspekty prawne
COVID-19
transmisja zakażenia
infection
otolaryngology
personal protective equipment
legal aspects
transmission of the infection
Opis:
COVID-19 to ostra choroba zakaźna wywoływana przez wirus SARS‑CoV-2. Do transmisji z człowieka na człowieka dochodzi najczęściej wskutek kontaktu z zakaźnymi wydzielinami z dróg oddechowych. Objawy kliniczne różnią się od łagodnych, nieswoistych dolegliwości do stanów zagrażających życiu. Ogłoszenie przez Światową Organizację Zdrowia w marcu 2020 r. pandemii COVID-19 wpłynęło na wiele medycznych, prawnych, społecznych i ekonomicznych aspektów życia w państwach całego świata. W niniejszej pracy podsumowano zalecenia dotyczące opieki ambulatoryjnej nad pacjentem laryngologicznym oraz podstawy prawne dotyczące ryzyka zakażenia pacjenta w gabinecie lekarskim. W doborze prac korzystano z anglo- i polskojęzycznych portali medycznych, wpisując do wyszukiwarki hasła: SARS‑CoV-2, COVID-19, otolaryngologia, endoskopia, środki ochrony indywidualnej i odpowiedzialność prawna lekarza. Potencjalnym miejscem replikacji wirusa jest błona śluzowa górnych dróg oddechowych. Specyfika badania laryngologicznego i bezpośredni kontakt pacjent–lekarz sprzyjają transmisji zakażenia. Omówiono dokładnie elementy samoochrony personelu medycznego i wskazano aspekty prawne wynikające z ryzyka zakażenia pacjenta w gabinecie. Przy bezpośrednim kontakcie z pacjentem konieczne są środki ochrony osobistej: czepek, maska z filtrem FFP-2, gogle, fartuch i rękawice. Jeśli podczas wizyty spodziewane jest narażenie na kontakt z wydzielinami i aerozolem z dróg oddechowych, należy zaopatrzyć się dodatkowo w przyłbicę i wodoodporny fartuch. Wizyta pacjenta w przychodni powinna być poprzedzona teleporadą. Należy wykonywać badanie przesiewowe pacjentów jeszcze przed bezpośrednim kontaktem z lekarzem za pomocą krótkiego kwestionariusza wypełnianego przez pacjenta. Ankieta może składać się z prostych pytań o charakterystyczne objawy infekcji SARS‑CoV-2 i narażenie na kontakt z chorym w ciągu ostatnich 14 dni. Pytanie o przebywanie w obszarach wysokiego ryzyka zakażenia wobec zaliczenia całej Polski do tego obszaru ma niewielkie znaczenie. W związku z szerzeniem się wirusa SARS‑CoV-2 wprowadzono nowe schematy postępowania przy udzielaniu świadczeń lekarskich. W przypadku roszczeń ze strony pacjenta jedynym zabezpieczeniem lekarza lub placówki jest potwierdzenie skrupulatnego przestrzegania procedur medycznych. Med. Pr. 2021;72(3):327–334
Generally, COVID-19 is an acute contagious disease caused by the SARS‑CoV-2 virus. The main route of human-to-human transmission is through contact with infectious secretions from the respiratory tract. Clinical manifestations vary from mild non-specific symptoms to life-threatening conditions. Since WHO declared COVID-19 a pandemic in March 2020, it has affected many medical, legal, social and economic aspects of everyday life in countries around the world. In this article, the authors present a summary of recommendations for taking care of otorhinolaryngology patients in outpatient settings and the legal basis referring to a risk of infection in doctor’s office. In the selection of articles, the authors used English- and Polish-language online medical databases, typing the following keywords: SARS‑CoV-2, COVID-19, otolaryngology, endoscopy, personal protective equipment, and legal responsibility of the physician. The mucosa of the upper respiratory tract is a potential site of virus replication. The specificity of an ear, nose and throat (ENT) examination and a direct patient-doctor contact favor the transmission of the infection. The authors discussed the elements of self-protection of medical personnel and the legal aspects a risk of the patient contracting the infection in the otolaryngology office. In the case of a direct contact with the patient, the following medical personal protective equipment is required: a cap, a mask with an FFP-2 filter, goggles, an apron and gloves. If, during the visit, exposure to secretions or aerosol from the respiratory tract is expected, the personnel should additionally wear a visor and a waterproof apron. The patient’s visit