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The leadup to the artificial stone ban in Australia. 澳大利亚人造石禁令的前因后果。
IF 1.8 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-11-15 DOI: 10.1093/annweh/wxae085
Deborah C Glass, Ryan F Hoy
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引用次数: 0
Managing SARS-CoV-2 transmission risk in workplace COVID-19 outbreaks. Correspondence. 在工作场所爆发 COVID-19 时管理 SARS-CoV-2 传播风险。通讯
IF 1.8 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-11-09 DOI: 10.1093/annweh/wxae086
Hinpetch Daungsupawong, Viroj Wiwanitkit
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引用次数: 0
Determination of ultrafine particle number emission factors from building materials in standardized conditions. 在标准化条件下测定建筑材料的超细粒子数排放系数。
IF 1.8 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-11-09 DOI: 10.1093/annweh/wxae083
Nicolas Concha-Lozano, Yan Muller, Philippe Favreau, Guillaume Suarez

When comparing the particle emissivity for different materials and/or mechanical activities, a serious methodological issue emerges due to the dynamic nature of solid aerosols. Particle size distribution and concentration depend on initial particle emission that constantly evolves due to aerodynamic collisions. In this context, we propose a methodological approach and an experimental setup that enables to assess the release of fine/ultra-fine particles maintaining a steady-state inhalable mass concentration, here chosen at the Swiss occupational exposure level value for biopersistent granular particles (OEL: 10 mg/m3) in a controlled ventilation chamber. As a case study, this methodological protocol was tested in the occupational exposure scenario in which a series of insulating materials based on silica aerogel and conventional mortar and concrete were subjected to handling or sawing. Once the OEL was reached, the particle size distribution and morphology of the aerosols were characterized using direct reading instruments (scanning mobility sizer, aerosol photometer) and electron microscopy (SEM and TEM) analyses. As a main result, the presence of silica aerogel in the mortar did not modify the emission profile for submicronic particles during sawing in comparison to the bulk mortar. Emission factors for ultra-fine particles were found to be 88 × 106 and 81 × 106 particles/µg of inhalable dust for the aerogel mortar and bulk mortar, respectively. For concrete sawing, the number concentration of submicronic particles at the OEL is one order of magnitude greater. The aerogel-glass-wool handling generated similar particle number concentration at the OEL with ultra-fine particle emission factors of 647 × 106 particles/µg of inhalable dust, in comparison to 758 × 106 particles/µg of inhalable dust during dry concrete sawing. In conclusion, the methodology introduced in this work provides standardized particle emission factors for comparing materials and activities, while establishing a link between particle number emissions and occupational exposure limits.

在比较不同材料和/或机械活动的粒子发射率时,由于固体气溶胶的动态性质,出现了一个严重的方法问题。颗粒大小分布和浓度取决于初始颗粒发射,而初始颗粒发射会因空气动力碰撞而不断变化。在这种情况下,我们提出了一种方法和一种实验装置,可以评估细颗粒/超细颗粒在可吸入质量浓度保持稳定的情况下的释放情况,这里选择的是瑞士生物持久性颗粒的职业接触水平值(OEL:10 毫克/立方米)。作为一项案例研究,该方法方案在职业接触情景中进行了测试,在该情景中,一系列基于硅气凝胶和传统砂浆及混凝土的绝缘材料被搬运或锯开。达到 OEL 值后,使用直读仪器(扫描流动性测定仪、气溶胶光度计)和电子显微镜(扫描电镜和 TEM)分析气溶胶的粒度分布和形态特征。主要结果是,与散装砂浆相比,砂浆中二氧化硅气凝胶的存在不会改变锯切过程中亚微米粒子的排放曲线。研究发现,气凝胶砂浆和大体积砂浆的超细粒子排放系数分别为 88 × 106 和 81 × 106 粒子/微克可吸入粉尘。在混凝土锯切过程中,亚微米粒子的数量浓度比 OEL 值高一个数量级。在气凝胶-玻璃-羊毛处理过程中,可吸入粉尘 OEL 值处的颗粒数量浓度相似,超细颗粒排放系数为 647 × 106 个颗粒/微克可吸入粉尘,而在干混凝土锯切过程中,可吸入粉尘 OEL 值处的颗粒数量浓度为 758 × 106 个颗粒/微克可吸入粉尘。总之,这项工作中引入的方法为比较材料和活动提供了标准化的微粒排放系数,同时在微粒数排放和职业接触限值之间建立了联系。
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引用次数: 0
Assessment of occupational exposure to micro/nano particles generated from carbon fiber-reinforced plastic processing. 评估职业接触碳纤维增强塑料加工过程中产生的微/纳米颗粒的情况。
IF 1.8 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-11-08 DOI: 10.1093/annweh/wxae081
Jun Kumoi, Akihiko Ikegami, Yutaka Matsumi, Yuji Fujitani, Gaku Ichihara, Takeo Yano, Sahoko Ichihara

