open access

Vol 6, No 4 (2021)
Review paper
Published online: 2021-12-15
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Occupational exposure to biological agents in Polish paramedics: a narrative review

Agnieszka Gonczaryk1, Jaroslaw Chmielewski2, Malgorzata Dziechciaz3, Izabela Wroblewska4, Jarogniew J. Luszczki5
·
Disaster Emerg Med J 2021;6(4):194-203.
Affiliations
  1. Department of Health and Social Policy, Marshal’s Office in Warsaw, Poland
  2. College of Rehabilitation in Warsaw, Poland
  3. Health Care Institute, State School of Higher Vocational and Economic Education, Jaroslaw, Poland
  4. Department of Internal Nursing, Department of Nursing and Midwifery, Faculty of Health Sciences, Wroclaw Medical University, Poland
  5. Institute of Rural Health in Lublin, Poland

open access

Vol 6, No 4 (2021)
REVIEW ARTICLES
Published online: 2021-12-15

Abstract

INTRODUCTION: Research into occupational exposure to biological pathogens during medical personnel work
is to a small degree concerned with paramedics. Coming in contact with biological pathogens, like HIV, HCV
and HBV viruses, tubercle bacilli, or recently the SARS-CoV-2 virus in the workplace is a contamination risk.
This study aims to analyze the occupational exposure of paramedics to biological pathogens at work, the
possibilities of paramedics developing contagious diseases as occupational illnesses, and the prophylaxis
this involves.
MATERIAL AND METHODS: The publication was prepared on the basis of a literature review of works available
in the PubMed, SCOPUS, and Google Scholar databases, and on websites of institutions functioning in the
area of public health.
BRIEF DESCRIPTION OF THE STATE OF KNOWLEDGE: In Poland, in 2020, there were 1 255 625 cases of SARSCoV-
2 registered, 3020 of which are cases found in paramedics, and 12 524 cases of Lyme borreliosis,
990 HBV cases, 942 HCV cases, 934 HIV cases. In 2020, there were 1861 occupational diseases, 504 of which
were contagious or parasitic. Approximately 37 000 needlesticks are estimated to happen every year in medical
facilities. 40% to 80% of the people who got injuries or cut in the workplace did not report the incident.
CONCLUSIONS: There is a need to implement prophylactic and preventative measures to prevent occupational
needlestick injuries and blood-borne infections amongst paramedics. Paramedics show insufficient
knowledge of their ability to apply for an occupational disease diagnosis caused by exposure to biological
pathogens present in the work environment.

Abstract

INTRODUCTION: Research into occupational exposure to biological pathogens during medical personnel work
is to a small degree concerned with paramedics. Coming in contact with biological pathogens, like HIV, HCV
and HBV viruses, tubercle bacilli, or recently the SARS-CoV-2 virus in the workplace is a contamination risk.
This study aims to analyze the occupational exposure of paramedics to biological pathogens at work, the
possibilities of paramedics developing contagious diseases as occupational illnesses, and the prophylaxis
this involves.
MATERIAL AND METHODS: The publication was prepared on the basis of a literature review of works available
in the PubMed, SCOPUS, and Google Scholar databases, and on websites of institutions functioning in the
area of public health.
BRIEF DESCRIPTION OF THE STATE OF KNOWLEDGE: In Poland, in 2020, there were 1 255 625 cases of SARSCoV-
2 registered, 3020 of which are cases found in paramedics, and 12 524 cases of Lyme borreliosis,
990 HBV cases, 942 HCV cases, 934 HIV cases. In 2020, there were 1861 occupational diseases, 504 of which
were contagious or parasitic. Approximately 37 000 needlesticks are estimated to happen every year in medical
facilities. 40% to 80% of the people who got injuries or cut in the workplace did not report the incident.
CONCLUSIONS: There is a need to implement prophylactic and preventative measures to prevent occupational
needlestick injuries and blood-borne infections amongst paramedics. Paramedics show insufficient
knowledge of their ability to apply for an occupational disease diagnosis caused by exposure to biological
pathogens present in the work environment.

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Keywords

paramedics; biological factors; workplace; occupational exposure; prophylaxis of occupational infections; biological hazards; personal protective equipment; occupational disease

About this article
Title

Occupational exposure to biological agents in Polish paramedics: a narrative review

Journal

Disaster and Emergency Medicine Journal

Issue

Vol 6, No 4 (2021)

Article type

Review paper

Pages

194-203

Published online

2021-12-15

Page views

6142

Article views/downloads

517

DOI

10.5603/DEMJ.a2021.0032

Bibliographic record

Disaster Emerg Med J 2021;6(4):194-203.