in the clinic should be preceded by telemedicine consultation. Patients should be screened prior to having a direct contact with a physician, using a short patient questionnaire. The questionnaire may consist of simple questions about the characteristic symptoms of the SARS‑CoV-2 infection and exposure to a sick person in the past 14 days. The question of staying in the areas of a high infection risk appears of little importance in view of the whole of Poland being perceived as constituting such an area. Due to the spread of the SARS‑CoV-2 virus, new procedures for providing medical services have been introduced. In the case of claims on the part of the patient, the only protection the medical personnel or facility can provide is confirmation of scrupulous compliance with medical procedures . Med Pr. 2021;72(3):327–34
Źródło:
Medycyna Pracy; 2021, 72, 3; 327-334
0465-5893
2353-1339
Pojawia się w:
Medycyna Pracy
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Seroprevalence of SARS-CoV-2 and assessment of epidemiologic determinants in Portuguese municipal workers
Autorzy:
Barros Ferreira, Nuno
Pereira, Helena
Pereira, Ana M.
Azevedo, Luís F.
Santos, Mariana
Maranhão, Priscila
Correia, Ricardo
Fonseca, João A.
Canedo, Paulo
da Costa Pereira, Altamiro
Sousa-Pinto, Bernardo
Powiązania:
https://bibliotekanauki.pl/articles/2084912.pdf
Data publikacji:
2022-06-08
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
SARS-CoV-2 infection
COVID-19 pandemic
COVID-19 virus
COVID-19 serodiagnosis
COVID-19 antibody testing
SARS-CoV-2 infection serological testing
Opis:
ObjectivesTo assess the seroprevalence of SARS-CoV-2 antibodies in municipal employees of Northern Portugal during the first pandemic wave (May–June 2020) and its association with potentially related risk factors for infection.Material and MethodsThe authors assessed municipal employees of 2 cities in Northern Portugal, in whom serological tests to SARS-CoV-2 and an epidemiological survey were applied. The authors assessed the proportion of individuals presenting IgM and/or IgG antibodies to SARS-CoV-2, and evaluated the association between having positive serological test results, epidemiologic variables and clinical presentations. Reported symptoms were evaluated on their sensitivity, specificity, and predictive values.ResultsThe authors assessed 1696 employees, of whom 22.0% were firefighters, 10.4% were police officers, 10.3% were maintenance workers, and 8.1% were administrative assistants. The seroprevalence of SARS-CoV-2 infection was 2.9% (95% CI: 2.1–3.7%). Administrative assistants comprised the professional group with highest seroprevalence of SARS-CoV-2 (OR = 1.9 in the comparison with other occupational groups, 95% CI: 0.8–4.3, p = 0.126). The seroprevalence of SARS-CoV-2 infection among those who were in direct contact with COVID-19 patients in their professional activity was 3.9%, compared to 2.7% among those who were not in direct contact with such patients (OR = 1.5, 95% CI: 0.8–2.8, p = 0.222). The highest risk of infection was associated with the presence of a confirmed SARS-CoV-2 infection in the household (OR = 17.4, 95% CI: 8.3–36.8, p < 0.001). Living with a healthcare professional was not associated with a higher risk of infection (OR = 1.0, 95% CI: 0.4–2.5, p = 0.934). Anosmia/dysgeusia was the symptom with the highest positive predictive value (52.2%, 95% CI: 31.8–72.6, p < 0.001) and specificity (99.3%, 95% CI: 98.9–99.7, p < 0.001), while cough was the most prevalent symptom among SARS-CoV-2 seropositive participants (36%).ConclusionsThe authors observed a SARS-CoV-2 seroprevalence of 2.9% among assessed municipal employees. Anosmia/dysgeusia was the COVID-19 symptom which displayed the highest positive predictive value and specificity.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2022, 35, 3; 297-307
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Wiedza dotycząca aseptyki i antyseptyki oraz przestrzeganie ich zasad jako elementy profilaktyki zakażeń w pracy ratownika medycznego
Knowledge of aseptics and antisepsis and following their rules as elements of infection prevention in the work of paramedics
