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  • Rabenau, H.F.  (62)
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  • 1
    Language: English
    In: International Archives of Occupational and Environmental Health, 2010, Vol.83(1), pp.77-83
    Description: Byline: Sabine Wicker (1,2), Holger F. Rabenau (2) Keywords: Bloodborne viruses; Dental infection control; Needlestick injury; Occupational infections Abstract: Purpose Exposures to bloodborne pathogens pose a serious risk to dental healthcare workers (DHCW). Despite improved methods of preventing exposures like needlestick injuries (NSI), occupational exposures still continue to occur. The purpose of this study was to evaluate the incidence of occupational exposures to patient body fluids among German DHCW, to assess the rate of reporting of such incidents, and to evaluate the association of various factors with these exposures. Methods Data was obtained through an anonymous questionnaire. Results Our study confirms that occupational skills are an important factor concerning NSI. It turned out that dental students (0.74 NSI p. a.) had nearly twice the number of NSI compared with dentists with more or less than 10 years working experience (0.42, 0.49 NSI p. a., respectively, P 〈 0.0001). Overall, 54.3% (n = 144/265) of respondents had sustained at least one NSI in their professional life. Only 28.5% of injured dental students and DHCW reported all of their NSI, the main reason (19.1%) for not reporting NSI was little or no perception of risk on behalf of the respondent. One-fourth of respondents were not wearing a mask and 55.6% were not wearing protective goggles during their last occupational exposures. Conclusions Occupational exposure to blood or body fluids is a common problem among DHCW and dental students. Measures must be adopted by official institutions, public health service, occupational health association and universities in order to reverse this situation. Author Affiliation: (1) Occupational Health Service, Hospital of the Johann Wolfgang Goethe-University of Frankfurt, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Germany (2) Institute of Medical Virology, Hospital of the Johann Wolfgang Goethe-University of Frankfurt, Paul-Ehrlich-Str. 40, 60596, Frankfurt am Main, Germany Article History: Registration Date: 08/07/2009 Received Date: 21/11/2008 Accepted Date: 08/07/2009 Online Date: 22/07/2009
    Keywords: Bloodborne viruses ; Dental infection control ; Needlestick injury ; Occupational infections
    ISSN: 0340-0131
    E-ISSN: 1432-1246
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  • 2
    Language: English
    In: Vaccine, 17 October 2013, Vol.31(44), pp.5111-5117
    Description: Healthcare personnel (HCP) are at risk from occupational exposure to airborne and bloodborne pathogens, and the risk of infection among HCP is greater than among the general population. The aim of the study was to characterize attitudes toward occupational recommended vaccines as well as the perception of risks of occupationally acquired infections. We surveyed 650 medical students to assess their perception of influenza and hepatitis B and their opinions and beliefs about influenza and hepatitis B vaccines. We found differences between pre-clinical and clinical students regarding the uptake of influenza and hepatitis B vaccines, about the chances of being occupationally infected with influenza or hepatitis B, and about the likelihood of suffering from severe side-effects following immunization. Interestingly, the risk perception varied drastically between the two vaccine-preventable diseases hepatitis B and influenza. Medical students rated the probability of contracting hepatitis B due to a work-related exposure and the severity of disease significantly higher than for influenza, and this may be an explanation for the greater acceptance of the hepatitis B vaccine. Furthermore, our findings suggest that medical students are frequently inaccurate in assessing their own risk level, and their specific knowledge about both diseases and the severity of these diseases proved to be unsatisfactory.
    Keywords: Infection Control ; Influenza ; Healthcare Personnel ; Hepatitis ; Medical Students ; Vaccination ; Medicine ; Biology ; Veterinary Medicine ; Pharmacy, Therapeutics, & Pharmacology
    ISSN: 0264-410X
    E-ISSN: 1873-2518
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  • 3
    Language: English
    In: PLoS ONE, 01 January 2014, Vol.9(1), p.e86128
    Description: Surface disinfectants are part of broader preventive strategies preventing the transmission of bacteria, fungi and viruses in medical institutions. To evaluate their virucidal efficacy, these products must be tested with appropriate model viruses...
    Keywords: Sciences (General)
    E-ISSN: 1932-6203
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  • 4
    Language: English
    In: International Journal of Hygiene and Environmental Health, July 2012, Vol.215(4), pp.482-486
    Description: Influenza viruses are highly contagious. Medical personnel are at risk of occupational exposure to influenza. Data on dental healthcare workers (DHCWs) immunization status has not been published. We conducted a cross-sectional survey of DHCWs and dental students at a German dental university hospital. Surveys, completed between October 2010 and March 2011, focused on reasons of DHCWs for accepting or declining the influenza vaccination. Furthermore, we characterized attitudes towards influenza infection due to the emergence of the H1N1/2009. Compliance rates with the influenza vaccination among DHCWs were low (31.6%). The main reason for not getting vaccinated against the pandemic influenza A/H1N1 virus in the 2009/2010 season was the objection to the AS03-adjuvants (48.5%). Of the DHCWs surveyed, 30.6% (74/242) cited that the H1N1/2009 pandemic influenced their attitudes towards vaccination in general. Our findings confirm the importance of a comprehensive approach to the influenza vaccination, ensuring that DHCWs are correctly informed about the vaccine and that it is convenient to receive it. It could be shown that an immunization campaign at the workplace seems to be capable of improving vaccination rates, one-third of the vaccinees have been vaccinated for the first time.
