title: [Identification and control of workers that pose a risk to others in the health field].
abstract: BACKGROUND
  Working in health care increases the probability that an impaired worker be hazardous for third persons.
  
  
  METHODS
  A literature review concerning identification, intervention, and treatment of hazardous health care workers is here reported.
  
  
  RESULTS
  Published reports of health care worker-to-patient transmission of bloodborne infections, and papers concerning the so-called "impaired physician", have been reviewed.
  
  
  CONCLUSIONS
  According to European directives on workers' health and safety, the occupational health physician charged of medical surveillance of hospital workers is often mandated to manage impaired professionals.
  
  
  CONCLUSIONS
  Strategies for early identification, treatment and rehabilitation of impaired physicians are reviewed and suggestions for preventive action are given.
authors.affiliation: Istituto di Medicina del Lavoro, Università Cattolica del Sacro Cuore, Roma, Italy. nmagnavita@rm.unicatt.it
authors.forename: N
authors.initials: N
authors.lastname: Magnavita
authors.forename: G
authors.initials: G
authors.lastname: De Lorenzo
authors.forename: A
authors.initials: A
authors.lastname: Fileni
authors.forename: G
authors.initials: G
authors.lastname: Magnavita
authors.forename: F
authors.initials: F
authors.lastname: Mammi
authors.forename: E
authors.initials: E
authors.lastname: Marchi
authors.forename: D
authors.initials: D
authors.lastname: Mazzullo
authors.forename: F
authors.initials: F
authors.lastname: Monami
authors.forename: S
authors.initials: S
authors.lastname: Monami
authors.forename: V
authors.initials: V
authors.lastname: Puro
authors.forename: G
authors.initials: G
authors.lastname: Ricciardi
authors.forename: A
authors.initials: A
authors.lastname: Sacco
authors.forename: S
authors.initials: S
authors.lastname: Squarcione
mesh_terms: D006282:Health Personnel; D006801:Humans; D017757:Infectious Disease Transmission, Professional-to-Patient / Q000517:prevention & control*; D009784:Occupational Diseases; D012307:Risk Factors