Carbon fiber-reinforced plastics (CFRP) are leading functional materials with superior strength and low mass density compared to metal. Our previous factory site analyses found that CFRP processing generates fibrous debris and fine micro/nano-sized particles of various shapes. The present interventional study was conducted at a factory located in Japan and evaluated debris consisting of various-sized particles generated during the industrial processing of CFRP, such as cutting, grinding, and turning of CFRP pipes, using real-time particle monitoring devices of the following: PM4 Digital Dust Monitor (DDM), handled Optical Particle Counter (OPC), Condensation Particle Counter (CPC), and Scanning Mobility Particle Sizer (SMPS). In addition, personal exposure of workers was evaluated using a novel wearable PM2.5-compatible device (P-sensor). First, we confirmed the presence of micro/nano particles in the dust generated during industrial processing of CFRP. Finer CFRP-generated particles were detected by the nanoparticle-compatible devices; CPC and SMPS, but not by OPC or DDM. The dynamic detection pattern of the P-sensor resembled that recorded by the nanoparticle-compatible devices. The novel wearable P-sensor can be used to measure finer particles generated by CFRP processing in occupational settings. Second, the exposure assessment was conducted twice and the levels of the micro/nano particles in the second survey were significantly (less than half) lower than that in the first survey. By avoiding immediate power-off of the exhaust system after operations, the scattering of particles was effectively reduced. Our results indicate that effective use of local exhaust ventilation system improves the workplace environment for particle exposure.

碳纤维增强塑料(CFRP)是一种领先的功能材料,与金属相比,它具有强度高、质量密度低的特点。我们之前的工厂现场分析发现,碳纤维增强塑料在加工过程中会产生各种形状的纤维碎片和微小/纳米级颗粒。本干预性研究在日本的一家工厂进行,使用以下实时颗粒监测设备评估了 CFRP 工业加工过程中产生的由各种大小颗粒组成的碎片,如 CFRP 管道的切割、打磨和车削:PM4 数字粉尘监测仪(DDM)、手持式光学粒子计数器(OPC)、冷凝粒子计数器(CPC)和扫描移动式粒子测定仪(SMPS)。此外,我们还使用新型可穿戴式 PM2.5 兼容设备(P 传感器)对工人的个人暴露进行了评估。首先,我们证实了在 CFRP 工业加工过程中产生的粉尘中存在微/纳米颗粒。与纳米颗粒兼容的设备(CPC 和 SMPS)可以检测到较细的 CFRP 颗粒,而 OPC 或 DDM 则检测不到。P 传感器的动态检测模式与纳米粒子兼容设备记录的模式相似。新型可穿戴 P 传感器可用于测量职业环境中 CFRP 加工产生的更细颗粒。其次,暴露评估进行了两次,第二次调查中的微米/纳米颗粒水平明显低于第一次调查(不到一半)。通过避免在操作后立即关闭排气系统,有效减少了微粒的散射。我们的研究结果表明,有效使用局部排气通风系统可以改善工作场所的微粒暴露环境。
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引用次数: 0
Evaluation of hand-arm vibration (HAV) exposure among groundskeepers in the southeastern United States. 评估美国东南部地勤人员的手臂振动(HAV)暴露情况。
IF 1.8 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-10-28 DOI: 10.1093/annweh/wxae079
Nathan Chen, Seunghyeon Yang, Jonghwa Oh

