Risk of self-inoculations in clinical veterinarians

Abstract:  Working in inadequate facilities and the special nature of their patients contribute to the fact that veterinarians suffer frequent occupational accidents with hypodermic needles. Our objective was to explore the factors associated with self-inoculations in veterinarians of...

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Autores principales: Imoberdorf , CG, Ibarreche , AB, Signorini , ML, Medina , RB, Tarabla , HD
Formato: Artículo revista
Publicado: Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2021
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Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/35065
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id I10-R327-article-35065
record_format ojs
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-327
container_title_str Revista de la Facultad de Ciencias Médicas de Córdoba
format Artículo revista
topic self-inoculations
occupational accidents
veterinary clinicians
autoinoculaciones
accidentes laborales
veterinarios clínicos
.
spellingShingle self-inoculations
occupational accidents
veterinary clinicians
autoinoculaciones
accidentes laborales
veterinarios clínicos
.
Imoberdorf , CG
Ibarreche , AB
Signorini , ML
Medina , RB
Tarabla , HD
Risk of self-inoculations in clinical veterinarians
topic_facet self-inoculations
occupational accidents
veterinary clinicians
autoinoculaciones
accidentes laborales
veterinarios clínicos
.
author Imoberdorf , CG
Ibarreche , AB
Signorini , ML
Medina , RB
Tarabla , HD
author_facet Imoberdorf , CG
Ibarreche , AB
Signorini , ML
Medina , RB
Tarabla , HD
author_sort Imoberdorf , CG
title Risk of self-inoculations in clinical veterinarians
title_short Risk of self-inoculations in clinical veterinarians
title_full Risk of self-inoculations in clinical veterinarians
title_fullStr Risk of self-inoculations in clinical veterinarians
title_full_unstemmed Risk of self-inoculations in clinical veterinarians
title_sort risk of self-inoculations in clinical veterinarians
description Abstract:  Working in inadequate facilities and the special nature of their patients contribute to the fact that veterinarians suffer frequent occupational accidents with hypodermic needles. Our objective was to explore the factors associated with self-inoculations in veterinarians of the Province of Tucumán. A cross-sectional study was carried out using an anonymous structured questionnaire in 210 professionals chosen at random. The risk factors analyzed were age, years in veterinary practice, gender, type of practice, hours worked/day and minimum number of patients attended/day. Continuous variables were compared using Pearson's correlation coefficient and subsequently transformed into dichotomous variables using the medians as the cut-off point. After screening with χ2, the independent variables with P˂0.05 were offered to logistic regression models. Respondents were 39.3±9.5 years old and they had 13.5±9.1 years of professional experience. Both variables were highly correlated (r= 0.94; P<0.001) so only the second one was included in the analysis. Almost half (48.1%) of the respondents were female, 15.7% worked with large animals, 62.9% with small species and the remaining 21.4% in both practices. Clinicians worked 8.5±2.6 hours/day, attending on average a minimum of 10.2±8.6 patients/day. The presence of women was more frequent in small animal practice (P˂ 0.001) and among professionals who graduated more recently (P= 0.018). More than half (51.4%) had accidentally injected various substances. In the bivariate analysis, the practice with large animals (P= 0.040), the longest professional experience (P= 0.027), the male gender (P= 0.006) and the highest number of patients attended/day (P= 0.047) were significantly associated with the frequency of respondents who had self-inoculated during clinical practice. In the multivariate analysis, only professionals who worked with large animals (OR= 3.56; 95%CI 1.25-10.11; P= 0.017) and those who attended the largest number of patients/day (OR= 2.36; 95%CI 1.26-4.41; P= 0.007) remained in the model. The practice with large animals implies taking care of patients with a large body mass and potential aggressiveness that make handling a difficult task. The latter and the high number of animals cared for per day, contributed to the risk of self-inoculations.
