Marie Seidling, Stephanie Goertzen, Klaus Schmid, Hans Drexler, Anna Wolfschmidt
{"title":"在保健部门工作的怀孕雇员的免疫保护。","authors":"Marie Seidling, Stephanie Goertzen, Klaus Schmid, Hans Drexler, Anna Wolfschmidt","doi":"10.1055/a-2462-5707","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Infectious diseases during pregnancy can pose a serious health risk for mother and child. Employees with an occupational risk of infection are especially at risk. We investigated the immune status of pregnant employees working in the health service to determine the percentage of women who were adequately protected during pregnancy and the percentage of cases with a pregnancy-relevant risk.</p><p><strong>Methods: </strong>This retrospective data collection was done using the standard records of the Occupational Health Department ( <i>Betriebsärztliche Dienststelle</i> ) of Friedrich-Alexander-Universität Erlangen-Nürnberg, Germany. The data of employees with a pregnancy reported between 1 May 2018 and 31 May 2020 were collected. This resulted in a total study population of 406 cases. We collected data on the respective occupational groups, occupational risk profile, employment bans for expectant mothers, occupational-medical consultations, and immunity status with regards to measles, mumps, rubella, varicella zoster virus, parvovirus B19, CMV, hepatitis A and B, tetanus, diphtheria, pertussis, and poliomyelitis.</p><p><strong>Results: </strong>The investigated employees had attended a mean of three previous occupational-medical consultations; 45.8% had received advice about maternity protection from the occupational physician's office. The immunity rates of the total study population at the time of their last medical consultation prior to their due date varied, depending on the respective disease, from 77.3% (mumps) to 90.9% (varicella zoster virus). 182 cases (44.8%) were prohibited from working during their further pregnancy.</p><p><strong>Conclusion: </strong>Medical advice on infection risks and immunization combined with the offer of vaccinations are decisive in determining the immune status and ensure that immunizations can be carried out in good time. To achieve full immunization before becoming pregnant, girls and women should be advised early on about preventive maternity protection measures.</p>","PeriodicalId":12481,"journal":{"name":"Geburtshilfe Und Frauenheilkunde","volume":"85 2","pages":"200-209"},"PeriodicalIF":2.4000,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11802197/pdf/","citationCount":"0","resultStr":"{\"title\":\"Immunity Protection of Pregnant Employees Working in the Healthcare Sector.\",\"authors\":\"Marie Seidling, Stephanie Goertzen, Klaus Schmid, Hans Drexler, Anna Wolfschmidt\",\"doi\":\"10.1055/a-2462-5707\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Infectious diseases during pregnancy can pose a serious health risk for mother and child. Employees with an occupational risk of infection are especially at risk. We investigated the immune status of pregnant employees working in the health service to determine the percentage of women who were adequately protected during pregnancy and the percentage of cases with a pregnancy-relevant risk.</p><p><strong>Methods: </strong>This retrospective data collection was done using the standard records of the Occupational Health Department ( <i>Betriebsärztliche Dienststelle</i> ) of Friedrich-Alexander-Universität Erlangen-Nürnberg, Germany. The data of employees with a pregnancy reported between 1 May 2018 and 31 May 2020 were collected. This resulted in a total study population of 406 cases. We collected data on the respective occupational groups, occupational risk profile, employment bans for expectant mothers, occupational-medical consultations, and immunity status with regards to measles, mumps, rubella, varicella zoster virus, parvovirus B19, CMV, hepatitis A and B, tetanus, diphtheria, pertussis, and poliomyelitis.</p><p><strong>Results: </strong>The investigated employees had attended a mean of three previous occupational-medical consultations; 45.8% had received advice about maternity protection from the occupational physician's office. The immunity rates of the total study population at the time of their last medical consultation prior to their due date varied, depending on the respective disease, from 77.3% (mumps) to 90.9% (varicella zoster virus). 182 cases (44.8%) were prohibited from working during their further pregnancy.</p><p><strong>Conclusion: </strong>Medical advice on infection risks and immunization combined with the offer of vaccinations are decisive in determining the immune status and ensure that immunizations can be carried out in good time. To achieve full immunization before becoming pregnant, girls and women should be advised early on about preventive maternity protection measures.