Objective: The objectives of this study were to evaluate daily hand-arm vibration (HAV) exposure among groundskeepers, characterize power tools used, and estimate lifetime cumulative HAV exposure dose.

Methods: Seventeen groundskeepers and ten office workers employed at two US southeasterrn institutions were recruited as a target exposure group and a reference group, respectively. A 6-d exposure assessment of HAV was scheduled, and vibration dosimeters were used to obtain daily vibration exposure value, A(8). Information on power tools used and corresponding operation duration was recorded to assign the real-time vibration data collected from the dosimeters for tool characterization in terms of vibration total value (ahv) and frequency. Lifetime cumulative exposure dose, ahv-lifetime, was determined using ahv for all tools used and lifetime exposure duration obtained through a questionnaire.

Results: The individual groundskeepers' average A(8) ranged from 0.8 to 2.6 and from 1.0 to 2.6 m/s2 for the right hand and left hands, respectively. Among 11 power tools used by the groundskeepers, grass trimmers contributed the most to the vibration exposure. The average ahv of the individual tools ranged from 8.0 (chainsaws) to 1.9 m/s2 (seating mowers and handheld blowers) for the right hand and from 6.4 (push mowers) to 1.4 m/s2 (backpack blowers) for the left hand. The highest acceleration peak of grass trimmers, edgers, backpack blowers, pole saws, riding blowers, and hedgers was observed between 100 and 200 Hz while riding mowers, seating mowers, push mowers, and chainsaws showed the highest acceleration peak at lower frequencies (≤63.5 Hz). The groundskeepers' average ahv-lifetime was 76,520.6 and 61,955.5 h m/s2 for the right and left hands, respectively. The average ahv-lifetime of office workers was 2,306.2 and 2,205.8 h m/s2 for the right and left hands, respectively, which was attributed to personal hobby activities.

Conclusion: Three groundskeepers' average A(8) reached 2.5 m/s2, the Action Limit recommended by the American Conference of Governmental Industrial Hygienists (ACGIH). The highest contribution to the vibration exposure was observed during grass trimmer operations with a major acceleration peak at 100 Hz. The groundskeepers' ahv-lifetime was 33 and 28 times higher for the right and left hands, respectively, than the office workers.