publisher Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2021
url https://revistas.unc.edu.ar/index.php/med/article/view/35065
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spelling I10-R327-article-350652024-04-15T16:19:09Z Risk of self-inoculations in clinical veterinarians Riesgo de auto inoculaciones en veterinarios clínicos A Imoberdorf , CG Ibarreche , AB Signorini , ML Medina , RB Tarabla , HD self-inoculations occupational accidents veterinary clinicians autoinoculaciones accidentes laborales veterinarios clínicos . Abstract:  Working in inadequate facilities and the special nature of their patients contribute to the fact that veterinarians suffer frequent occupational accidents with hypodermic needles. Our objective was to explore the factors associated with self-inoculations in veterinarians of the Province of Tucumán. A cross-sectional study was carried out using an anonymous structured questionnaire in 210 professionals chosen at random. The risk factors analyzed were age, years in veterinary practice, gender, type of practice, hours worked/day and minimum number of patients attended/day. Continuous variables were compared using Pearson's correlation coefficient and subsequently transformed into dichotomous variables using the medians as the cut-off point. After screening with χ2, the independent variables with P˂0.05 were offered to logistic regression models. Respondents were 39.3±9.5 years old and they had 13.5±9.1 years of professional experience. Both variables were highly correlated (r= 0.94; P<0.001) so only the second one was included in the analysis. Almost half (48.1%) of the respondents were female, 15.7% worked with large animals, 62.9% with small species and the remaining 21.4% in both practices. Clinicians worked 8.5±2.6 hours/day, attending on average a minimum of 10.2±8.6 patients/day. The presence of women was more frequent in small animal practice (P˂ 0.001) and among professionals who graduated more recently (P= 0.018). More than half (51.4%) had accidentally injected various substances. In the bivariate analysis, the practice with large animals (P= 0.040), the longest professional experience (P= 0.027), the male gender (P= 0.006) and the highest number of patients attended/day (P= 0.047) were significantly associated with the frequency of respondents who had self-inoculated during clinical practice. In the multivariate analysis, only professionals who worked with large animals (OR= 3.56; 95%CI 1.25-10.11; P= 0.017) and those who attended the largest number of patients/day (OR= 2.36; 95%CI 1.26-4.41; P= 0.007) remained in the model. The practice with large animals implies taking care of patients with a large body mass and potential aggressiveness that make handling a difficult task. The latter and the high number of animals cared for per day, contributed to the risk of self-inoculations. Resumen:  El trabajo en instalaciones inadecuadas y la especial naturaleza de los pacientes contribuyen para que los veterinarios sufran frecuentes accidentes laborales (AL) con agujas hipodérmicas. Nuestro objetivo fue explorar los factores asociados a auto inoculaciones en veterinarios de la Provincia de Tucumán, Argentina. Se efectuó un estudio transversal mediante cuestionario estructurado anónimo en 210 profesionales elegidos al azar. Los factores de riesgo analizados fueron edad, antigüedad profesional, género, tipo de práctica, horas trabajadas/día y número mínimo de pacientes atendidos/día. Las variables continuas fueron comparadas mediante correlación de Pearson y luego transformadas en dicotómicas utilizando las medianas como punto de corte. Luego de un tamizado con χ2, las variables independientes con P˂0,05 fueron ofrecidas a modelos de regresión logística. La edad promedio de los encuestados era de 39,3±9,5 años y tenían 13,5±9,1 años de antigüedad profesional. Ambas variables estuvieron altamente correlacionadas (r=0,94; P˂0,001) por lo que sólo la segunda fue incluida en los análisis. El 48,1% de los profesionales eran del género femenino, el 15,7% trabajaba con grandes animales, el 62,9% con pequeñas especies y el 21,4% restante en ambas prácticas. Los encuestados trabajaban 8,5±2,6 horas/día, atendiendo en promedio un mínimo de 10,2±8,6 pacientes/día. La presencia de mujeres fue más frecuente en la práctica con pequeñas especies (P˂0,001) y entre los profesionales graduados más recientemente (P=0,018). El 51,4% se había inyectado accidentalmente diversas sustancias. En el análisis bivariado, la práctica con grandes animales (P=0,040), la mayor antigüedad profesional (P=0,027), el género masculino (P=0,006) y el mayor número de pacientes atendidos/día (P=0,047) estuvieron significativamente asociadas a la frecuencia de encuestados que se auto inocularon diversas sustancias durante la actividad laboral. En el análisis multivariado, sólo los profesionales que trabajaban con grandes animales (OR=3,56; IC95% 1,25-10,11; P=0,017) y quienes atendían mayor cantidad de pacientes/día (OR=2,36; IC95% 1,26-4,41; P=0,007) permanecieron en el modelo. La práctica con grandes animales implica la atención de pacientes de gran masa corporal y potencial agresividad que hacen dificultosa su sujeción. Esto, unido a un número alto de animales atendidos por día contribuyeron al riesgo auto inoculaciones. . Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2021-10-12 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion texto texto texto https://revistas.unc.edu.ar/index.php/med/article/view/35065 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 78 No. Suplemento (2021): Suplemento JIC XXII Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 78 Núm. Suplemento (2021): Suplemento JIC XXII Revista da Faculdade de Ciências Médicas de Córdoba; v. 78 n. Suplemento (2021): Suplemento JIC XXII 1853-0605 0014-6722 http://creativecommons.org/licenses/by-nc/4.0