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Published in: Journal of Occupational Medicine and Toxicology 1/2012

Open Access 01-12-2012 | Research

Infectious diseases in healthcare workers – an analysis of the standardised data set of a German compensation board

Authors: Albert Nienhaus, Chandrasekharan Kesavachandran, Dana Wendeler, Frank Haamann, Madeleine Dulon

Published in: Journal of Occupational Medicine and Toxicology | Issue 1/2012

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Abstract

Introduction

Healthcare workers (HCW) are exposed to infectious agents. Disease surveillance is therefore needed in order to foster prevention.

Methods

The data of the compensation board that covers HCWs of non-governmental healthcare providers in Germany was analysed for a five-year period. For hepatitis B virus (HBV) and hepatitis C virus (HCV) infections, the period analysed was extended to the last 15 years. The annual rate of occupational infectious diseases (OIDs) per 100,000 employees was calculated. For needlestick injuries (NSI) a rate per 1,000 employees was calculated.

Results

Within the five years from 2005 to 2009 a total of 384 HCV infections were recognised as OIDs (1.5/100,000 employees). Active TB was the second most frequent cause of an OID. While the numbers of HBV and HCV infections decreased, the numbers for active TB did not follow a clear pattern. Needlestick injuries (NSIs) were reported especially often at hospitals (29.9/1,000 versus 7.4/1,000 employees for all other HCWs).

