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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 with different physico-chemical properties under conditions representing practical application in hospitals. The aim of this study was to evaluate a quantitative carrier assay. Furthermore, different putative model viruses like adenovirus type 5 (AdV-5) and different animal parvoviruses were evaluated with respect to their tenacity and practicability in laboratory handling. To evaluate the robustness of the method, some of the viruses were tested in parallel in different laboratories in a multi-center study. Different biocides, which are common active ingredients of surface disinfectants, were used in the test. After drying on stainless steel discs as the carrier, model viruses were exposed to different concentrations of three alcohols, peracetic acid (PAA) or glutaraldehyde (GDA), with a fixed exposure time of 5 minutes. Residual virus was determined after treatment by endpoint titration. All parvoviruses exhibited a similar stability with respect to GDA, while AdV-5 was more susceptible. For PAA, the porcine parvovirus was more sensitive than the other parvoviruses, and again, AdV-5 presented a higher susceptibility than the parvoviruses. All parvoviruses were resistant to alcohols, while AdV-5 was only stable when treated with 2-propanol. The analysis of the results of the multi-center study showed a high reproducibility of this test system. In conclusion, two viruses with different physico-chemical properties can be recommended as appropriate model viruses for the evaluation of the virucidal efficacy of surface disinfectants: AdV-5, which has a high clinical impact, and murine parvovirus (MVM) with the highest practicability among the parvoviruses tested.
    Keywords: Sciences (General)
    E-ISSN: 1932-6203
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  • 4
    Language: English
    In: Journal of Clinical Virology, 2015, Vol.69, p.200(3)
    Description: To link to full-text access for this article, visit this link: http://dx.doi.org/10.1016/j.jcv.2015.06.099 Byline: Sabine Wicker, Holger F. Rabenau Abstract: * Long-term Influenza A virus H3N2 shedding occurred in an otherwise healthy individual. * Long-term virus shedding might have implications for infection control. * Predictive value of influenza PCR regarding infection control must be evaluated. Author Affiliation: (a) Occupational Health Service, University Hospital Frankfurt, Goethe University, Theodor-Stern-Kai 7, 60590 Frankfurt am Main, Germany (b) Institute of Medical Virology, University Hospital Frankfurt, Goethe University, Paul-Ehrlich-Str. 40, 60596 Frankfurt am Main, Germany Article History: Received 21 April 2015; Revised 9 June 2015; Accepted 23 June 2015
    Keywords: Influenza – Health Aspects
    ISSN: 1386-6532
    Source: Cengage Learning, Inc.
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  • 5
    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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  • 6
    Language: German
    In: pädiatrie: Kinder- und Jugendmedizin hautnah, 4/2016, Vol.28(2), pp.34-35
    ISSN: 1867-2132
    E-ISSN: 2196-6443
    Source: Springer (via CrossRef)
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  • 7
    Language: German
    In: ProCare, 2017, Vol.22(9), pp.16-17
    Description: To access, purchase, authenticate, or subscribe to the full-text of this article, please visit this link: http://dx.doi.org/10.1007/s00735-017-0829-6 Byline: Sabine Wicker (1), Holger F. Rabenau (2) Author Affiliation: (1) BetriebsAaAaAeAnrztlicher Dienst/UniversitAaAaAeAntsklinikum Frankfurt, Theodor-Stern 7, D-60590, Frankfurt am Main, Deutschland (2) 0000 0004 0578 8220, grid.411088.4, Institut fAaAaAeA r Medizinische Virologi UniversitAaAaAeAntsklinikum Frankfurt, Paul-Ehrlich-Stra[sz]e 40, D-60596, Frankfu am Main, Deutschland Article History: Registration Date: 10/11/2017 Online Date: 10/11/2017
    Keywords: Medicine & Public Health ; Nursing ; Nursing;
    ISSN: 0949-7323
    E-ISSN: 1613-7574
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  • 8
    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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  • 9
    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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  • 10
    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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