紧急医疗服务队工作中的人畜共患疾病危害--三年观察结果

IF 1.4 4区 环境科学与生态学 Q4 ENVIRONMENTAL SCIENCES Polish Journal of Environmental Studies Pub Date : 2023-12-07 DOI:10.15244/pjoes/173128
Łukasz Dudziński, Łukasz Czyżewski, Marcin Weiner
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引用次数: 0

摘要

该研究对卢布尔斯基省北部的捷运出行进行了为期3年的回顾性分析。数据取自国家医疗救援服务(SMRS)系统中运行的记录。分析周期:1.01.2020-31.12.2022。它是对因直接接触昆虫、鸟类、爬行动物、哺乳动物的行为(叮、咬、抓、打、踢)而对受害者的健康、生命或伤害构成威胁的紧急医疗服务呼叫的分析。采用纳入和排除标准,72次紧急医疗服务行程占当地总干预措施的0.34%。根据造成威胁的原因对种群进行划分:昆虫n = 45,狗n = 12,牛(公牛,母牛)n = 15,从统计上看,男性比女性更经常受伤(61%比39%)(p=0.048)。威胁类型对干预时间有统计学显著影响;犬类危害39±25 min,昆虫危害40±17 min;牛56±15分钟;P = 0.015。与ICD 10代码所描述的程序相比,药理学的使用有统计学上的显著差异(P<0.001)。威胁类型对将病人送往急诊科的必要性的影响没有得到证明。膜翅昆虫是每年最常见的人畜共患危害类型,春夏月份增加。每种类型的危害在年龄上有统计学上的显著差异,最年轻的伤者是被狗伤害的,而最年长的是被昆虫伤害的。居住地(城乡)对人畜共患损伤类型的影响无统计学意义。
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Zoonotic Health Hazards in the Practice of Emergency Medical Service Teams – a Three-Year Observation
The study comprised a 3-year retrospective analysis of trips by the MRTs from the northern part of the Lubelskie Province. The data was taken from records functioning in the State Medical Rescue Service (SMRS) system. Analysis period: 1.01.2020-31.12.2022. It is the analysis of emergency medical services calls justified by threat to health, life, or injury of the victim due to the action of insects, birds, reptiles, mammals as a result of direct contact with them (stinging, biting, scratching, hitting, kicking). Applying the inclusion and exclusion criteria, 72 emergency medical services trips representing 0.34% of the total interventions in local area. The population was divided according to the cause of the threat: insects n = 45, dogs n = 12, cattle (bull, cow) n = 15Men statistically more often suffered injuries than women 61% vs 39% (p=0.048). A statistically significant influence of the type of threat on the time of intervention was demonstrated; for dog hazards 39±25 min, insects 40±17 min; cattle 56±15 min; P = 0.015. There was a statistically significant difference in the use of pharmacology compared to the procedures described by ICD 10 codes (P<0.001). The impact of the type of threat on the need to transport the patient to the Emergency Department was not demonstrated. Hymenopterous insects are the most common type of zoonotic hazard on an annual basis, with an increase for the spring-summer months. There was a statistically significant difference in age for each type of hazard, the youngest of those injured were harmed by dogs, while the eldest were by insects. There was no statistically significant effect of place of residence (urban-rural) on the type of zoonotic injury.
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来源期刊
Polish Journal of Environmental Studies
Polish Journal of Environmental Studies 环境科学-环境科学
CiteScore
3.10
自引率
11.10%
发文量
430
审稿时长
4 months
期刊介绍: One of the most important challenges facing the contemporary scientific world are problems connected with environmental protection. Intensive development of industry and agriculture has led to a rise in living standards on one hand, but an increase in environmental degradation on the other. This degradation poses a direct threat to human health and life. Solving these ever-increasing problems which seriously endanger our civilization require the united efforts of scientists and field researchers of many branches. The "Polish Journal of Environmental Studies" publishes original papers and critical reviews on the following subjects: -Basic and applied environmental pollution research, including environmental engineering -Pollution control of atmospheric, water (marine and fresh), soil and biological materials -Determination of harmful substances, including their metabolic breakdown patterns -Analytical methods for metabolic breakdown patterns or other chemical degradation patterns in the environment and in biological samples -Development of new analytical methods, instruments and techniques for controlling pollutants -Circulation of pollutants in the environment and their effect on living organisms -Environmentally oriented catalysis -Hazards to human health and safety -Waste utilization and management -Land reclamation -Conference reports, scientific and technical reports and book reviews
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