Autorzy:
Szarpak, Łukasz
Powiązania:
https://bibliotekanauki.pl/articles/2168421.pdf
Data publikacji:
2014-10-30
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
zakażenia krwiopochodne
ratownicy medyczni
wiedza
bloodborne infection
paramedical practitioners
knowledge
Opis:
Wstęp: Pracownicy ochrony zdrowia, szczególnie ratownicy medyczni, są grupą zawodową, która podczas udzielania medycznych czynności ratunkowych narażona jest na zakażenia krwiopochodne. Niniejsze badania miały na celu ocenę wiedzy ratowników medycznych w zakresie zakażeń krwiopochodnych, ich profilaktyki oraz przerwania dróg transmisji zakażenia. Materiał i metody: Badaniem objęto 220 ratowników medycznych zatrudnionych w szpitalnych oddziałach ratunkowych oraz zespołach ratownictwa medycznego. Materiał zebrano drogą anonimowej ankiety, której kwestionariusz został specjalnie skonstruowany na potrzeby badań. Wyniki: Aż 80% ankietowanych osób deklaruje częsty kontakt z krwią pacjenta, 65% ratowników medycznych przed założeniem dostępu dożylnego przeprowadza badanie palpacyjne przebiegu żyły, a 81% wprowadza kaniulę dożylną bezpośrednio po dezynfekcji skóry. Środki ochrony osobistej stosuje 98% osób. Wnioski: Analiza wiedzy badanej grupy ratowników medycznych w zakresie aseptyki i antyseptyki zakażeń krwiopochodnych wskazuje na wiele braków we właściwym przygotowaniu personelu medycznego do ograniczenia skutków ekspozycji na materiał zakaźny. Przy tym osoby z wykształceniem wyższym zawodowym prezentowały wyższy poziom wiedzy niż osoby po policealnym studium zawodowym. W opinii badanej grupy najważniejszym czynnikiem wpływającym na zmniejszenie liczby zakażeń krwiopochodnych byłyby obowiązkowe szkolenia z tego zakresu. Med. Pr. 2013;64(2):239–243
Background: The health-care professionals, particularly paramedics are exposed to bloodborne infections during medical rescue operations. The aim of this study was to assess knowledge of bloodborne infections, their prevention and interrupted routes of infection transmission among paramedics. Materials and Methods: The study comprised 220 paramedics employed in emergency departments and ambulance services. Material was collected using an anonymus questionnaire, developed for the purpose of this study. Results: As many as 80% of the surveyed people reported frequent contact with patients' blood; 65% of the paramedics before establishing the intravenous access palpates the conduct of the vein; 81% introduce peripheral venous catheter directly after disinfection of the skin; and 98% apply personal protection measures. Conclusions: The analysis of knowledge of asepsis and antisepsis of bloodborne infections among paramedics points to a series of shortcomings in their adequate preparation to reduce the effects of exposure to infectious material. However, it should be emphasized that people with higher education presented a higher level of knowledge than those with postsecondary vocational education. In the opinion of the study group mandatory training in the discussed area would prove to be the most effective method for reducing the number of bloodborne infections. Med Pr 2013;64(2):239–243
Źródło:
Medycyna Pracy; 2013, 64, 2; 239-243
0465-5893
2353-1339
Pojawia się w:
Medycyna Pracy
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
A proposal of a cheap and simple method of medical personnel protection for endotracheal intubation of patients with a suspected or confirmed COVID-19 infection
Autorzy:
Gaszyński, Tomasz
Fedorczak, Michał
Pondel, Jakub
Powiązania:
https://bibliotekanauki.pl/articles/2086093.pdf
Data publikacji:
2021-05-27
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
intubation
infection
personal protective equipment
airway management
COVID-19
intubation barrier
Opis:
ObjectivesThe COVID-19 pandemic has created additional risks to healthcare providers, especially those who perform aerosol generating procedures (AGPs) like endotracheal intubation. Endotracheal intubation is one of the procedures mostly generating aerosol and, therefore, requiring full protection of medical personnel against the infection.Material and MethodsIn this paper, basing on a literature review, the recommended intubation procedure is presented together with recommendations for personal protection during intubation. Additionally, a proposal of a simple and cheap protective barrier is described against spreading aerosol outside the intubation area. The aim was to propose a simple and cheap method to increase the safety of medical personnel performing AGPs in patients infected or suspected of being infected with COVID-19, which could be easily introduced into clinical practice.ResultsThe presented method is the authors’ own idea, based on their experience gathered from working in an operating room. Judging from their clinical experience, the presented method is effective and safe for patients.ConclusionsEndotracheal intubation is one of the most common AGPs and adequate actions must be taken in order to protect medical personnel against the infection and to prevent the spreading of aerosol around the intubation area. The proposed barrier is easy to set with disposable materials and standard equipment available in every operating room.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2021, 34, 2; 301-305
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Knowledge, attitudes, beliefs and practices of occupational physicians towards vaccinations of health care workers: A cross sectional pilot study in North-Eastern Italy
Autorzy:
Riccò, Matteo
Cattani, Silvia
Casagranda, Franca
Gualerzi, Giovanni
Signorelli, Carlo
Powiązania:
https://bibliotekanauki.pl/articles/2161892.pdf
Data publikacji:
2017-07-14
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
occupational infection
healthcare workers
immunization
occupational physician
vaccination recommendation
vaccine hesitancy
Opis:
Objectives This study aims to characterize personal attitudes and knowledge of a sample of Italian occupational physicians (OPhs) towards immunization practice in the case of healthcare workers (HCWs). Material and Methods A total of 90 OPhs (42.2% of males, 57.8% of females, mean age of 50.1±8.3 years old) compiled a structured questionnaire through a telephonic interview. They were asked about the official Italian recommendations for HCWs, their general knowledge of vaccine practice, their propensity towards vaccines (both in general and about specific immunizations), their risk perception about the vaccine-preventable infectious diseases. Eventually, a regression analysis was performed in order to identify factors predictive for vaccine propensity. Results Only 12 out of 90 subjects correctly identified all the 7 recommended immunizations. The hepatitis B virus (HBV) vaccine was correctly identified by 95.6% of the sample, and was also associated with the more positive attitude and the more accurate risk perception. Influenza vaccine had the lowest acceptance (75.9%). Eventually, pertussis, measles, parotitis and varicella vaccines were insufficiently recognized as recommended ones (all cases < 50% of the sample). General knowledge of vaccine and knowledge of official recommendations were significantly correlated with the attitude towards immunization practice (r = 0.259, p = 0.014 and r = 0.438, p < 0.0001). In the regression analysis general knowledge (unstandardized coefficient (B) = 0.300, 95% confidence interval (CI): 0.090–0.510, p = 0.006) and risk perception (B = 0.579, 95% CI: 0.155–1.003, p = 0.008) were significant predictors of the propensity to vaccinate. Conclusions Vaccinations gaps in HCWs may found their roots in OPhs incomplete knowledge of evidence-based recommendations. Specific training programs and formations courses should then be planned. Int J Occup Med Environ Health 2017;30(5):775–790
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2017, 30, 5; 775-790
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Comparing the performance of QuantiFERON-TB Gold and Mantoux test in detecting latent tuberculosis infection among Iranian health care workers
Autorzy:
Talebi-Taher, Mahshid
Javad-Moosavi, Seied-Ali
Entezari, Amir-Hossein
Shekarabi, Mehdi
Parhizkar, Baran
Powiązania:
https://bibliotekanauki.pl/articles/2185374.pdf
Data publikacji:
2011-12-01
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
