职业环境中的军团病:意大利东北部 (2019) 的跨部门研究 (2019)
Matteo Riccò1, Pietro Ferraro2, Silvia Ranzieri3
1Servizio di Prevenzione e Sicurezza Negli Ambienti di Lavoro (SPSAL), AUSL-IRCCS di Reggio Emilia, Via Amendola n.2, I-42122 Reggio Emilia, Italy.
Tropical medicine and infectious disease
|July 28, 2023
概括
职业医生 (OPs) 对军团病 (LD) 有很好的了解,但在预防方面参与度有限. 他们的参与风险评估和预防在特定环境中更高,如养老院和废水厂.
科学领域:
- 职业健康 职业健康 职业健康
- 传染病流行病学 传染病流行病学
- 公共卫生 公共卫生
背景情况:
- 军团病 (LD) 是意大利住院的重要原因,职业暴露是潜在的贡献者.
- 职业医生 (OP) 在管理和预防LD方面的作用尚未得到充分研究.
- 了解OP的知识,态度和实践 (KAP) 对于改善LD预防策略至关重要.
研究的目的:
- 评估意大利OPs关于军团病的KAP.
- 评估OPs参与LD预防和风险评估的程度.
- 确定与OPs参与LD预防干预相关的因素.
主要方法:
- 在意大利帕尔马的一次培训活动中招募的165个OP中进行了横截面调查.
- 一个结构化的问卷调查评估了OPs关于LD的知识,态度和实践.
- 用二进制物流回归分析来确定与参与预防性干预相关的因素.
主要成果:
- 运营人员表现出对LD临床和诊断方面的满意知识,但对流行病学因素存在不确定性.
- 虽然大多数OP与医疗保健设施,养老院或废水处理厂有关,但只有41.8%的人对LD风险评估做出了贡献,18.8%的人促进了预防措施.
- 在养老院和废水处理厂工作与参与LD风险评估有关;在医院和废水处理厂工作与促进预防实践有关.
结论:
- 在LD预防中OP的有效参与是不常见的,并且集中在特定的职业环境中.
- 需要有针对性的信息宣传活动,以加强OPs在各种职业环境中参与LD预防.
- 加强OPs在LD预防中的作用对于减少工作场所疾病负担至关重要.
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