研究目的本研究的目的是评估园林工人的日常手臂振动(HAV)暴露情况、所使用电动工具的特征以及估算终生累积 HAV 暴露剂量:方法:招募了美国东南部两家机构的 17 名场地管理员和 10 名办公室工作人员,分别作为目标暴露组和参照组。我们安排了一次为期 6 天的高空空气污染暴露评估,并使用振动剂量计得出每日振动暴露值 A(8)。记录所用电动工具的信息和相应的操作持续时间,以分配从振动剂量计收集到的实时振动数据,根据振动总值(ahv)和频率对工具进行特征描述。使用所有工具的振动总值和通过问卷调查获得的终生暴露时间,确定了终生累积暴露剂量(振动总值-终生):地勤人员右手和左手的平均 A(8) 分别为 0.8 至 2.6 和 1.0 至 2.6 m/s2 不等。在园艺工人使用的 11 种电动工具中,剪草机对振动的影响最大。单个工具的平均加速度范围为:右手 8.0(电锯)至 1.9 m/s2(座式割草机和手提式鼓风机),左手 6.4(手推式割草机)至 1.4 m/s2(背负式鼓风机)。剪草机、修边机、背负式鼓风机、杆锯、骑马式鼓风机和绿篱机的加速度峰值在 100 至 200 赫兹之间,而骑马式割草机、座式割草机、手推式割草机和电锯的加速度峰值较低(≤63.5 赫兹)。地勤人员右手和左手的平均加速度寿命分别为 76 520.6 和 61 955.5 h m/s2。办公室工作人员的左右手平均 Ahv 寿命分别为 2 306.2 和 2 205.8 h m/s2,这归因于个人爱好活动:三名场地管理员的平均 A(8) 值达到 2.5 m/s2,这是美国政府工业卫生学家会议(ACGIH)建议的行动限值。在剪草机操作过程中观察到的振动影响最大,主要加速度峰值为 100 赫兹。与办公室工作人员相比,地勤人员左右手的振动寿命分别高出 33 倍和 28 倍。
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引用次数: 0
Desorption efficiency and holding capacity of acid-treated filters for nicotine sampling in vape shops. 用于 Vape 商店尼古丁采样的酸处理过滤器的解吸效率和保持能力。
IF 1.8 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-10-25 DOI: 10.1093/annweh/wxae080
Toluwanimi M Oni, Sanjeewa Gamagedara, Evan L Floyd

Efficient sampling materials are essential for assessing nicotine levels in vape shops and other settings where nicotine exposures may exist. Two different treatments of Whatman glass fiber type A (GF/A) filters (sodium bisulfate treated and citric acid treated) were evaluated for nicotine capture, desorption efficiency, and holding capacity using Gas Chromatography-Mass Spectrometry (GC-MS). The Filters were treated with 0.8 mL of 0.1 M sodium bisulfate or citric acid solution and oven-dried (80 °C) for 30 min. Nicotine was desorbed off the filters using a modified analytical method. The average nicotine desorption efficiency for sodium bisulfate-treated GF/A filters (98.4%) was significantly higher than that of citric acid-treated GF/A filters (60.9%) over a range of 1-100 µg nicotine. Sodium bisulfate-treated and citric acid-treated GF/A filters experienced a 10% nicotine breakthrough after being dosed with about 550 and 2,750 µg of nicotine, respectively compared to 75 µg for untreated GF/A filters. Citric acid-treated GF/A filters had a much greater nicotine-holding capacity, but nicotine desorption from citric acid-treated GF/A filters was below the recommended criteria. Therefore, we recommend that sodium bisulfate-treated GF/A filters are employed for sample of nicotine with the GC-MS method.

高效的取样材料对于评估吸食店和其他可能存在尼古丁暴露的环境中的尼古丁含量至关重要。我们使用气相色谱-质谱法(GC-MS)对 Whatman A 型玻璃纤维(GF/A)过滤器的两种不同处理方法(硫酸氢钠处理法和柠檬酸处理法)进行了尼古丁捕获、解吸效率和保持能力的评估。滤纸经 0.8 mL 0.1 M 硫酸氢钠或柠檬酸溶液处理后,在 80 °C 下烘干 30 分钟。使用改进的分析方法对过滤器上的尼古丁进行解吸。在 1-100 µg 尼古丁的范围内,硫酸氢钠处理过的 GF/A 过滤器的尼古丁平均解吸效率(98.4%)明显高于柠檬酸处理过的 GF/A 过滤器(60.9%)。经硫酸氢钠处理和柠檬酸处理的 GF/A 过滤器在分别摄入约 550 微克和 2,750 微克尼古丁后,尼古丁突破率为 10%,而未经处理的 GF/A 过滤器的尼古丁突破率仅为 75 微克。柠檬酸处理过的 GF/A 过滤器具有更大的尼古丁保持能力,但柠檬酸处理过的 GF/A 过滤器的尼古丁解吸能力低于推荐标准。因此,我们建议使用硫酸氢钠处理过的 GF/A 过滤器,用气相色谱-质谱法采集尼古丁样本。
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引用次数: 0
Measurements of dust and respirable crystalline silica during indoor demolition and renovation. 测量室内拆除和翻新过程中的粉尘和可吸入结晶矽。
IF 1.8 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-10-22 DOI: 10.1093/annweh/wxae082
Johanne Ø Halvorsen, Pål Graff, Elin Lovise Folven Gjengedal, Torunn K Ervik

