Forbes Tıp Dergisi (Nov 2020)
Evaluation of Entry Examination Results of Apprentices and Interns Made by Workplace Health and Safety Unit
Abstract
INTRODUCTION: Employment examinations and periodic examinations have an important place in the screenings of health workers within the context of Occupational Health and Safety measures, which started to be implemented in accordance with the Occupational Health and Safety Law No. 6331 in the public hospitals that are in the high risk workplace class. In this context, it is important to evaluate the results of Hepatitis B, Hepatitis C, HIV (Human immunodeficiency virus) transmitted via parenteral route and Hepatitis A due to the increased seronegativity in the health screenings of apprentices and trainees. It is aimed to take necessary precautions by performing serological screenings at the time of the employment examinations of apprentices, and trainees, and vaccinate them before they start working. METHODS: In this study, results of screening tests performed for viral hepatitis and HIV in 226 apprentices and trainees before starting their training were evaluated retrospectively. Seronegative Hepatitis B and Hepatitis A cases were included in the vaccination program. RESULTS: As a result of the screening tests, no HBs Ag, HCV and HIV positivity was encountered. From one student HIV confirmation test was requested and followed up. Anti HBs- and Anti HAV IgG-positivities were found to be 85.14%, and 10.17% of the cases, respectively. DISCUSSION AND CONCLUSION: Viral hepatitis and HIV screening and vaccination in the employment examinations of apprentices and trainees before starting to work in hospitals that were very dangerous workplaces is important in terms of preventing the consequences of work accidents and occupational diseases that may develop within the scope of the Occupational Health and Safety Law No. 6331. It should be ensured that all health screening procedures are performed by an occupational physician, vaccination procedures are applied and protective measures are taken.
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