Keywords

paramedics
biological factors
workplace
occupational exposure
prophylaxis of occupational infections
biological hazards
personal protective equipment
occupational disease

Authors

Agnieszka Gonczaryk
Jaroslaw Chmielewski
Malgorzata Dziechciaz
Izabela Wroblewska
Jarogniew J. Luszczki

References (50)
  1. Chmielewski J, Dziechciaż M, Czarny-Działak M, et al. Environmental health threats in the work process [in Polish]. Environ Med. 2017; 20(2): 52–61.
  2. Rozporządzenie Ministra Zdrowia z dnia 22 kwietnia 2005 r. w sprawie szkodliwych czynników biologicznych dla zdrowia w środowisku pracy oraz ochrony zdrowia pracowników zawodowo narażonych na te czynniki/Ordinance of the Minister of Health of 22 April 2005 on biological agents harmful to health in the workplace and health protection of workers occupationally exposed to such agents (Dz. U. nr 81 poz. 716, z późn. zm.). https://isap.sejm.gov.pl/isap.nsf/download.xsp/WDU20050810716/O/D20050716.pdf (2021-11-08).
  3. Chmielewski J, Galińska EM, Nagas T. Environmental biological hazards in veterinary practic [in Polish]. Życie Weterynaryjne. 2015; 90(6): 353–357.
  4. Leineweber C, Marklund S, Gustafsson K, et al. Work environment risk factors for the duration of all cause and diagnose-specific sickness absence among healthcare workers in Sweden: a prospective study. Occup Environ Med. 2020; 77(11): 782–789.
  5. Sagha Zadeh R, Shepley MM, Owora AH, et al. The importance of specific workplace environment characteristics for maximum health and performance: healthcare workers' perspective. J Occup Environ Med. 2018; 60(5): e245–e252.
  6. Ornell F, Halpern SC, Kessler FH, et al. The impact of the COVID-19 pandemic on the mental health of healthcare professionals. Cad Saude Publica. 2020; 36(4): e00063520.
  7. Chmielewski J, Nowak-Starz G, Rutkowski A, et al. Occupational exposure to carcinogens and mutagens in the work environment [in Polish]. Przem Chem. 2020; 99(3): 397–405.
  8. Chmielewski J, Galińska EM, Anusz K, et al. Personal protection measures in veterinary practice [in Polish]. Życie Weterynaryjne. 2015; 90(5): 277–280.
  9. Ganczak M, Topczewska K, Biesiada D, et al. Frequency of occupational bloodborne infections and sharps injuries among polish paramedics from selected ambulance stations. Int J Environ Res Public Health. 2020; 18(1): 60.
  10. Nguyen J, Liu A, McKenney M, et al. Impacts and challenges of the COVID-19 pandemic on emergency medicine physicians in the United States. Am J Emerg Med. 2021; 48: 38–47.
  11. Chmielewski J, Raczek M, Puścion M, et al. COVID-19 caused by the SARS-CoV-2 virus as an occupational disease of medical professionals [in Polish]. Med Og Nauk Zdr. 2021; 27(3): 235–243.
  12. Ornell F, Halpern SC, Kessler FH, et al. The impact of the COVID-19 pandemic on the mental health of healthcare professionals. Cad Saude Publica. 2020; 36(4): e00063520.
  13. Główny Urząd Statystyczny. Warunki pracy w 2020 r./Central Statistical Office. Working conditions in 2020. https://stat.gov.pl/obszary-tematyczne/rynek-pracy/warunki-pracy-wypadki-przy-pracy/warunki-pracy-w-2020-roku,1,15.html (2021-11-08).
  14. Narodowy Instytut Zdrowia Publicznego PZH – Państwowy Instytut Badawczy. Meldunki epidemiologiczne EPIMELD/National Institute of Public Health PZH – National Research Institute. EPIMELD epidemiological medlocations. http://wwwold.pzh.gov.pl/oldpage/epimeld/index_p.html (2021-11-08).
  15. Główny Inspektorat Sanitarny. Stan Sanitarny Kraju w 2020 r./Chief Sanitary Inspectorate. The Sanitary Status of the Country in 2020. https://www.gov.pl/web/gis/stan-sanitarny-kraju-w-2020-roku (2021-11-08).
  16. Państwowa Inspekcja Pracy. Sprawozdanie z działalności Państwowej Inspekcji Pracy w 2020 r./State Labour Inspectorate. Report on the activities of the State Labour Inspectorate in 2020. https://www.pip.gov.pl/pl/f/v/242408/Sprawozdanie%202020.pdf#page=102 (2021-11-08).