Increased focus on renovating and maintaining the existing building stock is an integral part of the circular economy, however this might pose challenges to workers health. The aim of this study was to assess the renovation workers' exposure to inhalable dust, thoracic dust, respirable dust, and respirable crystalline silica (RCS). Personal aerosol samples were collected as full shift samples from 92 workers to a total of 407 samples. Fourteen locations around Oslo, Norway was visited for multiple days with repeated measurements of the same individual. Particulate matter from 3 aerosol fractions, respirable, thoracic, and inhalable, were analyzed gravimetrically, and the respirable fraction was analyzed for RCS by NIOSH 7500 method for X-ray diffraction (XRD) with low temperature plasma ashing sample preparation. The total measured concentrations of respirable dust (n = 192) had a geometric mean (GM) of 0.88 mg/m3, RCS concentrations (n = 182) had a GM of 0.040 mg/m3, thoracic dust (n = 131) had GM 2.4 mg/m3, and inhalable dust (n = 84) had a GM of 8.5 mg/m3. The maximum measured concentrations were 29 mg/m3, 3.2 mg/m3, 65 mg/m3, and 163 mg/m3, respectively. Workdays involving tasks such as mechanical demolition and clearing out demolished materials led to the highest exposure levels of both dust and RCS. However, other workers at the renovation sites were indirectly exposed to a considerable amount of RCS. This study revealed substantial exposure to both RCS and dust during renovation, and protective measures are warranted to reduce exposure levels in the industry.

加强对现有建筑的翻新和维护是循环经济不可分割的一部分,但这可能会对工人的健康构成挑战。本研究旨在评估翻新工人暴露于可吸入粉尘、胸腔粉尘、可吸入粉尘和可吸入结晶二氧化硅(RCS)的情况。研究收集了 92 名工人的全班个人气溶胶样本,共计 407 个样本。对挪威奥斯陆周围的 14 个地点进行了为期多天的访问,并对同一人进行了重复测量。对可吸入、胸腔和可吸入 3 个气溶胶部分的颗粒物质进行了重量分析,并采用 NIOSH 7500 X 射线衍射 (XRD) 方法和低温等离子灰化样品制备方法对可吸入部分的 RCS 进行了分析。测得的可吸入粉尘总浓度(n = 192)的几何平均(GM)为 0.88 mg/m3,RCS 浓度(n = 182)的几何平均(GM)为 0.040 mg/m3,胸部粉尘(n = 131)的几何平均(GM)为 2.4 mg/m3,可吸入粉尘(n = 84)的几何平均(GM)为 8.5 mg/m3。测得的最大浓度分别为 29 毫克/立方米、3.2 毫克/立方米、65 毫克/立方米和 163 毫克/立方米。在涉及机械拆除和清理拆除材料等工作的工作日,粉尘和 RCS 的暴露水平最高。不过,装修现场的其他工人也间接接触到大量的 RCS。这项研究揭示了在翻新过程中接触大量的 RCS 和粉尘,因此有必要采取防护措施来降低该行业的接触水平。
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引用次数: 0
Do job demands and resources differ between permanent and temporary eldercare workers in Sweden? 瑞典长期和临时养老护理员的工作需求和资源是否不同?
IF 1.8 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-10-19 DOI: 10.1093/annweh/wxae077
Nestor Lögdal, Sven Svensson, Jennie Jackson, Svend Erik Mathiassen, Gunnar Bergström, David M Hallman

Introduction: Eldercare organizations face high sickness absence rates and staff turnover and rely heavily on temporary workers to fill staffing gaps. Temporary workers may experience differences in job demands and resources compared with permanent workers, but this has been largely understudied.

