RESUMO: Objetivou-se descrever os acidentes ocupacionais envolvendo material biológico com trabalhadores da equipe de enfermagem. Estudo descritivo, retrospectivo, com abordagem quantitativa, realizado em um hospital do Centro-Oeste Mineiro. Os dados foram coletados por meio de consulta às fichas de comunicado de acidente de trabalho e prontuários, resguardando todos os aspectos éticos. Predominaron exposiciones percutáneas 37(60,7%), en punción venosa 17(27,9%). Se concluye que tales exposiciones podrían ser evitadas, lo que evidencia la necesidad de educación continuada para esos profesionales y la implantación de dispositivos con ingeniería de seguridad.
Objective: To track symptoms of posttraumatic stress disorder (PTSD) according to scores of the Impact of Event Scale-Revised (IES-R) in nursing staff exposed to accidents with biological material, from October 2014 to May 2016, in a philanthropic hospital in the state of Minas Gerais. Methods: Retrospective, descriptive study with a quantitative approach. Inferential analysis was performed using a 95% confidence interval, p ≤ 0.05. The data were collected considering all the ethical aspects described in resolution 466/2012. Results: The majority of workers were nursing technicians (52.5%), female (91.8%), with a mean age of 31.4 years (SD 7.5), the majority of exposures being percutaneous (60.7%). Of all individuals, 19.6% presented scores above 5.6, showing signs of PTSD. Individuals who had suffered accidents more than six months previously (p = 0.025) had significantly higher scores than those who had been exposure for less than three months. Conclusion: The study highlights the need for the use of validated instruments for the evaluation of fear, anxiety, stress, and other psychological reactions that characterize PTSD, as well as the provision of psychological care for workers exposed to biological material. Las exposiciones se produjeron por vía percutánea (60,7%). Del total de individuos, el 19,6% presentó escores por encima de 5,6 evidenciando señales para TEPT y aquellos que se habían accidentado hace más de seis meses tuvieron puntuaciones significativamente superiores (p = 0,025) a los que sufrieron exposición hace menos de tres Los meses. Conclusión: Se evidenció la necesidad del uso de instrumentos validados para la evaluación del miedo, ansiedad, estrés entre otras reacciones psicológicas que caracterizan el trastorno de estrés postraumático y de la oferta de atención psicológica para los trabajadores expuestos a material biológico. Palabras clave:
pseudo-outbreak. Various environmental cultures, including patient beds, ventilators, door handles, sinks, liquid hand soaps, soap dispensers, disinfectants, and other medical equipment from both the ED and ICUs, were performed to identify the source of the contamination. Hand cultures from health care workers were also performed. S marcescens strains were isolated from surfaces of the blood collection tubes, which were kept in the common storage area of the ICUs. It was observed that nurses were taking blood samples from patients to perform blood tests by first placing the sample into a blood collection tube and then transferring the sample to the blood culture tubes without changing the needle of the syringe. These strains had the same aspartate aminotransferase and pulsed-field gel electrophoresis patterns as the pseudo-outbreak strains. The contaminated tubes were discarded, routine cleaning and disinfection procedures were performed, and culture collection procedures were reviewed with ICU personnel. No additional cases have been observed after these procedures.Pseudo-outbreaks should be investigated in hospitals similarly to true outbreaks because they are time-consuming, costly, and may cause unnecessary treatment. 10 This pseudo-outbreak caused by S marcescens indicates that some serious precautions should be applied to terminate an outbreak or pseudo-outbreak. Implementing strict infection control measures, identifying the source of the pathogen, and educating health care workers are the cornerstones of this investigation. Because these pathogens cannot be eradicated from hospital environments, infection control measures and active surveillance cultures will be needed to prevent infections. We would like to emphasize the role of S marcescens in pseudooutbreaks and the importance of surveillance procedures and educating the hospital staff.
Objetivo: descrever o conhecimento e atitudes dos profissionais de enfermagem sobre um Dispositivo Seguro com Controle de Engenharia. Método: estudo transversal descritivo, realizado em um hospital público brasileiro, especializado para o tratamento de HIV/aids. Foram entrevistados profissionais de enfermagem no período de maio a julho de 2015. Os dados foram analisados por meio da estatística descritiva e inferencial. Resultados: dos 180 entrevistados, 72,2% não participaram de treinamento que propiciava conhecimento para o uso do cateter com dispositivo de segurança. Quanto às atitudes de risco, a reinserção de um mesmo cateter periférico antes de acionar a proteção da agulha, em mais de uma punção, no mesmo paciente foi citada como prática rotineira por 48 (26,7%) participantes. Conclusão: a maioria dos profissionais de enfermagem não recebeu treinamentos para uso de dispositivos, mas reconheceu características e mecanismos de proteção contra picada de agulha e contato com sangue.
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