Fatores determinantes e condutas pós-acidente com material biológico entre profisisonais do atentimento pré-hospitalar

Abstract

This transversal study was carried out with a multiprofessional team in the pre-hospital care in Minas Gerais, Brazil. It aimed to estimate the incidence of occupational accidents by exposure to biological material and post-accidents conductsta. Descriptive analysis and logistic regression were used. Incidence of accidents was 19.8%: 39,1% perforating-cutting materials and 56.5% body fluids. Doctors (33.3%) and drivers (24.0%) were most involved. Inadequate subsequent measures were highly prevalent: no medical assessment (69.6%), no work accident communication issued (91.3%), no measures (52.2%) and no serological follow-up (52.2%). Variables associated with accidents were: age >31 years old (OR = 3,02; IC95%: 1,25 - 7,33; p = 0,014) and working in basic support units (OR = 5,36; IC95%: 1,51 19,08; p = 0,010). The implementation of post-accidents protocols is suggested in order to reduce accidents and under-notification, and increase post-accident follow-up.

Influência dos fatores individuais, relativos ao trabalho e organizacionais na adesão às precauções padrão por profissionais da odontologia

“…1,2 Dentre os diferentes tipos de infecções virais, destacam-se a síndrome da imunodeficiência humana (HIV), a hepatite B (HBV) e a hepatite C (HBC). 3,4 A fim de minimizar o risco de transmissão das infecções, as precauções padrão (PP) foram criadas e estabelecidas nos serviços de saúde, as quais compreendem um conjunto de práticas preventivas aplicadas no atendimento a todos os pacientes. [4][5][6] No entanto, para que tais recomendações sejam efetivas na prática, é necessário que o trabalhador da área da saúde adote tais comportamentos durante a realização de procedimentos assistenciais, o que exige do profissional motivação, conhecimento técnico científico e a manutenção de atitudes adequadas.…”

Validation of the Comply with Post-Exposure Management Among Health Care Workers Instrument for Brazil

“…This worrying scenario is even more serious in view of the fact that adherence to postexposure behavior among health professionals is still not satisfactory, especially in developing countries (4)(5)(6)(7)(8)(9) .…”

Analysis of occupational accidents with biological material among professionals in pre-hospital services

“…However, each of these studies was performed in a single prehospital care service, with distinct objectives, which does not allow, in principle, an approach to the problems of this reality (8)(9)(10)12,14) . Systematic data constitute an important gap of knowledge about this theme.…”