Objective: To compare perceived job demands and resources between permanent and temporary Swedish eldercare workers.

Methods: Permanent and temporary eldercare workers in a Swedish municipality were invited to answer a digital survey on work environment conditions. Differences between permanent and temporary workers in job demands and resources were analyzed using multivariate analysis of variance adjusted for age, sex, place of birth, and percent of full-time work and univariate analyses were conducted to consider differences in specific factors.

Results: A total of 1076 permanent and 675 temporary workers received the survey, and the final study sample included 451 permanent and 151 temporary workers. Multivariate analyses revealed that temporary workers reported statistically significant lower job demands compared to permanent workers, but no statistically significant differences in resources were found between the groups. Univariate analyses showed that temporary workers reported lower quantitative demands, perceived exertion, and time spent bending forward, than permanent workers. These data suggest comparable support across groups, but a higher workload among permanent workers.

Conclusion: Our findings indicate that temporary workers experienced lower job demands than permanent workers, but that no notable difference was found in resources. Interventions aimed at distributing job demands more evenly among eldercare workers with different employment forms may be necessary.

导言:养老机构面临着高病假率和员工流失率的问题,在很大程度上依赖临时工来填补人员空缺。与长期工相比,临时工在工作要求和资源方面可能存在差异,但这方面的研究大多不足:方法:比较瑞典老年护理长期工和临时工对工作要求和资源的感知:方法:邀请瑞典某市的长期和临时养老护理员回答有关工作环境条件的数字调查。采用多变量方差分析法分析了长期工和临时工在工作要求和资源方面的差异,并对年龄、性别、出生地和全职工作百分比进行了调整,还进行了单变量分析以考虑特定因素的差异:共有 1076 名长期工和 675 名临时工接受了调查,最终研究样本包括 451 名长期工和 151 名临时工。多变量分析表明,与长期工相比,临时工的工作要求在统计意义上明显较低,但两组之间在资源方面没有发现明显差异。单变量分析表明,临时工的数量要求、感觉到的体力消耗和弯腰时间均低于长期工。这些数据表明,各组之间的支持程度相当,但长期工人的工作量更大:我们的研究结果表明,临时工的工作要求低于正式工,但在资源方面没有发现明显差异。可能有必要采取干预措施,以便在不同就业形式的护老工作者之间更均匀地分配工作需求。
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引用次数: 0
Exposure to cooking fumes in cafeteria workers in Korean schools: a pilot study. 韩国学校食堂工作人员接触烹饪油烟的情况:一项试点研究。
IF 1.8 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-10-18 DOI: 10.1093/annweh/wxae078
Daesung Lim, Yong Min Cho

Objectives: This study measured cooking fumes to which workers in school cafeterias may be exposed.

Methods: The measurement items were respirable dust, formaldehyde, and carbon monoxide. A total of 111 samples were obtained from 55 schools. Data on variables such as school size and daily cooking oil usage were collected. Correlation and association analysis were performed.

Results: The median of concentrations of respirable dust was 38.37 µg/m3 (min-max: 20.73-49.71 µg/m3). The concentrations of formaldehyde and carbon monoxide also showed levels that did not exceed 20% for occupational exposure limits. The increase in school size was significantly correlated with the increase in daily cooking oil usage and had a significant correlation with respirable dust concentration (Spearman's correlation coefficient, 0.36; P <0.05). The linear regression test results adjusting for other variables were also similar.

Conclusions: Cooking food by frying at high heat using cooking oil can increase the exposure of kitchen workers to respirable dust.

