对冈比亚医疗保健工作者进行乙型肝炎血清学检测和疫苗接种:试点研究
Buba Manjang1,2,3, Ebrima Keita4, Sheikh Omar Bittaye5,6
1Department of Public Health, Faculty of Medicine and Allied Health Sciences, University of The Gambia, Banjul, Gambia.
Journal of public health in Africa
|August 15, 2024
概括
乙型肝炎感染对医疗保健工作者构成风险. 冈比亚的一项试点研究发现,医疗保健工作者中没有乙型肝炎免疫力的高患病率,表明需要开展疫苗接种活动.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 职业健康 职业健康 职业健康
背景情况:
- 乙型肝炎感染是全球严重的健康威胁.
- 它对医疗保健工作者 (HCW) 和卫生系统构成风险.
- 高血压劳动者面临血液暴露的高风险.
研究的目的:
- 为了记录自我报告的乙型肝炎疫苗接种史.
- 在高风险HCW中记录血清学结果 (HBsAg和抗HBs).
- 评估在冈比亚开展更广泛疫苗接种活动的必要性.
主要方法:
- 进行了一项跨部门试点研究.
- 在第三级护理医院招收了70名高风险的HCW.
- 参与者接受了健康史采访,血清学测试和疫苗接种状态文件.
主要成果:
- 61.4%的HCW报告了之前的乙型肝炎疫苗接种.
- 乙型肝炎表面抗原 (HBsAg) 的阳性为4.3%,主要在老年参与者中.
- 60.0%的参与者缺乏保护性抗HBs抗体.
结论:
- 显著比例的HCW缺乏免疫力B型肝炎.
- 较老的HCW显示感染的患病率更高.
- 迫切需要对冈比亚HCW进行更广泛的查和疫苗接种活动.
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