当风险持续存在时:在COVID-19的背景下对医疗保健工作者暴露风险的两次纵向评估
Garyfallia Akrivouli1, Dimitrios Papagiannis1, Zoe Daniil2
1Department of Nursing, University of Thessaly, Gaiopolis, 41500 Larissa, Greece.
Healthcare (Basel, Switzerland)
|February 13, 2026
概括
医疗保健工作者 (HCW) 面临着持续的SARS-CoV-2暴露风险. 一项研究发现,随着时间的推移,职业暴露风险增加,感染预防和控制 (IPC) 实践的遵守率下降,特别是在护士中.
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:
- 在整个COVID-19大流行期间,医疗保健工作者 (HCW) 面临着持续的职业接触SARS-CoV-2.
- 有限的前性数据存在于职业暴露风险的演变和遵守感染预防和控制 (IPC) 实践的随着时间的推移,特别是流行后的高峰.
研究的目的:
- 为了前性地评估职业和社区接触COVID-19的风险在HCWs.
- 评估在日常护理和气溶生成程序期间遵守IPC实践的时间变化.
主要方法:
- 一项前性观察性研究,涉及希腊塞萨利四家公立医院的203名高血压患者.
- 在基线 (2022年1月至3月) 和六个月后期采用世卫组织"COVID-19背景下卫生保健工作者暴露的风险评估和管理"调查问卷收集的数据.
- 评估包括人口统计,职业角色,职业/社区暴露,以及IPC的遵守.
主要成果:
- 在这两个时间点,总体职业暴露仍然很高 (72.9%).
- 具有高风险职业暴露的HCW比例显著增加,从76%增加到88% (p=0.010),几率增加了一倍以上 (OR=2.24).
- 随着时间的推移,尽管个人防护设备的使用量始终很高,但对IPC关键实践的遵守,包括个人防护设备的移除和表面的消毒,却在不断下降.
结论:
- 在HCW中,职业接触SARS-CoV-2的风险很大,并且随着时间的推移而增加,尽管报告的暴露率稳定.
- 关键的IPC措施的遵守率下降,需要在医疗机构不断监测和加强保护性做法.
- 与医生相比,护士经常面临更高的风险,这表明需要有针对性的干预措施.
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