    Keywords: Dental Health Care Workers ; Influenza ; Influenza A/H1n1 ; Occupational Infections ; Vaccination ; Biology ; Public Health
    ISSN: 1438-4639
    E-ISSN: 1618-131X
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  • 5
    Language: English
    In: Procedia in Vaccinology, 2011, Vol.4, pp.14-18
    Description: Nosocomial infectious diseases (e.g. influenza, pertussis) are a threat particularly for immunocompromised and vulnerable patients. Although vaccination of healthcare workers (HCWs) constitutes the most convenient and effective means to prevent nosocomial transmissions, vaccine uptake among HCWs remains unacceptably low. Worldwide, numerous studies have demonstrated that nurses have lower vaccination rates than physicians and that there is a relationship between receipt of vaccination by HCWs and knowledge. Measures to improve vaccination rates need to be profession-sensitive as well as specific in their approach in order to achieve sustained success.
    Keywords: Healthcare Workers ; Influenza ; Pertussis ; Vaccination Rates ; Biology ; Pharmacy, Therapeutics, & Pharmacology ; Public Health
    ISSN: 1877-282X
    E-ISSN: 1877-282X
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  • 6
    Language: English
    In: Journal of Clinical Virology, August 2015, Vol.69, pp.200-202
    Description: We report a case of a virologist – who is in age-appropriate medical condition with no relevant chronic diseases – who shed influenza A H3N2 virus RNA for 70 days while infectious virus could be detected by cell culture only up to 5 days after onset of symptoms despite a 5-day course of oseltamivir. The case might have implications for infection control in hospital settings and the weighting of the predictive value of PCR results.
    Keywords: Influenza ; Influenza Vaccination ; Viral Shedding ; Biology
    ISSN: 1386-6532
    E-ISSN: 1873-5967
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  • 7
    Language: German
    In: MMW - Fortschritte der Medizin, 11/2015, Vol.157(19), pp.49-50
    ISSN: 1438-3276
    E-ISSN: 1613-3560
    Source: Springer (via CrossRef)
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  • 8
    Language: English
    In: Procedia in Vaccinology, 2010, Vol.2(1), pp.101-105
    Description: With respect to nosocomial influenza infections, the welfare of patients is best served by high rates of staff immunity against influenza. However, data from the Centers of Disease Control (CDC) in the USA and the Robert Koch-Institute (RKI) in Germany indicate that most of health care workers (HCWs) choose not to be vaccinated. Under voluntary influenza immunization standards, institutional influenza outbreaks occur every flu season. The question about the legality of implementation mandatory flu vaccination for HCWs is an ongoing debate, which covers several different positions. To characterize the attitudes of German HCWs toward mandatory influenza immunization, an anonymous questionnaire was offered to HCWs of the University Hospital in Frankfurt/Main / Germany. Our study showed that almost 70% of the respondents would accept mandatory influenza vaccination. In our opinion an annual influenza vaccination should be required for HCWs who care for immunocompromised patients and residents in long-term care if there will be a failure of voluntary vaccination programs. An informed declination should be obtained from employees who decline vaccination and these HCWs ought to work in uncritical areas of patient care.
    Keywords: Healthcare Worker ; Influenza ; Mandatory Vaccinations ; Vaccine Uptake Rate ; Biology ; Pharmacy, Therapeutics, & Pharmacology ; Public Health
    ISSN: 1877-282X
    E-ISSN: 1877-282X
    Source: ScienceDirect Journals (Elsevier)
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  • 9
    Language: English
    In: Vaccine, 2010, Vol.28(29), pp.4548-4549
    Description: Despite official recommendations - e.g. from the Centers for Disease Control and Prevention (CDC) in the U.S.A. and the Robert Koch Institute (RKI) in Germany - and the availability of an effective vaccine, low influenza vaccine acceptance among HCWs is a problem detailed in many studies from all over...
    Keywords: Health Care Workers ; Influenza Vaccination ; Nurses ; Medicine ; Biology ; Veterinary Medicine ; Pharmacy, Therapeutics, & Pharmacology
    ISSN: 0264-410X
    E-ISSN: 1873-2518
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  • 10
    Language: English
    In: Medical Microbiology and Immunology, 2010, Vol.199(1), pp.45-51
    Description: Coxsackie A16 (CA16) and Enterovirus 71 (EV71) are members of the picornaviridae family and are associated with hand, foot and mouth disease (HFMD), in rare cases also to acute neurological diseases. HFMD outbreaks have been reported from many parts of the world, especially Southeast Asia. The objective of the study was to analyze CA16 and EV71 seroepidemiologically in the population of Frankfurt/M., Germany. A total of 696 individuals (349 males and 347 females, divided into seven different age groups, 1–4, 5–9, 10–14, 15–19, 20–39, 40–59 and 〉60 years) were tested for serum antibodies against CA16 and EV71 by the use of a microneutralization test. Sera were collected at the Frankfurt university hospital from patients suffering from other diseases between March and September 2006. CA16 and EV71 infections were observed to be widely present in the population. The age-adjusted seroprevalence for individuals ≥1 year was found to be 62.9% for CA16 and 42.8% for EV71 without a gender-specific significant difference. Only 12.0 and 27.0% of the children aged 1–4 had antibodies to EV71 and CA16, respectively – indicating that 88 and 73% of the children in this age group were susceptible to the infection. A total of 213 individuals (30.6%) was seropositive for both viruses, 303 (43.5%) showed neutralizing antibodies (NtAb) to at least one of the two viruses. A total of 180 individuals (25.9%) revealed no antibodies. High CA16 and EV71 antibody titers were found especially in the age group of the 10- to 14-year-olds, without gender-specific difference. The seroprevalence study demonstrates a common spread of CA16 and EV71 in Germany, but a relatively high susceptibility of the younger population to CA16 and EV71. Obviously, the manifestation rate, i.e., distinct disease of these infections is low.
    Keywords: Hand, foot and mouth disease ; Seroprevalence ; Coxsackie A16 ; Enterovirus 71 ; Neutralization assay
    ISSN: 0300-8584
    E-ISSN: 1432-1831
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