QuantiFERON-TB Gold
mantoux test
latent tuberculosis infection
Health care workers
Opis:
Objectives: The risk of transmission of Mycobacterium tuberculosis from patients with tuberculosis to health care workers (HCWs) has been well documented but little is known about the prevalence of latent tuberculosis infection (LTBI) in Iranian HCWs. The aim of this study was to determine the prevalence of LTBI among HCWs by using IFNgamma-release assay and compare the results with those of tuberculin skin test (TST). Methods: Two hundred HCWs were evaluated with both TST and QuantiFERON-TB Gold In Tube test (QFT-GIT). The obtained data were analyzed by SPSS v.16 Software. Results: The participants were 73 males and 127 females with the mean age of 34.36±8.26 years. TST was positive in 105 cases (52.5%) and the QFT results were positive in 17 cases (8.5%). There was poor agreement between the two tests (53%, к = 0.115). Induration diameter of TST ≥ 10 mm and working duration ≥ 10 years were independent predictors for positive QFT (p = 0.004). Conclusions: Due to the fact that BCG vaccination has been administered routinely to all HCWs in Iran, specifi c tests should be introduced for high risk groups. QFT thus seems to be more effective for LTBI diagnosis than TST among HCWs with BCG immunization history.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2011, 24, 4; 359-366
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Occupational risks for SARS-CoV-2 infection: the Polish experience
Autorzy:
Sierpiński, Radosław
Pinkas, Jaroslaw
Jankowski, Mateusz
Juszczyk, Grzegorz
Topór-Mądry, Roman
Szumowski, Łukasz
Powiązania:
https://bibliotekanauki.pl/articles/2116419.pdf
Data publikacji:
2020-10-20
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
occupational exposure
public health
quarantine
coronavirus infection
patient isolation
cross-sectional survey
Opis:
ObjectivesThe disease caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), termed COVID-19, is asymptomatic or mild in most cases. These patients do not need treatment in hospital and can be isolated at home. To date, most studies have been conducted among inpatients with severe COVID-19. In this study, the authors surveyed patients with mild COVID-19 who remained in home isolation, and analyzed the sources and occupational risk factors for SARS-CoV-2 infections.Material and MethodsThis cross-sectional study was carried out on April 17–18, 2020, among patients infected with SARS-CoV-2 who remained in home isolation in Poland. Data were acquired through a structured interview that included questions about the isolation course, symptoms, comorbidities, infection source, household characteristics, occupation, and workplace. Data were presented with descriptive statistics.ResultsOf the 4878 patients in home isolation, the authors were able to contact 3313. Of them, 1191 patients declined their invitation, and 2122 agreed to take part. The median age of the patients included in the study was 50 years; 59% were female. Most patients (92%) had not been abroad before the infection. More than half (55%) knew how they became infected; of them, 75% became infected at work. Of all patients, 70% were occupationally active. Nearly half of the occupationally active patients (48%) worked in healthcare, 3% worked in public administration or defense, 3% worked in transportation, and 2% worked in education. Sixty-five percent of the occupationally active patients worked in companies with >100 employees.ConclusionsMost of the patients with COVID-19 in home isolation in Poland were occupationally active, wherein the majority of people who were aware of the source of SARS-CoV-2 infection worked in healthcare. As most of the infected patients worked in companies with >100 employees, which is not a Polish employment pattern, the authors expect that smaller companies may have a lower risk of SARS-CoV-2 infections.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2020, 33, 6; 781-789
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Seasonal influenza vaccination of healthcare workers: a narrative review
Autorzy:
Jędrzejek, Michał J.
