埃博拉病毒病为烈性传染病,医务人员在一线救治面临极大被感染的风险。而正确使用和穿戴个人防护装备(personal protective equipment,PPE)是有效保护自身安全的极其重要的环节,在装备的选择和使用流程上,WHO和中国疾病预防控制中心(cen...埃博拉病毒病为烈性传染病,医务人员在一线救治面临极大被感染的风险。而正确使用和穿戴个人防护装备(personal protective equipment,PPE)是有效保护自身安全的极其重要的环节,在装备的选择和使用流程上,WHO和中国疾病预防控制中心(center for disease control and prevention,CDC)均提出了建议和指南。我国首批派出的解放军成建制赴利比里亚医疗队在相关指南基础上,制定了更为严格的个人防护装备(personal protection equipment,PPE)防护装备和防护措施。通过队员们在利比里亚医院的实践探索,我们将指南推荐必要时采用的第3层防护装备修改为必备装备,同时增加了部分防护要素。改进后的PPE防护装备和防护要求略显繁琐和耗时,但在实施的过程中能被队员普遍接受,并在治疗过程中完全实现了医务人员"零感染"的目标。在烈性传染病暴发流行时,稍微过度的防护措施能更好地保护医务人员自身的安全。展开更多
Introduction: Healthcare workers in Mogadishu, Somalia face significant occupational injury risks, particularly needle stick injuries, with 61.1% reporting incidents. This poses a serious threat to their health, leadi...Introduction: Healthcare workers in Mogadishu, Somalia face significant occupational injury risks, particularly needle stick injuries, with 61.1% reporting incidents. This poses a serious threat to their health, leading to infections such as hepatitis B, hepatitis C, and HIV. Despite the high prevalence of injuries, awareness of Post-Exposure Prophylaxis (PEP) accessibility is relatively high, with 84.0% of respondents aware of it. However, there are gaps in knowledge and implementation, as evidenced by variations in availability of PEP. Improving workplace safety measures, providing comprehensive training on injury prevention and PEP protocols, and ensuring consistent availability of PEP in healthcare facilities are crucial steps to safeguard the well-being of healthcare workers in Mogadishu, Somalia. Methods: A cross-sectional study was conducted among hospital workers in Mogadishu, Somalia, focusing on professionals from various healthcare facilities. The study targeted nurses, doctors, laboratory personnel, and pharmacists. Purposive sampling was employed, resulting in a sample size of 383 calculated using Fisher’s sample size formula. Data were collected using coded questionnaires entered into Microsoft Excel 2019 and analyzed with SPSS software to generate frequencies and proportions, presented through frequency tables and pie figures. Results: The study in Mogadishu, Somalia, examined the prevalence of occupational injuries and knowledge of Post-Exposure Prophylaxis (PEP) accessibility among healthcare workers. Findings indicate a high prevalence of injuries, with 61.1% reporting incidents, predominantly needle stick injuries (60.6%). Despite the majority seeking prompt medical attention (72.0%), work-related illnesses affected 53.2% of respondents, notably work-related stress (59.5%). While most received training on injury and illness prevention (68.9%), gaps exist in PEP awareness, with 16.0% unaware of it. Nonetheless, 84.0% were aware, predominantly through health facilities (52.0%). Availability of PEP was reported by 71.3% in healthcare facilities, with variations in shift availability. The majority reported guidelines for PEP use (55.7%). Efforts are needed to bolster PEP awareness and ensure consistent availability in healthcare facilities to safeguard worker health. Conclusion: High prevalence of occupational injuries among healthcare workers, with needle stick injuries being the most common (60.6%). Despite this, 84.0% of respondents were aware of Post-Exposure Prophylaxis (PEP), primarily learning about it from health facilities (52.0%). While 71.3% reported the availability of PEP in their facility, 28.7% noted its unavailability. These results emphasize the need for improved education and accessibility of PEP to mitigate occupational injury risks.展开更多
文摘埃博拉病毒病为烈性传染病,医务人员在一线救治面临极大被感染的风险。而正确使用和穿戴个人防护装备(personal protective equipment,PPE)是有效保护自身安全的极其重要的环节,在装备的选择和使用流程上,WHO和中国疾病预防控制中心(center for disease control and prevention,CDC)均提出了建议和指南。我国首批派出的解放军成建制赴利比里亚医疗队在相关指南基础上,制定了更为严格的个人防护装备(personal protection equipment,PPE)防护装备和防护措施。通过队员们在利比里亚医院的实践探索,我们将指南推荐必要时采用的第3层防护装备修改为必备装备,同时增加了部分防护要素。改进后的PPE防护装备和防护要求略显繁琐和耗时,但在实施的过程中能被队员普遍接受,并在治疗过程中完全实现了医务人员"零感染"的目标。在烈性传染病暴发流行时,稍微过度的防护措施能更好地保护医务人员自身的安全。
文摘Introduction: Healthcare workers in Mogadishu, Somalia face significant occupational injury risks, particularly needle stick injuries, with 61.1% reporting incidents. This poses a serious threat to their health, leading to infections such as hepatitis B, hepatitis C, and HIV. Despite the high prevalence of injuries, awareness of Post-Exposure Prophylaxis (PEP) accessibility is relatively high, with 84.0% of respondents aware of it. However, there are gaps in knowledge and implementation, as evidenced by variations in availability of PEP. Improving workplace safety measures, providing comprehensive training on injury prevention and PEP protocols, and ensuring consistent availability of PEP in healthcare facilities are crucial steps to safeguard the well-being of healthcare workers in Mogadishu, Somalia. Methods: A cross-sectional study was conducted among hospital workers in Mogadishu, Somalia, focusing on professionals from various healthcare facilities. The study targeted nurses, doctors, laboratory personnel, and pharmacists. Purposive sampling was employed, resulting in a sample size of 383 calculated using Fisher’s sample size formula. Data were collected using coded questionnaires entered into Microsoft Excel 2019 and analyzed with SPSS software to generate frequencies and proportions, presented through frequency tables and pie figures. Results: The study in Mogadishu, Somalia, examined the prevalence of occupational injuries and knowledge of Post-Exposure Prophylaxis (PEP) accessibility among healthcare workers. Findings indicate a high prevalence of injuries, with 61.1% reporting incidents, predominantly needle stick injuries (60.6%). Despite the majority seeking prompt medical attention (72.0%), work-related illnesses affected 53.2% of respondents, notably work-related stress (59.5%). While most received training on injury and illness prevention (68.9%), gaps exist in PEP awareness, with 16.0% unaware of it. Nonetheless, 84.0% were aware, predominantly through health facilities (52.0%). Availability of PEP was reported by 71.3% in healthcare facilities, with variations in shift availability. The majority reported guidelines for PEP use (55.7%). Efforts are needed to bolster PEP awareness and ensure consistent availability in healthcare facilities to safeguard worker health. Conclusion: High prevalence of occupational injuries among healthcare workers, with needle stick injuries being the most common (60.6%). Despite this, 84.0% of respondents were aware of Post-Exposure Prophylaxis (PEP), primarily learning about it from health facilities (52.0%). While 71.3% reported the availability of PEP in their facility, 28.7% noted its unavailability. These results emphasize the need for improved education and accessibility of PEP to mitigate occupational injury risks.