  17. Najwyższa Izba Kontroli Delegatura w Katowicach. Wystąpienie pokontrolne LKA.411.001.07.2020 Krakowskie Pogotowie Ratunkowe w Krakowie/Supreme Chamber of Control Katowice Branch. Post-audit report LKA.411.001.07.2020 Krakow Ambulance Service in Krakow. https://www.nik.gov.pl/kontrole/R/20/001/LKA/ (2021-11-08).
  18. Najwyższa Izba Kontroli. Informacja o wynikach kontroli LWA.430.005.2020 Funkcjonowanie Systemu Ratownictwa Medycznego/Supreme Audit Office. Information on the results of the audit LWA.430.005.2020 Functioning of the Medical Rescue System. https://www.nik.gov.pl/plik/id,23528,vp,26262.pdf (2021-11-08).
  19. Centrum e-Zdrowia. Biuletyn Statystyczny 2020/Center for eHealth. Statistical Bulletin 2020. https://cez.gov.pl/fileadmin/user_upload/Biuletyny_informacyjny/biuletyn_statystyczny_2020_5fa959206ef00.pdf (2021-11-08).
  20. Daugherty EL, Carlson AL, Perl TM. Planning for the inevitable: preparing for epidemic and pandemic respiratory illness in the shadow of H1N1 influenza. Clin Infect Dis. 2010; 50(8): 1145–1154.
  21. Bentley MA, Levine R. A national assessment of the health and safety of emergency medical services professionals. Prehosp Disaster Med. 2016; 31(S1): S96–S104.
  22. Dowlati M, Seyedin H, Moslehi S. Hospital preparedness measures for biological hazards: a systematic review and meta-synthesis. Disaster Med Public Health Prep. 2020 [Epub ahead of print]: 1–14.
  23. Sacadura-Leite E, Mendonça-Galaio L, Shapovalova O, et al. Biological hazards for healthcare workers: occupational exposure to vancomycin-resistant staphylococcus aureus as an example of a new challenge. Port J Public Health. 2018; 36(1): 26–31.
  24. Lewandowicz-Uszyńska A, Naporowski P, Pasternak G, et al. Identification of etiological agents of selected bacterial and viral infections based on serological tests. Postepy Hig Med Dosw. 2018; 72: 1162–1178.
  25. Boal WL, Leiss JK, Ratcliffe JM, et al. Blood exposure among paramedics: incidence rates from the national study to prevent blood exposure in paramedics. Ann Epidemiol. 2006; 16(9): 720–725.
  26. Luksamijarulkul P, Pipitsangjan S, Vatanasomboon P. Occupational risk towards blood-borne infections among ambulance personnel in a provincial hospital network in Thailand. Southeast Asian J Trop Med Public Health. Southeast Asian J Trop Med Public Health. 20154; 45(4): 940–948.
  27. Szarpak Ł. Knowledge of aseptics and antisepsis and following their rules as elements of infection prevention in the work of paramedics [in Polish]. Med Pr. 2013; 64(2): 239–243.
  28. Garus-Pakowska A, Górajski M, Szatko F. Awareness of the risk of exposure to infectious material and the behaviors of Polish paramedics with respect to the hazards from blood-borne pathogens-a nationwide study. Int J Environ Res Public Health. 2017; 14(8): 843.
  29. Butsashvili M, Kamkamidze G, Kajaia M, et al. Occupational exposure to body fluids among health care workers in Georgia. Occup Med (Lond). 2012; 62(8): 620–626.
  30. Coppola N, De Pascalis S, Onorato L, et al. Hepatitis B virus and hepatitis C virus infection in healthcare workers. World J Hepatol. 2016; 8(5): 273–281.
  31. Jacob ST, Crozier I, Fischer WA, et al. Viral Hemorrhagic Fever Consortium. Priorities for Ebola virus disease response in west Africa. Lancet. 2014; 384(9957): 1843.
  32. Lee JH, Cho J, Kim YJ, et al. Occupational blood exposures in health care workers: incidence, characteristics, and transmission of bloodborne pathogens in South Korea. BMC Public Health. 2017; 17(1): 827.
  33. Nemr N, Kishk R, Mandour M, et al. Occupational risk of hepatitis B virus exposure: overview and recommendations. Suez Canal University Medical Journal. 2018; 21(2): 59–70.
  34. Garus-Pakowska A, Górajski M. Behaviors and attitudes of Polish health care workers with respect to the hazards from blood-borne pathogens: a questionnaire-based study. Int J Environ Res Public Health. 2019; 16(5): 891.
