背景:由于肮脏和危险的工作条件,环卫或卫生工作者暴露于肝炎病毒感染。当前的全球系统评价和荟萃分析旨在估计其中与职业相关的肝炎病毒感染的汇总血清患病率。
方法:系统审查的首选报告项目(PRISMA),人口,干预,比较,结果和研究设计(PICOS)用于流程图,并复习问题,分别。四个数据库使用其他方法发表了2000年至2022年的文章。布尔逻辑(AND,OR),MeSH,和关键词被使用:(职业*或工作*或工作)和(甲型肝炎*或乙型肝炎病毒*或丙型肝炎病毒*或戊型肝炎病毒)和(固体废物收集者[SWC]*或街道清扫车[SS]*或污水处理工人[STWs]*或卫生保健设施清洁工[HCFCs))和(国家)。StataMP/17软件用于汇总患病率分析,95%置信区间(CI:95%)的荟萃回归分析(Hedges)。
结果:共有182项研究被确定,共纳入了来自12个国家的28项研究.其中,来自发达国家(n=7)和发展中国家(n=5)。从9049名卫生工作者中,5951(66%),2280(25%)和818(9%)是STW,SWC和SS,分别。全球范围内,卫生工作者中职业相关肝炎病毒感染的合并血清患病率为38.06%(95%CI:30-0.46.12).其中,高收入和低收入国家为42.96%(95%CI:32.63-53.29)和29.81%(95%CI:17.59-42.02),分别。同时,通过子分析,按类别划分的肝炎病毒感染的最高汇总血清患病率,类型和年份为47.66%(95CI:37.42-57.90),48.45%(95%CI:37.95-58.96),SWT为48.30%(95%CI:36.13-60.47),HAV,2000年至2010年,分别。
结论:证据的一致性表明,环卫工人,特别是污水处理工人,无论他们的工作条件如何,都容易患职业性肝炎,需要从政府政策和其他举措中对职业健康和安全法规进行重大更改,以降低卫生工作者的风险。
BACKGROUND: Sanitation or sanitary workers are exposed to hepatitis virus infections because of filthy and dangerous working conditions. The current global systematic review and meta-analysis aimed to estimate the pooled sero-prevalence of occupationally associated hepatitis virus infection among them.
METHODS: Preferred Reporting Items for Systematic Reviews (PRISMA), and Population, Intervention, Comparison, Outcome and study design (PICOS) were used for flow diagram, and review questions, respectively. Four databases other methods were used published articles from 2000 to 2022. Boolean logic (AND, OR), MeSH, and keywords were used: (Occupation *OR Job *OR Work) AND (Hepatitis A *OR Hepatitis B virus *OR Hepatitis C virus *OR Hepatitis E virus) AND (Solid waste collectors [SWCs] *OR Street sweepers [SS] *OR Sewage workers [STWs] *OR health care facilities cleaners [HCFCs)) AND (Countries). Stata MP/17 software was used for pooled prevalence analysis, meta-regression analysis (Hedges) at a 95% confidence interval (CI:95%).
RESULTS: A total of 182 studies were identified studies, a total of 28 studies were included from twelve countries. Of these, from developed (n = 7) and developing countries (n = 5). From total a of 9049 sanitary workers, 5951(66%), 2280 (25%) and 818 (9%) were STWs, SWCs and SS, respectively. Globally, the pooled sero-prevalence of occupational-related hepatitis viral infections among sanitary workers was 38.06% (95% CI: 30-0.46.12). Of this, it was 42.96% (95% CI: 32.63-53.29) and 29.81% (95% CI: 17.59-42.02) for high-income and low-income countries, respectively. Meanwhile, by sub-analysis, the highest pooled sero-prevalence of hepatitis viral infections by categories, type and year were 47.66% (95%CI: 37.42-57.90), 48.45% (95% CI: 37.95-58.96), and 48.30% (95% CI: 36.13-60.47) for SWTs, HAV, and 2000 to 2010 year, respectively.
CONCLUSIONS: The consistency of the evidence suggests that sanitation workers, particularly sewage workers, are susceptible to occupationally acquired hepatitis regardless of their working conditions, necessitating significant changes to occupational health and safety regulations from governmental policies and other initiatives to reduce risks among sanitary workers.