外来職員のB型肝炎に対する免疫獲得状況と課題 : 医療職と非医療職との比較

IR Web Site Open Access

Bibliographic Information

Other Title
  • Acquisition of Immunity against Hepatitis B among Personnel who Work in Outpatient Department and Related Issues : Comparison between Medical and Non-medical Staff
  • ガイライ ショクイン ノ Bガタ カンエン ニ タイスル メンエキ カクトク ジョウキョウ ト カダイ : イリョウショク ト ヒイリョウショク トノ ヒカク

Search this article

Abstract

【目的】外来職員のB型肝炎に対する免疫獲得状況と課題を明らかにする。【対象と方法】対象:A県内の3病院の外来職員428人(医療職329人、非医療職99人)。調査期間:平成21年9月~ 平成26年3月迄である。方法:1.抗HBs抗体をVIDASにより測定し、陽性を>12mIU/mlとした。2.抗体検査歴、ワクチン接種歴等の質問紙調査を実施し、SPSS.ver19を用いて解析した。【結果】抗体検査歴が有るのは、医療職320人(97.3%)、非医療職42人(42.4%)であり、陰性の判定後ワクチン接種をしたのが各々95.0%、19.0%であった(p<0.01)。今回の測定結果では、医療職35人(10.6%)、非医療職72人(72.7%)に抗体が出来ていなかった(p<0.01)。「血液接触時に手袋着用」は医療職65.7%、非医療職31.3%、「血液接触後の手指衛生実施」は医療職82.7%、非医療職48.5%であった(p<0.01)。【結論】外来職員は、職種に関わらずB型肝炎ワクチン接種が望まれる。特に、非医療職へのワクチンプログラム整備と標準予防策の教育・啓発が課題である。

Objective : To elucidate the acquisition of immunity against hepatitis B virus among outpatient staff and related issues.Methods : Subjects: A total of 428 personnel who work in outpatient department (329 medical staff, 99 non-medical staff) at three hospitals in A Prefecture. Study period: September 2009 to March 2014.Methods : (1) Anti-HBs antibody levels were measured using the Vitek Immuno Diagnostic Assay System (VIDAS), and cases of anti-HBs antibody titers exceeding 12 mIU/mL were defined as positive. (2) A questionnaire survey on previous antibody tests and vaccinations, etc. was conducted, and analyzed using Statistical Package for the Social Sciences (SPSS) Ver. 19.Results : A total of 320 medical staff (97.3%) and 42 non-medical staff (42.4%) had previously undergone antibody tests. The proportion of staff who received vaccination after testing negative on a past antibody test was 172 of 181 (95.0%) among medical staff and 4 of 21 (19.0%) among non-medical staff(p<0.01). The results of antibody measurements in this study showed a non-positive result for 35 medical staff (10.6%) and 72 non-medical staff (72.7%) (p<0.01). Non-medical staff had lower rates of implementation than medical staff for "wearing gloves during blood contact" (31.3% vs. 65.7%) and "hand hygiene measures following blood contact" (48.5% vs. 82.7%) (p<0.01).Discussion : Hepatitis B vaccination is desired for medical personnel who may have contact with patients, blood, or bloodstained environmental surfaces, regardless of job type. However, issues should include establishment of a vaccination program and promotion of education such as standardized preventive measures for non-medical staff.

Journal

Related Projects

See more

Details

Report a problem

Back to top