Risk factors for zoonoses in veterinary clinicians
Abstract: Veterinarians are at high risk for zoonoses. Although the study of these occupational diseases is included in the veterinary curriculum, there are no continuing education programs at the provincial level to prevent these diseases. The objective of this study was to estimate...
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2021
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/35063 |
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I10-R327-article-35063 |
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Universidad Nacional de Córdoba |
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I-10 |
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R-327 |
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Revista de la Facultad de Ciencias Médicas de Córdoba |
| format |
Artículo revista |
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zoonoses risk factors veterinary clinicians factores de riesgo zoonosis veterinarios clínicos . |
| spellingShingle |
zoonoses risk factors veterinary clinicians factores de riesgo zoonosis veterinarios clínicos . Imoberdorf , CG Ibarreche , AB Signorini , ML Medina , RB Tarabla , HD Risk factors for zoonoses in veterinary clinicians |
| topic_facet |
zoonoses risk factors veterinary clinicians factores de riesgo zoonosis veterinarios clínicos . |
| author |
Imoberdorf , CG Ibarreche , AB Signorini , ML Medina , RB Tarabla , HD |
| author_facet |
Imoberdorf , CG Ibarreche , AB Signorini , ML Medina , RB Tarabla , HD |
| author_sort |
Imoberdorf , CG |
| title |
Risk factors for zoonoses in veterinary clinicians |
| title_short |
Risk factors for zoonoses in veterinary clinicians |
| title_full |
Risk factors for zoonoses in veterinary clinicians |
| title_fullStr |
Risk factors for zoonoses in veterinary clinicians |
| title_full_unstemmed |
Risk factors for zoonoses in veterinary clinicians |
| title_sort |
risk factors for zoonoses in veterinary clinicians |
| description |
Abstract:
Veterinarians are at high risk for zoonoses. Although the study of these occupational diseases is included in the veterinary curriculum, there are no continuing education programs at the provincial level to prevent these diseases. The objective of this study was to estimate frequencies of zoonoses and the associated factors in veterinarians from Tucumán, Argentina. Previous to Covid19 pandemic a cross-sectional study was carried out using a structured questionnaire, surveying 210 professionals chosen at random. The risk factors analyzed were years of professional practice, gender, type of practice, hours worked/ day and minimum number of patients attended/ day. Continuous variables were transformed into dichotomous variables using medians as the cut-off point. The statistical analysis was carried out in two stages, taking the presence of at least one post-graduation zoonosis as the dependent variable. After screening with χ2, the variables with P˂0.05 were offered to a logistic regression model. Forty three percent of respondents had been diagnosed with at least one zoonosis (dermatophytosis 29.0%; scabies 19.5%; flea infestation 10.0%; brucellosis 3.3%; giardiasis 3.3%; toxoplasmosis 1.9%; psittacosis 1.4%; tuberculosis 1.0%). Seven percent of those who became ill suffered days off-work (3-15 days). Those who only worked with small animals and women had respectively 4.0 (95%CI 1.1-14.6; P= 0.033) and 2.3 (95%CI 1.16-4.45; P=0.017) times more risk of suffering from dermatophytosis than those who worked in large animal practice. The older the professional, the greater the risk of this parasitosis (OR= 2.7; 95%CI 1.4-5.3; P= 0.003). Respondents working in small animal practice and had a more years of exposure had respectively 4.9 (95%CI 1.1-22.1; P= 0.037) and 3.2 (95%CI 1.5-6.8; P= 0.003) times higher risk of scabies. There were no factors associated with flea infestation, while all brucellosis cases affected large animal veterinarians with more years of professional practice. The frequencies of skin affections were higher than those published in previous studies in Argentina, while the frequency of brucellosis was lower. Geographical variations can be related to the prevalence of each zoonosis in the animal population, type of professional practice, type of livestock farming and degree of adoption of preventive practices. In this study, the type of professional practice and the number of years of exposure were important risk factors for zoonoses.