研究目的本研究测量了学校食堂工作人员可能接触到的烹饪油烟:测量项目为可吸入粉尘、甲醛和一氧化碳。共从 55 所学校采集了 111 份样本。收集了学校规模和每日食用油用量等变量数据。研究人员对这些数据进行了相关性和关联性分析:可吸入粉尘浓度的中位数为 38.37 微克/立方米(最小值-最大值:20.73-49.71 微克/立方米)。甲醛和一氧化碳的浓度也未超过职业接触限值的 20%。使用食用油高温煎炸烹饪食物会增加厨房工人接触可吸入粉尘的机会。
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引用次数: 0
Risk of SARS-CoV-2 infection in healthcare workers with insufficient use of personal protective equipment in Denmark. 丹麦未充分使用个人防护设备的医护人员感染 SARS-CoV-2 的风险。
IF 1.8 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-10-16 DOI: 10.1093/annweh/wxae075
Ane Berger Bungum, Sandra Søgaard Tøttenborg, Luise Mølenberg Begtrup, Kajsa Ugelvig Petersen, Maja Søndergård Worm, Jens Peter Bonde, Annett Dalbøge, Martin Byskov Kinnerup, Else Toft Würtz, Henrik Albert Kolstad, Vivi Schlünssen, Christine Cramer, Karin Biering, Kent Jacob Nielsen, Esben Meulengracht Flachs

Aim: The aim was to evaluate the role of insufficient use of personal protective equipment (PPE) in SARS-CoV-2 transmission risk for healthcare workers (HCW) during the COVID-19 pandemic.

Methods: Prospective study within the COBRA cohort, including 15,127 HCW. Daily assessment of insufficient use of PPE, defined as self-reported PPE failure or noncompliance, in relation to SARS-CoV-2 infection ascertained by polymerase chain reaction (PCR) test. Statistical analysis involved calculating incidence rate ratios with 95% confidence intervals (CI).

Results: The included HCW contributed to 780,515 risk days including 67,723 d (8.7%) with insufficient PPE use and 133 events (positive PCR test). Self-reported insufficient use of PPE was slightly associated with infection with COVID-19 in HCW, but the data were statistically consistent with parameter values ranging from a protective effect to a to a doubling in risk (IRR 1.3, 95% CI 0.8; 2.3). Sensitivity analyses restricted to high-risk departments and to a period with a sufficient supply of PPE and a fully developed testing system, respectively, confirmed these findings.

Conclusion: Insufficient use of PPE among HCW during the pandemic in Denmark was uncommon but associated with a slightly increased risk of COVID-19 among HCW. However, the findings are uncertain due to the limited number of cases and the potential for misclassification bias stemming from the self-reported nature of the exposure.

目的:旨在评估在 COVID-19 大流行期间,个人防护设备(PPE)使用不足对医护人员(HCW)SARS-CoV-2 传播风险的影响:COBRA队列中的前瞻性研究,包括15127名医护人员。通过聚合酶链式反应 (PCR) 测试,对与 SARS-CoV-2 感染有关的个人防护设备使用不足(定义为自我报告的个人防护设备失效或不合规)情况进行日常评估。统计分析包括计算发病率比和 95% 的置信区间 (CI):结果:所纳入的高危工人共造成 780,515 个风险日,其中 67,723 天(8.7%)未充分使用个人防护设备,133 个事件(PCR 检测呈阳性)。自我报告的PPE使用不足与HCW感染COVID-19略有关联,但数据在统计学上是一致的,参数值从保护作用到风险加倍(IRR 1.3,95% CI 0.8; 2.3)不等。分别针对高风险部门和个人防护设备供应充足的时期以及检测系统完善的时期进行的敏感性分析证实了这些结果:结论:在丹麦大流行期间,人机工程人员未充分使用个人防护设备的情况并不常见,但这与人机工程人员罹患 COVID-19 的风险略有增加有关。然而,由于病例数量有限,而且由于暴露的自我报告性质,可能会出现分类偏差,因此研究结果还不确定。
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引用次数: 0
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Annals Of Work Exposures and Health
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