Mastalerz-Migas, Agnieszka
Powiązania:
https://bibliotekanauki.pl/articles/2084883.pdf
Data publikacji:
2022-04-11
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
infection control
influenza
healthcare facilities
healthcare workers
healthcare personnel
influenza vaccination
Opis:
Influenza is an acute respiratory disease caused by the influenza virus which often occurs in outbreaks and epidemics worldwide. The World Health Organization recommends annual vaccination of healthcare workers (HCWs) against influenza, because most of them are involved in the direct care of patients with a high risk of influenza-related complications. Given the significance of the disease burden, a targeted literature review was conducted to assess issues related to influenza vaccination among HCWs. The primary aim of this review was to assess the incidence of influenza among medical personnel and healthcare-associated influenza, and to outline the benefits of influenza vaccination for patients and HCWs themselves. Vaccination of HCWs seems to be an important strategy for reducing the transmission of influenza from healthcare personnel to their patients and, therefore, for reducing patient morbidity and mortality, increasing patient safety, and reducing work absenteeism among HCWs. The benefits of influenza vaccination for their patients and for HCWs themselves are addressed in literature, but the evidence is mixed and often of low-quality.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2022, 35, 2; 127-139
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Evaluation of activities aimed at preventing microbiological risks in dental practice
Ocena działań ukierunkowanych na zapobieganie zagrożeniom mikrobiologicznym w pracy stomatologa
Autorzy:
Szymańska, Jolanta
Sitkowska, Jolanta
Powiązania:
https://bibliotekanauki.pl/articles/2168396.pdf
Data publikacji:
2014-10-29
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
sprzęt stomatologiczny
mikrobiologia wody
kontrola infekcji
dental equipment
water microbiology
infection control
Opis:
Background: Microbiological contamination of water in dental unit waterlines (DUWL) creates a risk of cross-infections, and is a source of biological risk factors in the work environment of a dentist. The aim of the study was to evaluate dentists' knowledge on DUWL microbiological contamination and the scope of activities/procedures they undertake to monitor it. Material and Methods: The questionnaire survey was conducted in 2010 among 107 Polish dentists using dental units in everyday clinical practice. Results: It has been found that in their daily practice, dentists do not follow procedures leading to reduction or elimination of microbiological contamination of dental unit reservoir water. They are not aware of microbiological contamination of DUWL that supply working handpieces with water. They are unaware of the principles of dealing with dental water and water supply systems or the health risk posed by microbiological contamination of unit water for a dental team and patients. Conclusions: It is necessary to provide dentists with information on microbiological contamination of water in dental units, on the correct procedures of handling water and waterlines that supply working handpieces with water. Med Pr 2013;64(1):11–17
Wstęp: Mikrobiologiczne skażenie wody w instalacji wodnej unitów dentystycznych stwarza zagrożenie zakażeniami krzyżowymi, stanowiąc źródło szkodliwych czynników biologicznych w środowisku pracy stomatologa. Celem badań była ocena wiedzy dentystów na temat skażenia mikrobiologicznego wody z unitów dentystycznych oraz zakresu czynności/procedur, które powinny być podejmowane w celu monitorowania tego skażenia. Materiał i metody: Badanie ankietowe przeprowadzono w 2010 r. wśród 107 polskich stomatologów używających unitów dentystycznych w praktyce klinicznej. Wyniki: W codziennej pracy dentyści nie stosują procedur minimalizujących/eliminujących mikrobiologiczne skażenie wody w zbiornikach unitów dentystycznych. Nie mają oni wiedzy na temat skażenia instalacji wodnej dostarczającej wodę do końcówek roboczych, nie znają zasad postępowania z wodą z unitów ani z instalacją wodną, nie są też świadomi zagrożeń zdrowotnych stwarzanych przez mikrobiologiczne skażenie wody w unitach dla zespołu stomatologicznego i pacjentów. Wnioski: Konieczne jest dostarczenie dentystom informacji na temat problemu mikrobiologicznego skażenia wody w unitach dentystycznych oraz procedur prawidłowego postępowania z wodą w instalacjach wodnych unitów. Med. Pr. 2013;64(1):11–17
