Background: Exposure to blood and body fluids causes major health hazards and serious concerns among health care professionals in their work settings. The prevalence of exposure to blood and body fluids is increasing, particularly for nurses who work in the emergency unit. The study aimed to assess the prevalence of occupational exposure to blood and body fluids, and its associated factors among nurses in public hospitals in the emergency department and intensive care unit, in Addis Ababa, Ethiopia.Methods: A cross-sectional study was conducted from March 18, 2021, to April 20, 2021. Simple random sampling was used to select the studies in public hospitals. Semi-structured self-administer questioners were used to collect the data and analysis using SPSS version 25. Logistic regression model was used to identify the factors associated with exposure to blood and body fluids.Results: About 198 (0.76 with 95% CI: 0.71, 0.81) had been exposed to blood and body fluids in their professional lifetime, and 167 (0.64 with 95% CI: 0.58, 0.70) were exposed to blood and body fluids in the last 12 months. Being male (AOR = 2.88, 95% CI: 1.35, 6.12), a lack of access to handwashing facilities (AOR = 5.02, 95% CI: 3.73, 14.51), not wearing a face shield and apron (AOR = 6.21, 95% CI: 2.39, 9.55), and a lack of personal protective equipment (AOR = 5.53, 95% CI: 1.87, 10.38) were all found to be significantly associated with exposure to blood and body fluids.Conclusion: As a result of the lack of personal protective equipment, the majority of nurses did not consistently wear an apron and face shield while providing patient care, putting them at a higher risk of acquiring blood-borne pathogens.
Background: Emergency department is a section of an institution that is staffed and equipped to provide rapid and varied emergency care, especially for those who are stricken with sudden and acute illness or who are the victims of severe health problem. Oncology patients in emergency department are causing a significant burden for health care system due to late seeking of care by the cancer patient to the Hospitalat an advanced stage.
Methods:A cross-sectional study was conducted at black lion Specialized Hospital. A one-year data was abstracted of 426 cancer diagnosed patients. The extraction was done from April 1 to April 30 2017. Data abstraction format was developed based on the nature of the record.Result: Four hundred twenty-six oncology patients record were analyzed. The mean age was 42.5years. Two hundred twelve (49.8%) and 214 (50.2%) were male and female respectively. Gastrointestinal cancer 128(30%) was the most common cancer type followed by Hematologic81 (19%) cancer. Based on symptoms the common complaints were pain (14.8%), Easily Fatigability (11.7%), Dysphagia (11.5%) and Bleeding (10.8%).
Conclusion:The common types of cancer diagnosed at the emergency department were Gastro-intestinal and Hematology malignancies. Pain was the predominant complain among oncology patient present in an emergency department. Most of cancer patients present in emergency department is due to the effect of tumor. One tenth of the patient died while receiving care.
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