关键词: Exposure occupational health veterinary profession zoonosis

Mesh : Dogs Animals Humans Horses Cattle Veterinarians Finland / epidemiology Zoonoses / epidemiology Surveys and Questionnaires Bites and Stings Gastroenteritis / epidemiology Tinea

来  源:   DOI:10.1080/23744235.2024.2313662

Abstract:
UNASSIGNED: Veterinarians are at risk for numerous zoonotic infections. In this paper, we summarise descriptions of zoonotic infections from a questionnaire study and a series of work-related zoonotic cases, aiming to add to the knowledge on occupational zoonotic risks of veterinarians.
UNASSIGNED: We collected data on zoonotic infections contracted by veterinarians in Finland in two studies:1) using a questionnaire in 2009, and 2) inviting veterinarians who had encountered an occupational zoonosis to report it in structured interviews in 2019.
UNASSIGNED: In the questionnaire study in 2009, of 306 veterinarians several reported zoonotic bacterial skin infections (12%), dermatophytosis (ringworm; 4.2%), virus infections (3.9%), bacterial gastroenteritis (3.3%), other bacterial zoonoses (2.3%), and parasitic infections/infestations (2.3%). In the 2019 interviews, 16 occupational zoonosis cases were reported. Of them, seven were selected to the case series. The selected cases included Capnocytophaga canimorsus sepsis following a dog bite, cryptosporidiosis after a contact with calves, cutaneous listeriosis following calving assistance, Salmonella gastroenteritis contracted at laboratory, Trichophyton dermatophytosis after equine contact, Bacillus anthracis exposure at necropsy, and exposure to rabies through a horse bite. In four of the seven cases, the veterinarian disagreed or strongly disagreed with having had good knowledge of the zoonosis before the incident. The results from the questionnaire study and the case series illustrate the variety of zoonotic pathogens that veterinarians may encounter. There is a need to improve the occupational health of veterinarians and to increase awareness in the occupational health sector. We encourage addressing this need using a One Health approach.
摘要:
兽医面临许多人畜共患感染的风险。在本文中,我们从问卷调查和一系列与工作相关的人畜共患病例中总结了人畜共患感染的描述,旨在增加兽医对职业人畜共患病风险的认识。
我们在两项研究中收集了芬兰兽医感染的人畜共患感染的数据:1)2009年使用问卷,2)邀请遇到职业性人畜共患的兽医在2019年的结构化访谈中报告。
在2009年的问卷调查中,有306名兽医报告了人畜共患细菌皮肤感染(12%),皮肤癣菌病(癣;4.2%),病毒感染(3.9%),细菌性胃肠炎(3.3%),其他细菌性人畜共患病(2.3%),和寄生虫感染/侵扰(2.3%)。在2019年的采访中,报告了16例职业性人畜共患病病例。其中,7人被选入病例系列。选定的病例包括狗咬伤后的Capnocytophagacanimorsus败血症,与小牛接触后的隐孢子虫病,分娩辅助后的皮肤李斯特菌病,沙门菌肠胃炎在化验室感染,马接触后的毛癣菌皮肤癣菌病,尸检时炭疽杆菌暴露,通过马咬伤接触狂犬病。在七个案例中的四个,兽医不同意或强烈不同意在事件发生前对人畜共患病有充分的了解。问卷调查和病例系列的结果说明了兽医可能遇到的人畜共患病原体的多样性。有必要改善兽医的职业健康,并提高职业卫生部门的认识。我们鼓励使用“一个健康”方法来解决这一需求。
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