  35. Fedorczuk W, Pawlas K. Occupational risk factors of a medical rescue worker [in Polish]. Hygeia Public Health. 2011; 46(4): 437–441.
  36. Parekh B, Ou CY, Fonjungo P, et al. Diagnosis of human immunodeficiency virus infection. Clin Microbiol Rev. 2018; 32(1): e00064-18.
  37. Yazie TD, Sharew GB, Abebe W. Knowledge, attitude, and practice of healthcare professionals regarding infection prevention at Gondar University referral hospital, northwest Ethiopia: a cross-sectional study. BMC Res Notes. 2019; 12(1): 563.
  38. Trzcińska A. Occupational exposure — the problem still valid [in Polish]. Renal Disease and Transplantation Forum. 2016; 9(1): 66–71.
  39. Gańczak M, Topczewska K. Risk of occupational exposure to blood-borne pathogens in paramedics [in Polish]. Med Pr. 2018; 69(6): 685–694.
  40. Polskie Towarzystwo Pielęgniarek Anestezjologicznych i Intensywnej Opieki. Implementacja Dyrektywy Rady 2010/32/UE/w polskich szpitalach. Raport z badania/Polish Society of Anaesthesiological and Intensive Care Nurses. Implementation of Council Directive 2010/32/EU in Polish hospitals. Report from the survey, Warszawa, 2019. https://pspe.pl/wp-content/uploads/2019/04/RAPORT-BADA%C5%83-O-ZAK%C5%81UCIACH_PTPAiIO.pdf (2021-11-08).
  41. Ebisz M, Król K, Lar K, et al. The health risk due to exposure to bioaerosol occurring in health care institutions [in Polish]. Med Srod. 2016; 19(2): 55–62.
  42. Koch A, Mizrahi V. Mycobacterium tuberculosis. Trends Microbiol. 2018; 26(6): 555–556.
  43. Vaz LE. Meningococcal Disease. Pediatr Rev. 2017; 38(4): 158–169.
  44. de Wit E, van Doremalen N, Falzarano D, et al. SARS and MERS: recent insights into emerging coronaviruses. Nat Rev Microbiol. 2016; 14(8): 523–534.
  45. Kirtipal N, Bharadwaj S, Kang SGu. From SARS to SARS-CoV-2, insights on structure, pathogenicity and immunity aspects of pandemic human coronaviruses. Infect Genet Evol. 2020; 85: 104502.
  46. Wang MY, Zhao R, Gao LJ, et al. SARS-CoV-2: structure, biology, and structure-based therapeutics development. Front Cell Infect Microbiol. 2020; 10: 587269.
  47. Ustawa z dnia 5 grudnia 2008 r. o zapobieganiu oraz zwalczaniu zakażeń i chorób zakaźnych u ludzi/Act of December 5, 2008 on prevention and control of infections and infectious diseases in humans (tekst jedn. Dz.U. z 2017 poz. 151). https://isap.sejm.gov.pl/isap.nsf/DocDetails.xsp?id=WDU20082341570 (2021-11-08).
  48. Rozporządzenie Ministra Zdrowia z dnia 18 sierpnia 2011 r. w sprawie obowiązkowych szczepień ochronnych/Ordinance of the Minister of Health of 18 August 2011 on mandatory preventive vaccinations (tekst jedn. Dz.U. z 2018 poz. 753). https://isap.sejm.gov.pl/isap.nsf/DocDetails.xsp?id=WDU20111821086 (2021-11-08).
  49. Rozporządzenie Rady Ministrów z dnia 3 stycznia 2012 r. w sprawie wykazu rodzajów czynności zawodowych oraz zalecanych szczepień ochronnych wymaganych u pracowników, funkcjonariuszy, żołnierzy lub podwładnych podejmujących pracę, zatrudnionych lub wyznaczonych do wykonywania tych czynności/Ordinance of the Council of Ministers of 3 January 2012 on the list of types of professional activities and recommended preventive vaccinations required for employees, officers, soldiers or subordinates undertaking work, employed or appointed to perform such activities (Dz.U. z 2012 poz.40). https://isap.sejm.gov.pl/isap.nsf/download.xsp/WDU20120000040/O/D20120040.pdf (2021-11-08).
  50. Dutkiewicz J, Śpiewak R, Jabłoński L, Szymańska J. Biologiczne czynniki zagrożenia zawodowego. Klasyfikacja, narażone grupy zawodowe, pomiary, profilaktyka/Biological occupational hazard factors. Classification, exposed occupational groups, measurement, prevention. [in Polish]. Ad Punctum, Lublin 2007.

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