Conclusion

Although they are declining, HCV infections remain frequent in HCWs, as do NSIs. Whether the reinforcement of the recommendations for the use of safety devices in Germany will prevent NSIs and therefore HCV infections should be closely observed.
Appendix
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Literature
2.
go back to reference Tarantola A, Abiteboul D, Rachline A: Infection risks following accidental exposure to blood or body fluids in health care workers: A review of pathogens transmitted in published cases. Amer J Inf Contr 2006,34(6):367–375. 10.1016/j.ajic.2004.11.011CrossRef Tarantola A, Abiteboul D, Rachline A: Infection risks following accidental exposure to blood or body fluids in health care workers: A review of pathogens transmitted in published cases. Amer J Inf Contr 2006,34(6):367–375. 10.1016/j.ajic.2004.11.011CrossRef
4.
go back to reference Seidler A, Nienhaus A, Diel R: Review of epidemiological studies on the occupational risk of tuberculosis in low-incidence areas. Respiration 2005,72(4):431–446. 10.1159/000086261CrossRefPubMed Seidler A, Nienhaus A, Diel R: Review of epidemiological studies on the occupational risk of tuberculosis in low-incidence areas. Respiration 2005,72(4):431–446. 10.1159/000086261CrossRefPubMed
5.
go back to reference Diel R, Seidler A, Nienhaus A, Rusch-Gerdes S, Niemann S: Occupational risk of tuberculosis transmission in a low incidence area. Respir Res 2005,6(1):35–45. 10.1186/1465-9921-6-35PubMedCentralCrossRefPubMed Diel R, Seidler A, Nienhaus A, Rusch-Gerdes S, Niemann S: Occupational risk of tuberculosis transmission in a low incidence area. Respir Res 2005,6(1):35–45. 10.1186/1465-9921-6-35PubMedCentralCrossRefPubMed
6.
go back to reference Ho PL, Becker M, Chan-Yeung MM: Emerging occupational lung infections. Int J Tuberc Lung Dis 2005,11(7):710–721. Ho PL, Becker M, Chan-Yeung MM: Emerging occupational lung infections. Int J Tuberc Lung Dis 2005,11(7):710–721.
7.
go back to reference Poon LL, Guan Y, Nicholls JM, Yuen KY, Peiris JS: The aetiology, origins and diagnosis of severe acute respiratory syndrome. Lancet Infect Dis 2004,4(11):663–671. 10.1016/S1473-3099(04)01172-7CrossRefPubMed Poon LL, Guan Y, Nicholls JM, Yuen KY, Peiris JS: The aetiology, origins and diagnosis of severe acute respiratory syndrome. Lancet Infect Dis 2004,4(11):663–671. 10.1016/S1473-3099(04)01172-7CrossRefPubMed
8.
go back to reference Lee N, Hui D, Wu A, Chan P, Cameron P, Joynt GMA, Ahuja A, Yung MY, Leung CB, To KF, Lui SF, Szeto CC, Chung S, Sung JJ: Major outbreak of severe acute respiratory syndrome in Hong Kong. N Engl J Med 2003,348(20):1986–1994. 10.1056/NEJMoa030685CrossRefPubMed Lee N, Hui D, Wu A, Chan P, Cameron P, Joynt GMA, Ahuja A, Yung MY, Leung CB, To KF, Lui SF, Szeto CC, Chung S, Sung JJ: Major outbreak of severe acute respiratory syndrome in Hong Kong. N Engl J Med 2003,348(20):1986–1994. 10.1056/NEJMoa030685CrossRefPubMed
9.
go back to reference Booth CM, Matukas LM, Tomlinson GA, Rachlis AR, Rose DB, Dwosh HA, Walmsley SL, Mazzulli T, Avendano M, Derkach P, Ephtimios IE, Kitai I, Mederski BD, Shadowitz SB, Gold WL, Hawryluck LA, Rea E, Chenkin JS, Cescon DW, Poutanen SM, Detsky AS: Clinical features and short term outcomes of 144 patients with SARS in the Greater Toronto Area. JAMA 2003,289(21):2801–2809. 10.1001/jama.289.21.JOC30885CrossRefPubMed Booth CM, Matukas LM, Tomlinson GA, Rachlis AR, Rose DB, Dwosh HA, Walmsley SL, Mazzulli T, Avendano M, Derkach P, Ephtimios IE, Kitai I, Mederski BD, Shadowitz SB, Gold WL, Hawryluck LA, Rea E, Chenkin JS, Cescon DW, Poutanen SM, Detsky AS: Clinical features and short term outcomes of 144 patients with SARS in the Greater Toronto Area. JAMA 2003,289(21):2801–2809. 10.1001/jama.289.21.JOC30885CrossRefPubMed
10.
go back to reference Buxton Bridges C, Katz JM, Seto WH, Chan PK, Tsang D, Ho W, Mak KH, Lim W, Tam JS, Clarke M, Williams SG, Mounts AW, Bresee JS, Conn LA, Rowe T, Hu-Primmer J, Anernathy RA, Lu X, Cox NJ, Fukuda K: Risk of influenza A (H5N1) infection among health care workers exposed to patients with influenza A (H5N1), Hong Kong. J Infect Dis 2000, 181: 344–348. 10.1086/315213CrossRefPubMed Buxton Bridges C, Katz JM, Seto WH, Chan PK, Tsang D, Ho W, Mak KH, Lim W, Tam JS, Clarke M, Williams SG, Mounts AW, Bresee JS, Conn LA, Rowe T, Hu-Primmer J, Anernathy RA, Lu X, Cox NJ, Fukuda K: Risk of influenza A (H5N1) infection among health care workers exposed to patients with influenza A (H5N1), Hong Kong. J Infect Dis 2000, 181: 344–348. 10.1086/315213CrossRefPubMed
