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标题: 中国医院医生和护士对乙肝疫苗接种的知识，态度和实践： [打印本页]

作者: StephenW 时间: 2018-3-24 21:00 标题: 中国医院医生和护士对乙肝疫苗接种的知识，态度和实践：

Vaccine. 2018 Mar 19. pii: S0264-410X(18)30354-2. doi: 10.1016/j.vaccine.2018.03.018. [Epub ahead of print]
Knowledge, attitudes, and practices regarding hepatitis B vaccination among hospital-based doctors and nurses in China: Results of a multi-site survey.Liu Y1, Ma C2, Jia H3, Xu E4, Zhou Y5, Zhang Z6, Lu L6, Rodewald L7, Hao L8.
Author information
1Department of Expanded Program on Immunization, Hangzhou Center for Disease Control and Prevention, Hangzhou, Zhejiang 310021, China; Chinese Field Epidemiology Training Program, Chinese Center for Disease Control and Prevention, Beijing 100050, China.2Department of National Immunization Program, Chinese Center for Disease Control and Prevention, Beijing 100050, China.3Department of Expanded Program on Immunization, Fuzhou Center for Disease Control and Prevention, Fuzhou, Fujian 350004, China; Chinese Field Epidemiology Training Program, Chinese Center for Disease Control and Prevention, Beijing 100050, China.4Department of Expanded Program on Immunization, Hangzhou Center for Disease Control and Prevention, Hangzhou, Zhejiang 310021, China.5Department of Expanded Program on Immunization, Fujian Center for Disease Control and Prevention, Fuzhou, Fujian 350001, China.6Department of Expanded Program on Immunization, Beijing Center for Disease Control and Prevention, Beijing 100013, China.7World Health Organization China Office, Beijing 100600, China.8Department of National Immunization Program, Chinese Center for Disease Control and Prevention, Beijing 100050, China. Electronic address: [email protected].

AbstractBACKGROUND: Hepatitis B virus (HBV) can cause chronic HBV infection, which may lead to advanced cirrhosis and liver cancer. Healthcare workers (HCWs) are at risk HBV infection as an occupational hazard. Hepatitis B vaccination of HCWs is recommended by WHO, but the status of hepatitis B vaccination among HCWs in China is seldom reported.
METHODOLOGY: We conducted a cross-sectional study in 22 hospitals of 3 developed cities in China. We interviewed managers in infectious diseases and occupational health departments, and at least 40 HCWs per hospital.
RESULTS: We interviewed 929 HCWs; 80.8% were vaccinated against hepatitis B and 96.7% were willing to be vaccinated; 38.2% of HCWs reported having at least one needle stick or sharps injury. Three hospitals provide free hepatitis B vaccination for HCWs; hospitals with a hepatitis B vaccination policy, more HCWs reported being vaccinated (91.7% vs 79.0%, P < 0.001). HCWs in high risk departments (P = 0.011), with more knowledge of hepatitis B vaccine (P < 0.001), and with fewer working years (P = 0.002) were more likely to be vaccinated against HBV. Infectious diseases and occupational health managers had positive attitudes towards hepatitis B vaccination.
CONCLUSIONS: Hepatitis B vaccination was well accepted among HCWs. Hospital provision of free vaccine, greater HCW knowledge of HBV, and working in higher-risk settings were associated with being vaccinated. A national policy of offering hepatitis B vaccine to HCWs should be considered in China. Provision of free hepatitis B vaccine for HBsAb negative HCWs may be acceptable. Education about HBV and hepatitis B vaccine may help promote policy implementation.

KEYWORDS: Health care worker; Hepatitis B vaccine; Vaccination

PMID:29567035DOI:10.1016/j.vaccine.2018.03.018

作者: StephenW 时间: 2018-3-24 21:00

疫苗。 2018年3月19日，pii：S0264-410X（18）30354-2。 doi：10.1016 / j.vaccine.2018.03.018。 [电子版提前打印]
中国医院医生和护士对乙肝疫苗接种的知识，态度和实践：多点调查的结果。
Liu Y1，Ma C2，Jia H3，Xu E4，Zhou Y5，Zhang Z6，Lu L6，Rodewald L7，Hao L8。
作者信息

1
杭州市疾病预防控制中心免疫扩大规划处，浙江杭州310021;中国疾病预防控制中心中国现场流行病学培训班，北京100050
2
中国疾病预防控制中心免疫规划处，北京100050
3
福州市疾病预防控制中心扩大免疫规划司，福建福州350004;中国疾病预防控制中心中国现场流行病学培训班，北京100050
4
杭州市疾病预防控制中心免疫扩大规划处，浙江杭州310021
五
福建省疾病预防控制中心扩大免疫规划司，福建福州350001
6
北京市疾病预防控制中心扩大免疫规划司，北京100013
7
世界卫生组织中国办公室，北京100600。
8
中国疾病预防控制中心免疫规划处，北京100050电子地址：[email protected]。

抽象
背景：

乙型肝炎病毒（HBV）可引起慢性HBV感染，这可能导致晚期肝硬化和肝癌。医护人员（医护人员）面临职业病危害时处于HBV感染风险之中。 WHO建议乙肝疫苗接种乙肝疫苗，但中国乙肝疫苗接种乙肝疫苗的情况很少报道。
方法：

我们对中国3个发达城市的22家医院进行了横断面研究。我们采访了传染病管理人员和职业卫生部门，每家医院至少有40名医护人员。
结果：

我们采访了929名医护人员; 80.8％的人接种乙肝疫苗，96.7％的人愿意接种疫苗; 38.2％的医护人员报告至少有一次针刺或锐器伤。三家医院为医护人员免费提供乙肝疫苗接种;接受乙肝疫苗接种政策的医院中，更多医护人员报告接种疫苗（91.7％比79.0％，P <0.001）。高风险部门的医务人员（P = 0.011），乙肝疫苗知识多（P <0.001），工作年限较少（P = 0.002）更有可能接种乙肝疫苗。传染病和职业健康管理者对乙肝疫苗接种持积极态度。
结论：

乙肝疫苗接种在医护人员中很受欢迎。医院提供免费疫苗，更多关于HBV的HCW知识以及在高风险环境中工作都与接种疫苗有关。中国应考虑向医护人员提供乙肝疫苗的国家政策。为HBsAb阴性HCW提供免费的乙肝疫苗可能是可以接受的。关于乙肝和乙肝疫苗的教育可能有助于促进政策的实施。

版权所有©2018 Elsevier Ltd.保留所有权利。
关键词：

保健工作者;乙型肝炎疫苗;疫苗接种

结论：
29567035
DOI：
10.1016 / j.vaccine.2018.03.018

作者: 小牡丹 时间: 2018-3-26 13:50

多年来，只提竞争，不说合作，人人争相杀鸡取卵，不许说真话。国已不国久矣，需要几十年才能走上正道。

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