</p>\",\"PeriodicalId\":12481,\"journal\":{\"name\":\"Geburtshilfe Und Frauenheilkunde\",\"volume\":\"85 2\",\"pages\":\"200-209\"},\"PeriodicalIF\":2.4000,\"publicationDate\":\"2025-02-06\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11802197/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Geburtshilfe Und Frauenheilkunde\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1055/a-2462-5707\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/2/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"OBSTETRICS & GYNECOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Geburtshilfe Und Frauenheilkunde","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1055/a-2462-5707","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/2/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
引用次数: 0
摘要
背景：怀孕期间的传染病会对母亲和孩子造成严重的健康风险。有职业感染风险的员工尤其危险。我们调查了在卫生服务部门工作的怀孕雇员的免疫状况，以确定在怀孕期间得到充分保护的妇女的百分比以及具有怀孕相关风险的病例的百分比。方法：采用德国Friedrich-Alexander-Universität erlangen - n rnberg市职业卫生部门（Betriebsärztliche Dienststelle）的标准档案进行回顾性资料收集。收集了2018年5月1日至2020年5月31日期间报告的怀孕员工的数据。这导致总研究人群为406例。我们收集了有关各自职业群体、职业风险概况、孕妇就业禁令、职业医疗咨询以及麻疹、腮腺炎、风疹、水痘带状疱疹病毒、细小病毒B19、巨细胞病毒、甲型肝炎和乙型肝炎、破伤风、白喉、百日咳和脊髓灰质炎的免疫状况的数据。结果：受访员工平均参加过3次职业医疗会诊；45.8%的妇女接受过职业医生办公室关于生育保护的建议。在预产期前进行最后一次医疗咨询时，总体研究人群的免疫率因各自的疾病而异，从77.3%（腮腺炎）到90.9%（水痘带状疱疹病毒）。182例（44.8%）在怀孕期间被禁止工作。结论：医学告知感染风险和免疫接种结合提供疫苗接种是确定免疫状态的决定性因素，可确保及时开展免疫接种。为了在怀孕前实现全面免疫，应及早向女童和妇女提供预防性孕产保护措施的建议。
Immunity Protection of Pregnant Employees Working in the Healthcare Sector.
Background: Infectious diseases during pregnancy can pose a serious health risk for mother and child. Employees with an occupational risk of infection are especially at risk. We investigated the immune status of pregnant employees working in the health service to determine the percentage of women who were adequately protected during pregnancy and the percentage of cases with a pregnancy-relevant risk.
Methods: This retrospective data collection was done using the standard records of the Occupational Health Department ( Betriebsärztliche Dienststelle ) of Friedrich-Alexander-Universität Erlangen-Nürnberg, Germany. The data of employees with a pregnancy reported between 1 May 2018 and 31 May 2020 were collected. This resulted in a total study population of 406 cases. We collected data on the respective occupational groups, occupational risk profile, employment bans for expectant mothers, occupational-medical consultations, and immunity status with regards to measles, mumps, rubella, varicella zoster virus, parvovirus B19, CMV, hepatitis A and B, tetanus, diphtheria, pertussis, and poliomyelitis.
Results: The investigated employees had attended a mean of three previous occupational-medical consultations; 45.8% had received advice about maternity protection from the occupational physician's office. The immunity rates of the total study population at the time of their last medical consultation prior to their due date varied, depending on the respective disease, from 77.3% (mumps) to 90.9% (varicella zoster virus). 182 cases (44.8%) were prohibited from working during their further pregnancy.
Conclusion: Medical advice on infection risks and immunization combined with the offer of vaccinations are decisive in determining the immune status and ensure that immunizations can be carried out in good time. To achieve full immunization before becoming pregnant, girls and women should be advised early on about preventive maternity protection measures.
期刊介绍：
Geburtshilfe und Frauenheilkunde (GebFra) addresses the whole field of obstetrics and gynecology and is concerned with research as much as with clinical practice. In its scientific section, it publishes original articles, reviews and case reports in all fields of the discipline, namely
gynecological oncology, including oncology of the breast
obstetrics and perinatal medicine,
reproductive medicine,
and urogynecology.
GebFra invites the submission of original articles and review articles.
In addition, the journal publishes guidelines, statements and recommendations in cooperation with the DGGG, SGGG, OEGGG and the Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften (AWMF, Association of Scientific Medical Societies, www.awmf.org). Apart from the scientific section, Geburtshilfe und Frauenheilkunde has a news and views section that also includes discussions, book reviews and professional information.
Letters to the editors are welcome. If a letter discusses an article that has been published in our journal, the corresponding author of the article will be informed and invited to comment on the letter. The comment will be published along with the letter.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