11.
go back to reference Costa JT, Silva R, Tavares M, Nienhaus A: High effectiveness of pandemic influence A (H1/N1) vaccination in healthcare workers from a Portuguese hospital. Int Arch Occup Environ Health 2011,:PMID: 22045387. epub ahead of print Costa JT, Silva R, Tavares M, Nienhaus A: High effectiveness of pandemic influence A (H1/N1) vaccination in healthcare workers from a Portuguese hospital. Int Arch Occup Environ Health 2011,:PMID: 22045387. epub ahead of print
12.
go back to reference Sepkowitz KA: Tuberculosis and the healthcare worker. A historical perspective. Ann Intern Med 1994, 120: 71–79.PubMed Sepkowitz KA: Tuberculosis and the healthcare worker. A historical perspective. Ann Intern Med 1994, 120: 71–79.PubMed
13.
go back to reference Phillips EK, Conaway MR, Jagger JC: Percutaneous injuries before and after the Needlestick Safety and Prevention Act. N Engl J Med 2012,336(7):670–671.CrossRef Phillips EK, Conaway MR, Jagger JC: Percutaneous injuries before and after the Needlestick Safety and Prevention Act. N Engl J Med 2012,336(7):670–671.CrossRef
16.
go back to reference von Hirschberg KR, Kähler B, Nienhaus A: Social care and changes in occupational accidents and diseases – the situation in Eastern Europe in general and for skin diseases in particular. J Occup Med Toxicol 2009, 4: 28. 10.1186/1745-6673-4-28PubMedCentralCrossRefPubMed von Hirschberg KR, Kähler B, Nienhaus A: Social care and changes in occupational accidents and diseases – the situation in Eastern Europe in general and for skin diseases in particular. J Occup Med Toxicol 2009, 4: 28. 10.1186/1745-6673-4-28PubMedCentralCrossRefPubMed
17.
go back to reference Shah SM, Bonauto D, Silverstein B, Foley M: Workers’ compensation claims for needlestick injuries among healthcare workers in Washington State, 1996–2000. Infect Control Hosp Epidemiol 2005,26(9):775–781. 10.1086/502616CrossRefPubMed Shah SM, Bonauto D, Silverstein B, Foley M: Workers’ compensation claims for needlestick injuries among healthcare workers in Washington State, 1996–2000. Infect Control Hosp Epidemiol 2005,26(9):775–781. 10.1086/502616CrossRefPubMed
18.
go back to reference Haamann F, Dulon M, Nienhaus A: MRSA as an occupational disease: a case series. Int Arch Occup Environ Health 2011,84(3):259–266. 10.1007/s00420-010-0610-7PubMedCentralCrossRefPubMed Haamann F, Dulon M, Nienhaus A: MRSA as an occupational disease: a case series. Int Arch Occup Environ Health 2011,84(3):259–266. 10.1007/s00420-010-0610-7PubMedCentralCrossRefPubMed
19.
go back to reference Nienhaus A, Skudlik C, Seidler A: Work-related accidents and occupational diseases in veterinarians and their staff. Int Arch Occup Environ Health 2005, 78: 230–238. 10.1007/s00420-004-0583-5CrossRefPubMed Nienhaus A, Skudlik C, Seidler A: Work-related accidents and occupational diseases in veterinarians and their staff. Int Arch Occup Environ Health 2005, 78: 230–238. 10.1007/s00420-004-0583-5CrossRefPubMed
20.
go back to reference Nienhaus A, Schablon A, Siano B, le Bacle C, Diel R: Evaluation of the interferon-gamma release assay in healthcare workers. Int Arch Occup Environ Health 2008, 81: 295–300.CrossRefPubMed Nienhaus A, Schablon A, Siano B, le Bacle C, Diel R: Evaluation of the interferon-gamma release assay in healthcare workers. Int Arch Occup Environ Health 2008, 81: 295–300.CrossRefPubMed
21.
go back to reference Ringshausen FC, Schlosser S, Nienhaus A, Schablon A, Schultze-Werninghaus G, Rohde G: In-hospital contact investigation among health care workers after exposure to smear-negative tuberculosis. J Occup Med Toxicol 2009,4(1):11. 10.1186/1745-6673-4-11PubMedCentralCrossRefPubMed Ringshausen FC, Schlosser S, Nienhaus A, Schablon A, Schultze-Werninghaus G, Rohde G: In-hospital contact investigation among health care workers after exposure to smear-negative tuberculosis. J Occup Med Toxicol 2009,4(1):11. 10.1186/1745-6673-4-11PubMedCentralCrossRefPubMed
