The prevalence of hepatitis C among healthcare workers: a systematic review and meta-analysis
Identifieur interne : 000108 ( Main/Exploration ); précédent : 000107; suivant : 000109The prevalence of hepatitis C among healthcare workers: a systematic review and meta-analysis
Auteurs : Claudia Westermann [Allemagne] ; Claudia Peters [Allemagne] ; Birgitte Lisiak [Allemagne] ; Monica Lamberti [Italie] ; Albert Nienhaus [Allemagne]Source :
- Occupational and Environmental Medicine [ 1351-0711 ] ; 2015.
Abstract
The aim of this study was to estimate the prevalence of viral hepatitis C (HCV) infection among healthcare workers (HCWs) compared to the general population. A systematic search for the years 1989–2014 was conducted in the Medline, Embase and Cochrane databases. Studies on hepatitis C in HCWs were included if they incorporated either a control group or reference data for the general population. The study quality was classified as high, moderate or low. Pooled effect estimates were calculated to determine the odds of occupational infection. Heterogeneity between studies was analysed using the χ2 test (p<0.10) and quantified using the I2 test. 57 studies met our criteria for inclusion and 44 were included in the meta-analysis. Analysis of high and moderate quality studies showed a significantly increased OR for HCV infection in HCWs relative to control populations, with a value of 1.6 (95% CI 1.03 to 2.42). Stratification by study region gave an OR of 2.1 in low prevalence countries; while stratification by occupational groups gave an increased prevalence for medical (OR 2.2) and for laboratory staff (OR 2.2). The OR for professionals at high risk of blood contact was 2.7. The pooled analysis indicates that the prevalence of infection is significantly higher in HCWs than in the general population. The highest prevalence was observed among medical and laboratory staff. Prospective studies that focus on HCW-specific activity and personal risk factors for HCV infection are needed.
Url:
DOI: 10.1136/oemed-2015-102879
PubMed: 26438666
PubMed Central: 4680146
Affiliations:
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id="af1"><institution>University Medical Center Hamburg-Eppendorf, Institute for Health Services Research in Dermatology and Nursing</institution>,<addr-line>Hamburg</addr-line>,<country>Germany</country></nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Lisiak, Birgitte" sort="Lisiak, Birgitte" uniqKey="Lisiak B" first="Birgitte" last="Lisiak">Birgitte Lisiak</name><affiliation wicri:level="1"><nlm:aff id="af2"><institution>Institution for Statutory Accident Insurance and Prevention in Health and Welfare Services</institution>,<addr-line>Hamburg</addr-line>,<country>Germany</country></nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Lamberti, Monica" sort="Lamberti, Monica" uniqKey="Lamberti M" first="Monica" last="Lamberti">Monica Lamberti</name><affiliation wicri:level="1"><nlm:aff id="af3"><addr-line>Department of Biochemistry, Biophysics and General Pathology</addr-line>,<institution>Second University of Naples</institution>,<addr-line>Naples</addr-line>,<country>Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Nienhaus, Albert" sort="Nienhaus, Albert" uniqKey="Nienhaus A" first="Albert" last="Nienhaus">Albert Nienhaus</name><affiliation wicri:level="1"><nlm:aff id="af1"><institution>University Medical Center Hamburg-Eppendorf, Institute for Health Services Research in Dermatology and Nursing</institution>,<addr-line>Hamburg</addr-line>,<country>Germany</country></nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="af2"><institution>Institution for Statutory Accident Insurance and Prevention in Health and Welfare Services</institution>,<addr-line>Hamburg</addr-line>,<country>Germany</country></nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">Occupational and Environmental Medicine</title><idno type="ISSN">1351-0711</idno><idno type="eISSN">1470-7926</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>The aim of this study was to estimate the prevalence of viral hepatitis C (HCV) infection among healthcare workers (HCWs) compared to the general population. A systematic search for the years 1989–2014 was conducted in the Medline, Embase and Cochrane databases. Studies on hepatitis C in HCWs were included if they incorporated either a control group or reference data for the general population. The study quality was classified as high, moderate or low. Pooled effect estimates were calculated to determine the odds of occupational infection. Heterogeneity between studies was analysed using the χ<sup>2</sup> test (p<0.10) and quantified using the I<sup>2</sup> test. 57 studies met our criteria for inclusion and 44 were included in the meta-analysis. Analysis of high and moderate quality studies showed a significantly increased OR for HCV infection in HCWs relative to control populations, with a value of 1.6 (95% CI 1.03 to 2.42). Stratification by study region gave an OR of 2.1 in low prevalence countries; while stratification by occupational groups gave an increased prevalence for medical (OR 2.2) and for laboratory staff (OR 2.2). The OR for professionals at high risk of blood contact was 2.7. The pooled analysis indicates that the prevalence of infection is significantly higher in HCWs than in the general population. The highest prevalence was observed among medical and laboratory staff. Prospective studies that focus on HCW-specific activity and personal risk factors for HCV infection are needed.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Askarian, M" uniqKey="Askarian M">M Askarian</name></author><author><name sortKey="Yadollahi, M" uniqKey="Yadollahi M">M Yadollahi</name></author><author><name sortKey="Kuochak, F" uniqKey="Kuochak F">F Kuochak</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Te, Hs" uniqKey="Te H">HS Te</name></author><author><name sortKey="Jensen, Dm" uniqKey="Jensen D">DM Jensen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Deuffic Burban, S" uniqKey="Deuffic Burban S">S Deuffic-Burban</name></author><author><name sortKey="Delarocque Astagneau, E" uniqKey="Delarocque Astagneau E">E Delarocque-Astagneau</name></author><author><name sortKey="Abiteboul, D" uniqKey="Abiteboul D">D 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Silverstein</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Larney, S" uniqKey="Larney S">S Larney</name></author><author><name sortKey="Kopinski, H" uniqKey="Kopinski H">H Kopinski</name></author><author><name sortKey="Beckwith, Cg" uniqKey="Beckwith C">CG Beckwith</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Allemagne</li><li>Italie</li></country></list><tree><country name="Allemagne"><noRegion><name sortKey="Westermann, Claudia" sort="Westermann, Claudia" uniqKey="Westermann C" first="Claudia" last="Westermann">Claudia Westermann</name></noRegion><name sortKey="Lisiak, Birgitte" sort="Lisiak, Birgitte" uniqKey="Lisiak B" first="Birgitte" last="Lisiak">Birgitte Lisiak</name><name sortKey="Nienhaus, Albert" sort="Nienhaus, Albert" uniqKey="Nienhaus A" first="Albert" last="Nienhaus">Albert Nienhaus</name><name sortKey="Nienhaus, Albert" sort="Nienhaus, Albert" uniqKey="Nienhaus A" first="Albert" last="Nienhaus">Albert Nienhaus</name><name sortKey="Peters, Claudia" sort="Peters, Claudia" uniqKey="Peters C" first="Claudia" last="Peters">Claudia Peters</name></country><country name="Italie"><noRegion><name sortKey="Lamberti, Monica" sort="Lamberti, Monica" uniqKey="Lamberti M" first="Monica" last="Lamberti">Monica Lamberti</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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