Differences in Percutaneous Injury Patterns in A Multi-Hospital System

Abstract

Objective:Determine differences in patterns of percutaneous injuries (PIs) in different types of hospitals.Design:Case series of injuries occurring from 1997 to 2001.Setting:Large midwestern healthcare system with a consolidated occupational health database from 9 hospitals, including rural and urban, community and teaching (1 pediatric, 1 adult) facilities, ranging from 113 to 1,400 beds.Participants:Healthcare workers injured between 1997 and 2001.Results:Annual injury rates for all hospitals decreased during the study period from 21 to 16.5/100 beds (chi-square for trend = 22.7; P = .0001). Average annual injury rates were higher at larger hospitals (22.5 vs 9.5 Pis/100 beds; P = .0001). Among small hospitals, rural hospitals had higher rates than did urban hospitals (14.87 vs 8.02 PIs/100 beds; P = .0143). At small hospitals, an increased proportion of injuries occurred in the emergency department (13.7% vs 8.6%; P = .0004), operating room (32.3% vs 25.4%; P = .0002), and ICU (12.3% vs 9.4%; P = .0225), compared with large hospitals. Rural hospitals had higher injury rates in the radiology department (7.7% vs 2%; P = .0015) versus urban hospitals. Injuries at the teaching hospitals occurred more commonly on the wards (28.8% vs 24%; P = .0021) and in ICUs (11.4% vs 7.8%; P = .0006) than at community hospitals. Injuries involving butterfly needles were more common at pediatric versus adult hospitals (15.8% vs 6.5%; P = .0001). The prevalence of source patients infected with HIV and hepatitis C was higher at large hospitals.Conclusions:Significant differences exist in injury rates and patterns among different types of hospitals. These data can be used to target intervention strategies.

Surgical Procedure Characteristics and Risk of Sharps-Related Blood and Body Fluid Exposure

“…[3][4][5][6] According to Jagger et al, 7 although sharps injuries in the nonsurgical setting have decreased substantially since the passage of the Needlestick Safety and Prevention Act of 2000, reported sharps injuries in the surgical setting have actually increased 6.5%. BBF exposures, therefore, remain a common health risk among healthcare workers, particularly for surgical staff members.…”

Occupational Exposure of Health Care Personnel to Hepatitis B and Hepatitis C: Prevention and Surveillance Strategies

“…35,[37][38][39] Although all health care staff who provide direct patient contact are at-risk for exposure to blood and body fluids, surgical and obstetrics staff are often cited as a particularly vulnerable occupational group. [40][41][42][43] NaSH data have shown that 28% of injuries were reported in operating theaters. 7 In other studies examining the risk of injury in operating theaters, 93% of injuries were sharps related, and in half of those injuries, suture needles were implicated.…”

Bozok Universitesi Hastanesi Saglik Calisanlarinda Kan ve Vucut Sivilariyla Iliskili Maruziyetlerin Degerlendirilmesi

“…Delici-kesici alet yaralanmaları ve kan veya vücut sıvılarının cilt veya mukozaya temas etmesi sağlık çalışanlarına çeşitli enfeksiyonların bulaşında rol oynamaktadır (1,2). Bulaşma esas olarak perkütan yol kimi zaman da mukozal yolla meydana gelmektedir.…”