Źródło:
Medycyna Pracy; 2013, 64, 1; 11-17
0465-5893
2353-1339
Pojawia się w:
Medycyna Pracy
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Monoinfekcja Borrelia burgdorferi i współzakażenia Borrelia burgdorferi / Anaplasma phagocytophilum u pracowników leśnictwa i rolników
Monoinfections caused by Borrelia burgdorferi and Borrelia burgdorferi / Anaplasma phagocytophilum co-infections in forestry workers and farmers
Autorzy:
Tokarska-Rodak, Małgorzata
Pańczuk, Anna
Kozioł-Montewka, Maria
Plewik, Dorota
Szepeluk, Adam
Powiązania:
https://bibliotekanauki.pl/articles/2164384.pdf
Data publikacji:
2015-11-09
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
Borrelia burgdorferi
leśnicy
rolnicy
Anaplasma phagocytophilum
cytokiny
współzakażenie
forestry workers
farmers
cytokines
co-infection
Opis:
Wstęp Występowanie u ludzi koinfekcji patogenami przenoszonymi przez kleszcze jest istotnym zjawiskiem epidemiologicznym, któremu coraz więcej uwagi poświęcają zarówno lekarze, jak i osoby pracujące w warunkach zwiększonego ryzyka ukłucia przez kleszcze. Materiał i metody Grupa badana obejmowała 93 osoby z obecnymi przeciwciałami immunoglobuliny M/G (IgM/IgG) anty-Borrelia burgdorferi i IgG anty-Anaplasma phagocytophilum, wyłonione podczas badań przesiewowych z grupy rolników i leśników zawodowo narażonych na pokłucia przez kleszcze. Celem pracy była ocena częstości występowania przeciwciał IgM/IgG dla specyficznych antygenów B. burgdorferi oraz poziomu wybranych cytokin u rolników i leśników w zależności od obecności monoinfekcji B. burgdorferi lub współzakażenia B. burgdorferi / A. phagocytophilum. Uzyskane wyniki badań poddano analizie statystycznej (test Chi², Manna-Whitneya, Kruskala-Wallisa). Wyniki U osób z koinfekcją B. burgdorferi i A. phagocytophilum istnieje silniejsze generowanie przeciwciał IgG dla antygenów B. burgdorferi, takich jak VlsE (variable major protein- like sequence expressed) (p < 0,05), p19 (p < 0,02), p17 (p < 0,05) i CRASP3 (complement regulator-acquiring surface protein 3) (p < 0,02) w porównaniu z osobami z monoinfekcją B. burgdorferi. Nie stwierdza się różnic w poziomie generowanych cytokin interleukiny 6 (IL-6), IL-10, czynnika martwicy nowotworu α (tumor necrosis factor α – TNF-α) u osób z monoinfekcją B. burgdorferi i koinfekcją B. burgdorferi / A. phagocytophilum. Wnioski U pacjentów z jednoczesnym zakażeniem B. burgdorferi i A. phagocytophilum odpowiedź immunologiczna skierowana przeciwko B. burgdorferi jest silniejsza niż w przypadku monoinfekcji. Med. Pr. 2015;66(5):645–651
Background The presence of co-infections induced by tick-borne pathogens in humans is an important epidemiological phenomenon. This issue has attracted growing attention of doctors and people working under conditions of an increased risk of being exposed to tick bites. Material and Methods The research group consisted of 93 individuals with current anti-immunoglobulin M/G (IgM/ IgG) Borrelia burgdorferi or IgG anti-Anaplasma phagocytophilum. The respondents were identified during the screening survey in a group of farmers and foresters occupationally exposed to tick bites. The aim of the work was to analyse the frequency of antibodies to specific antigens of B. burgdorferi and the levels of cytokines in forestry workers and farmers with B. burgdorferi monoinfections and B. burgdorferi / A. phagocytophilum co-infections. Statistical analysis was performed using the Chi², Mann-Whitney U and Kruskal-Wallis tests. Results There is a stronger generation of IgG antibodies to B. burgdorferi antigens in patients with B. burgdorferi / A. phagocytophilum co-infections, such as variable major protein-like sequence expressed (VlsE) (p < 0.05), p19 (p < 0.02), p17 (p < 0.05) and complement regulator-acquiring surface protein 3 (CRASP3) (p < 0.02) compared to persons with B. burgdorferi monoinfections. The discrepancies in the synthesis of cytokines interleukin 6 (IL-6), IL-10, and tumor necrosis factor α (TNF-α) have not been found in persons with B. burgdorferi monoinfections and B. burgdorferi / A. phagocytophilum co-infection. Conclusions The immune response directed against B. burgdorferi is stronger in patients co-infected with B. burgdorferi and A. phagocytophilum than in those with monoinfection. Med Pr 2015;66(5):645–651
Źródło:
Medycyna Pracy; 2015, 66, 5; 645-651
0465-5893
2353-1339
Pojawia się w:
Medycyna Pracy
Dostawca treści:
Biblioteka Nauki
Artykuł
Wyświetlanie 1-15 z 28

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