The Effectiveness of Intervention to Reduce Blood-Borne Pathogen Exposure Incidents in Healthcare Workers in the Largest Clinical Setting in Slovenia

干预措施在减少斯洛文尼亚最大临床机构医护人员血液传播病原体暴露事件方面的有效性

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Abstract

AIM: Aimed at evaluating the effectiveness of intensified organised training programmes introduced in 2016 and 2017 for raising awareness of the problem of blood-borne incidents (BBIs), the objective was to analyse the incidence of reported BBIs (RBBI) over a 15-year period in different groups of healthcare workers (HCWs) employed at the University Medical Centre in Ljubljana (UMCL). METHODS: All UMCL incidents that occurred and were reported from 1 January 2008 to 31 December 2022 were included in the study. The entire period was divided into two observation periods, 2008-2017 and 2017-2022. For testing a linear trend, whenever applicable a piecewise/segmented linear regression was applied, with the year 2017 as a break-point. RESULTS: In the 2008-2017 period, the trend of annual incidence risk was mostly on the increase. The increase was statistically significant in medical doctors (MDs) and dental medicine doctors (DMDs) (p<0.001) as well as in other occupational groups (p=0.015). In the 2017-2022 period, the decrease was statistically significant in females (p=0.011), in MDs and DMDs (p=0.007), in nurses (p=0.021) and in HCWs in the Surgery Division (p=0.023). CONCLUSION: The results of the present study suggest that measures introduced in the UMCL were partially effective. The findings could serve as a basis for the development of improved programmes for better prevention, reporting and reducing the consequences of blood-borne pathogen exposure incidents among HCWs not only in Slovenia, but also worldwide.

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