22.
go back to reference Schablon A, Harling M, Diel R, Nienhaus A: Risk of latent TB infection in individuals employed in the healthcare sector in Germany: a multicentre prevalence study. BMC Infect Dis 2010, 10: 107. 10.1186/1471-2334-10-107PubMedCentralCrossRefPubMed Schablon A, Harling M, Diel R, Nienhaus A: Risk of latent TB infection in individuals employed in the healthcare sector in Germany: a multicentre prevalence study. BMC Infect Dis 2010, 10: 107. 10.1186/1471-2334-10-107PubMedCentralCrossRefPubMed
23.
go back to reference Tripodi D, Brunet-Court B, Nael V, Audrain M, Chailleux E, Germaud P, Naudin F, Muller JY, Bourrut-Lacouture M, Durand-Perdriel MH, Gordeeff C, Guillaumin G, Houdebine M, Raffi F, Boutoille D, Biron C, Potel G, Roedlich C, Geraut C, Schablon A, Nienhaus A: Evaluation of the tuberculin skin test and the interferon-gamma release assay for TB screening in French healthcare workers. J Occup Med Toxicol 2009, 4: 30. 10.1186/1745-6673-4-30PubMedCentralCrossRefPubMed Tripodi D, Brunet-Court B, Nael V, Audrain M, Chailleux E, Germaud P, Naudin F, Muller JY, Bourrut-Lacouture M, Durand-Perdriel MH, Gordeeff C, Guillaumin G, Houdebine M, Raffi F, Boutoille D, Biron C, Potel G, Roedlich C, Geraut C, Schablon A, Nienhaus A: Evaluation of the tuberculin skin test and the interferon-gamma release assay for TB screening in French healthcare workers. J Occup Med Toxicol 2009, 4: 30. 10.1186/1745-6673-4-30PubMedCentralCrossRefPubMed
24.
go back to reference Torres Costa J, Sá R, Cardoso MJ, Silva R, Ferreira J, Ribeiro C, Miranda M, Plácido JL, Nienhaus A: Tuberculosis screening in Portuguese healthcare workers using the tuberculin skin test and the interferon-gamma release assay. Eur Respir J 2009, 34: 1423–1428. 10.1183/09031936.00053809CrossRefPubMed Torres Costa J, Sá R, Cardoso MJ, Silva R, Ferreira J, Ribeiro C, Miranda M, Plácido JL, Nienhaus A: Tuberculosis screening in Portuguese healthcare workers using the tuberculin skin test and the interferon-gamma release assay. Eur Respir J 2009, 34: 1423–1428. 10.1183/09031936.00053809CrossRefPubMed
25.
go back to reference Diel R, Loddenkemper R, Meywald-Walter K, Niemann S, Nienhaus A: Predictive value of a whole blood IFN-c assay for the development of active TB disease. Am J Respir Crit Care Med 2008, 177: 1164–1170. 10.1164/rccm.200711-1613OCCrossRefPubMed Diel R, Loddenkemper R, Meywald-Walter K, Niemann S, Nienhaus A: Predictive value of a whole blood IFN-c assay for the development of active TB disease. Am J Respir Crit Care Med 2008, 177: 1164–1170. 10.1164/rccm.200711-1613OCCrossRefPubMed
26.
go back to reference Diel R, Loddenkemper R, Niemann S: Meywald-Walter, Nienhaus A: Negative and positive predictive value of a whole-blood Interferon-γ Release Assay for developing active tuberculosis - An Update. Am J Respir Crit Care Med 2011, 183: 88–95. 10.1164/rccm.201006-0974OCCrossRefPubMed Diel R, Loddenkemper R, Niemann S: Meywald-Walter, Nienhaus A: Negative and positive predictive value of a whole-blood Interferon-γ Release Assay for developing active tuberculosis - An Update. Am J Respir Crit Care Med 2011, 183: 88–95. 10.1164/rccm.201006-0974OCCrossRefPubMed
27.
go back to reference Tosini W, Ciotti C, Goyer F, Lolom I, L’Hériteau F, Abiteboul D, Pellissier G, Bouvet E: Needlestick injury rates according to different types of safety-engineered devices: results of a French multicenter study. Infect Control Hosp Epidemiol 2010,31(4):402–407. 10.1086/651301CrossRefPubMed Tosini W, Ciotti C, Goyer F, Lolom I, L’Hériteau F, Abiteboul D, Pellissier G, Bouvet E: Needlestick injury rates according to different types of safety-engineered devices: results of a French multicenter study. Infect Control Hosp Epidemiol 2010,31(4):402–407. 10.1086/651301CrossRefPubMed
28.
go back to reference Gerdes S, Haamann F, Dittmann A, Swida U, Nienhaus A: Evaluation of the introduction of safety devices in the hospitals of Hamburg, in: Nienhaus A: Risk profiles (Gefährdungsprofile) – accidents and work related diseases in the healthcare and welfare sectors. Ecomed, Landsberg; 2010. (available in German only) Gerdes S, Haamann F, Dittmann A, Swida U, Nienhaus A: Evaluation of the introduction of safety devices in the hospitals of Hamburg, in: Nienhaus A: Risk profiles (Gefährdungsprofile) – accidents and work related diseases in the healthcare and welfare sectors. Ecomed, Landsberg; 2010. (available in German only)