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| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
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2021 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/35063 |
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I10-R327-article-350632024-04-15T16:19:09Z Risk factors for zoonoses in veterinary clinicians Factores de riesgo de zoonosis en veterinarios clínicos A Imoberdorf , CG Ibarreche , AB Signorini , ML Medina , RB Tarabla , HD zoonoses risk factors veterinary clinicians factores de riesgo zoonosis veterinarios clínicos . Abstract: Veterinarians are at high risk for zoonoses. Although the study of these occupational diseases is included in the veterinary curriculum, there are no continuing education programs at the provincial level to prevent these diseases. The objective of this study was to estimate frequencies of zoonoses and the associated factors in veterinarians from Tucumán, Argentina. Previous to Covid19 pandemic a cross-sectional study was carried out using a structured questionnaire, surveying 210 professionals chosen at random. The risk factors analyzed were years of professional practice, gender, type of practice, hours worked/ day and minimum number of patients attended/ day. Continuous variables were transformed into dichotomous variables using medians as the cut-off point. The statistical analysis was carried out in two stages, taking the presence of at least one post-graduation zoonosis as the dependent variable. After screening with χ2, the variables with P˂0.05 were offered to a logistic regression model. Forty three percent of respondents had been diagnosed with at least one zoonosis (dermatophytosis 29.0%; scabies 19.5%; flea infestation 10.0%; brucellosis 3.3%; giardiasis 3.3%; toxoplasmosis 1.9%; psittacosis 1.4%; tuberculosis 1.0%). Seven percent of those who became ill suffered days off-work (3-15 days). Those who only worked with small animals and women had respectively 4.0 (95%CI 1.1-14.6; P= 0.033) and 2.3 (95%CI 1.16-4.45; P=0.017) times more risk of suffering from dermatophytosis than those who worked in large animal practice. The older the professional, the greater the risk of this parasitosis (OR= 2.7; 95%CI 1.4-5.3; P= 0.003). Respondents working in small animal practice and had a more years of exposure had respectively 4.9 (95%CI 1.1-22.1; P= 0.037) and 3.2 (95%CI 1.5-6.8; P= 0.003) times higher risk of scabies. There were no factors associated with flea infestation, while all brucellosis cases affected large animal veterinarians with more years of professional practice. The frequencies of skin affections were higher than those published in previous studies in Argentina, while the frequency of brucellosis was lower. Geographical variations can be related to the prevalence of each zoonosis in the animal population, type of professional practice, type of livestock farming and degree of adoption of preventive practices. In this study, the type of professional practice and the number of years of exposure were important risk factors for zoonoses. Resumen: Los veterinarios tienen alto riesgo de padecer zoonosis. Si bien el estudio de estas enfermedades profesionales está incluido en la currícula de veterinaria, no existen en el ámbito provincial programas de educación continua para prevenirlas. El objetivo de este trabajo fue estimar frecuencias de presentación de zoonosis y factores asociados, en veterinarios de Tucumán, Argentina. Prepandemia de Covid19 se efectuó un estudio transversal mediante cuestionario estructurado encuestando 210 profesionales elegidos al azar. Los factores de riesgo analizados fueron antigüedad profesional, género, tipo de práctica, horas trabajadas/día y número mínimo de pacientes atendidos/día. Las variables continuas fueron transformadas en dicotómicas utilizando las medianas como punto de corte. El análisis estadístico fue realizado en dos etapas tomando la presencia de al menos una zoonosis posgraduación como variable dependiente. Luego de un tamizado con χ2, las variables con P˂0,05 fueron ofrecidas a un modelo de regresión logística. El 42,9% de los encuestados había sido diagnosticado con al menos una zoonosis (dermatofitosis 29,0%; sarna 19,5%; infestación con pulgas 10,0%; brucelosis 3,3%; giardiasis 3,3%; toxoplasmosis 1,9%; psitacosis 1,4%; tuberculosis 1,0%). El 6,7% de los que enfermaron sufrieron ausencias laborales (3-15 días). Quienes sólo trabajaban con pequeños animales y las mujeres tuvieron 4,0 (IC95% 1,1-14,6; P=0,033) y 2,3 (IC95% 1,16-4,45; P=0,017) veces más riesgo de padecer dermatofitosis que quienes trabajaban con grandes animales. A mayor antigüedad profesional, mayor riesgo de esta parasitosis (OR=2,7; IC95% 1,4-5,3; P=0,003). Quienes trabajaban con pequeñas especies y tenían mayor antigüedad laboral, tuvieron 4,9 (IC95% 1,1-22,1; P=0,037) y 3,2 (IC95% 1,5-6,8; P=0,003) veces más riesgo de padecer sarna. No hubo factores asociados con infestación con pulgas y todos los casos de brucelosis afectaron a veterinarios de grandes animales con más años de exposición. Las frecuencias de afecciones de piel fueron mayores a las publicadas en otros estudios en Argentina, y la de brucelosis menor. Las variaciones territoriales pueden relacionarse con la prevalencia de cada zoonosis en la población animal, especie de práctica profesional, tipo de explotación y grado de adopción de prácticas preventivas. En este trabajo, el tipo de práctica profesional y los años de exposición fueron importantes factores de riesgo. . Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2021-10-12 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion texto texto texto https://revistas.unc.edu.ar/index.php/med/article/view/35063 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 78 No. Suplemento (2021): Suplemento JIC XXII Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 78 Núm. Suplemento (2021): Suplemento JIC XXII Revista da Faculdade de Ciências Médicas de Córdoba; v. 78 n. Suplemento (2021): Suplemento JIC XXII 1853-0605 0014-6722 http://creativecommons.org/licenses/by-nc/4.0 |