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新型冠状病毒肺炎（COVID-19）大流行前医务人员工作、救护站外出急救医疗队人员中的生物性质因素
- 作者: Bolobonkina T.A.1, Dementyev A.A.1, Shatrova N.V.1, Yankina S.V.1
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隶属关系:
- Ryazan State Medical University
- 期: 卷 28, 编号 3 (2020)
- 页面: 283-289
- 栏目: Original study
- ##submission.dateSubmitted##: 14.04.2020
- ##submission.dateAccepted##: 04.08.2020
- ##submission.datePublished##: 19.10.2020
- URL: https://journals.eco-vector.com/pavlovj/article/view/33431
- DOI: https://doi.org/10.23888/PAVLOVJ2020283283-289
- ID: 33431
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目的：确定机动应急救医疗队（EMT）实际接触的病原微生物谱，并根据生物学因素对该专业组工作条件等级进行科学论证。
材料与方法。我们使用了来自《救护车》自动化控制系统的传染病患者电子杂志的数据；2016-2019年梁赞市临床救护站紧急医疗工作人员（300名护理人员，64名医生）传染病杂志的记录。
结果。2016-2019年传染性疾病患者平均每年就诊次数为2178.5±221.3/年。大部分寻找紧急医疗的原因是关于肠道感染，平常水痘的病例，丹毒，病毒性肝炎，肺结核感染，带状疱疹。为这些电话提供服务的主要负担落在线性（从63.7下降到77.4%）和儿科（从24.8下降到35.1%）医疗队上；对于这种情况的病人，复苏团队的呼吁是零星的。医务人员传染病水平为0.78例/ 100名人员，比医士高1.2倍（t=3.79；p = 0.0003）。
结论。由于与传染源的职业接触，被研究的工作人员出现确诊病例，属于III类致病性，使能够将外出的急救小组成员条件分类到二级有害程度。然而，有一个高概率的专业接触与高致病性的A型流感病毒株、HIV-1和HIV-2、丙型肝炎、D型肝炎、E型肝炎病毒属于II类致病性，以及与SARS-CoV-2明显接触的存在，使工作条件的等级增加到三级有害程度。
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作者简介
Tatyana Bolobonkina
Ryazan State Medical University
编辑信件的主要联系方式.
Email: bolobonkina@bk.ru
ORCID iD: 0000-0003-1796-6023
SPIN 代码: 2251-0350
Assistant of the Department of Disaster Medicine and Emergency Medicine
俄罗斯联邦, RyazanAlexey Dementyev
Ryazan State Medical University
Email: dementiev_a@mail.ru
ORCID iD: 0000-0003-3038-5530
SPIN 代码: 3797-9108
Researcher ID: T-2168-2018
MD, PhD, Associate Professor, Head of the Department of General Hygiene
俄罗斯联邦, RyazanNatalya Shatrova
Ryazan State Medical University
Email: ysvetlana0903@mail.ru
ORCID iD: 0000-0003-0599-924X
SPIN 代码: 2965-2704
MD, PhD, Associate Professor, Нead of the Department of Emergency Medicine and Safety
俄罗斯联邦, RyazanSvetlana Yankina
Ryazan State Medical University
Email: ysvetlana0903@mail.ru
ORCID iD: 0000-0003-4400-8517
SPIN 代码: 1541-1096
MD, PhD, Assistant of the Department of Emergency Medicine and Safety
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