29.
go back to reference Wicker S, Jung J, Allwinn R, Gottschalk R, Rabenau HF: Prevelence and prevention of needlestick injuries among health care workers in a German university hospital. Int Arch Occup Environ Health. 2008,81(3):347–354.CrossRefPubMed Wicker S, Jung J, Allwinn R, Gottschalk R, Rabenau HF: Prevelence and prevention of needlestick injuries among health care workers in a German university hospital. Int Arch Occup Environ Health. 2008,81(3):347–354.CrossRefPubMed
30.
go back to reference Deuffic-Burban S, Dalarocque-Astagneau E, Abitelboul D, Bouvet E, Yazdanpanah Y: Blood-borne viruses in a health care workers: prevention and management. J Clin Virol 2011,52(1):4–10. 10.1016/j.jcv.2011.05.016CrossRefPubMed Deuffic-Burban S, Dalarocque-Astagneau E, Abitelboul D, Bouvet E, Yazdanpanah Y: Blood-borne viruses in a health care workers: prevention and management. J Clin Virol 2011,52(1):4–10. 10.1016/j.jcv.2011.05.016CrossRefPubMed
31.
go back to reference Hofmann F, Ferracin C, Marsh G, Dumas R: Influenza vaccination of healthcare workers: a literature review of attitudes and beliefs. Infection 2006,34(3):142–147. 10.1007/s15010-006-5109-5CrossRefPubMed Hofmann F, Ferracin C, Marsh G, Dumas R: Influenza vaccination of healthcare workers: a literature review of attitudes and beliefs. Infection 2006,34(3):142–147. 10.1007/s15010-006-5109-5CrossRefPubMed
32.
go back to reference Johnson JG, Talbot TR: New approaches for influenza vaccination of healthcare workers. Curr Opin Infect Dis 2011,24(4):363–369. 10.1097/QCO.0b013e328347b0e7CrossRefPubMed Johnson JG, Talbot TR: New approaches for influenza vaccination of healthcare workers. Curr Opin Infect Dis 2011,24(4):363–369. 10.1097/QCO.0b013e328347b0e7CrossRefPubMed
33.
go back to reference McLennan S, Wicker S: Reflections on the influenza vaccination of healthcare workers. Vaccine 2012,28(51):8061–8064.CrossRef McLennan S, Wicker S: Reflections on the influenza vaccination of healthcare workers. Vaccine 2012,28(51):8061–8064.CrossRef
34.
go back to reference Wicker S, Rabenbau HF, Doerr HW, Allwinn R: Influenza vaccination compliance among health care workers in a German university hospital. Infection 2009,37(3):197–202. 10.1007/s15010-008-8200-2CrossRefPubMed Wicker S, Rabenbau HF, Doerr HW, Allwinn R: Influenza vaccination compliance among health care workers in a German university hospital. Infection 2009,37(3):197–202. 10.1007/s15010-008-8200-2CrossRefPubMed
35.
go back to reference Wittmann A, Kralj N, Köver J, Gasthaus K, Lerch H, Hofmann F: Comparison of 4 different types of surgical gloves used for preventing blood contact. Infect Control Hosp Epidemiol 2010,31(5):498–502. 10.1086/652158CrossRefPubMed Wittmann A, Kralj N, Köver J, Gasthaus K, Lerch H, Hofmann F: Comparison of 4 different types of surgical gloves used for preventing blood contact. Infect Control Hosp Epidemiol 2010,31(5):498–502. 10.1086/652158CrossRefPubMed
36.
go back to reference Wittmann A, Kralj N, Köver J, Gasthaus K, Hofmann F: Study of blood contact in simulated surgical needlestick injuries with single or double latex gloving. Infect Control Hosp Epidemiol 2009,30(1):53–56. 10.1086/593124CrossRefPubMed Wittmann A, Kralj N, Köver J, Gasthaus K, Hofmann F: Study of blood contact in simulated surgical needlestick injuries with single or double latex gloving. Infect Control Hosp Epidemiol 2009,30(1):53–56. 10.1086/593124CrossRefPubMed
Metadata
Title
Infectious diseases in healthcare workers – an analysis of the standardised data set of a German compensation board
Authors
Albert Nienhaus
Chandrasekharan Kesavachandran
Dana Wendeler
Frank Haamann
Madeleine Dulon
Publication date
01-12-2012
Publisher
BioMed Central
Published in
Journal of Occupational Medicine and Toxicology / Issue 1/2012
Electronic ISSN: 1745-6673
DOI
https://doi.org/10.1186/1745-6673-7-8

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