Exposure to blood during various procedures: Results of two surveys before and after the implementation of universal precautions

Saghafi, Laylee; Raselli, P.; Francillon, Cyrille; Francioli, P.

doi:10.1016/s0196-6553(05)80001-x

Cited by 40 publications

(12 citation statements)

References 9 publications

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“…Besides providing barrier protection and sharps disposals, one way to improve compliance at the UHWI is to provide continuous educational in-services, in order to stress the importance of standard precautions. Two previous studies did not find that educational information significantly improve compliance with universal precautions or reduce needle stick injuries [24,25]. However, we essential to ensure that the process of reporting injuries is simple and efficient, incorporating follow-up mechanism.…”

Section: Discussionmentioning

confidence: 96%

Prevalence of injuries and reporting of accidents among health care workers at the University Hospital of the West Indies

Vaz

McGrowder²,

Crawford³

et al. 2010

International Journal of Occupational Medicine and Environmental Health

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Objectives: This study investigated the knowledge, awareness and practices of health care workers towards universal precautions at the University Hospital of the West Indies. The study also examined the prevalence of injuries experienced by health care workers, as well as incidence of accidents and compliance with post-exposure prophylaxis. Materials and Methods: A cross sectional survey was conducted in September and October 2007. A 28-item self-administered questionnaire was provided to two hundred health care workers including medical doctors, medical technologists, nurses and porters to assess knowledge and practices regarding universal precautions, prevalence of injuries and incidence of accidents. Results: Almost two-thirds (62.3%) of the respondents were aware of policies and procedures for reporting accidents while one-third (33.2%) were unsure. All nurses were aware of policies and procedures for reporting accidents, followed by medical doctors (88%) and medical technologists (61.2%). The majority (81.5%) of the respondents experienced splashes from bodily fluid. Over three-quarters of medical doctors (78%) and two-thirds of nurses (64%) reported having experienced needle stick injuries, while the incidence among medical technologists was remarkably lower (26%). The majority of the respondents (59%) experienced low accident incidence while just over one-tenth (14%) reported high incidence. Eighty four respondents reported needle stick injuries; just under two-thirds (59.5%) of this group received post-exposure treatment. Conclusions: The study found that majority of health care workers were aware of policies and procedures for reporting accidents. Splashes from body fluids, needle stick injuries and cuts from other objects were quite prevalent among health care workers. There is a need for monitoring systems which would provide accurate information on the magnitude of needle stick injuries and trends over time, potential risk factors, emerging new problems, and the effectiveness of interventions at The University Hospital of the West Indies and other hospitals in Jamaica.

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Section: Discussionmentioning

confidence: 96%

Prevalence of injuries and reporting of accidents among health care workers at the University Hospital of the West Indies

Vaz

McGrowder²,

Crawford³

et al. 2010

International Journal of Occupational Medicine and Environmental Health

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“…Even though only a small number were at high risk for BBP transmission (i.e., hollow-bore needles filled with blood), 27 one should not be complacent because any injury can create a portal of entry for infection from body fluids. 28,29 The reluctance to adopt safety-engineered medical devices is unfortunate because it may put one at increased risk of infection with the hepatitis C virus, the greatest concern for anesthesiologists managing children or adults. 30 Also, children are living longer with perinatal acquired human immunodeficiency virus (HIV), making HIV infection an ever-present risk.…”

Section: Discussionmentioning

confidence: 99%

Safety-engineered intravenous catheter utilization among Canadian pediatric anesthesiologists

Murto

Breton

Ramakko

et al. 2015

Can J Anesth/J Can Anesth

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Introduction Compared with other specialties, anesthesiologists are at increased risk of acquiring a blood-borne pathogen (BBP) through needle-stick injuries (NSIs). Safety-engineered intravenous catheters (SEICs) have been designed to reduce NSIs but have not been well received. Our objective was to determine SEIC usage by pediatric anesthesiologists, including availability, utilization, perceived utility, and sources of NSI before and after legislation mandating their use in Canada.Methods After Ethics Committee approval, we conducted two electronic surveys of Canadian pediatric anesthesiologists (CPAs) based in tertiary care settings. Survey responses from May through August 2012 and June through September 2006 were considered. In addition to SEIC use and perceived utility, respondents described factors influencing SEIC adoption and workplace NSIs. Standard metrics of survey validity and reliability were employed. Results Completed questionnaires were returned by 154 (69%) and 124 (53%) respondents in 2012 and 2006, respectively, representing 15 of 16 Canadian pediatric tertiary care centres. Reported SEIC availability increased in hospitals (82% vs 98%; difference in proportion 16%, 95% confidence interval [CI]: 9 to 24%; P \ 0.001) and in operating rooms (62% vs 86%; difference in proportion 24%, 95% CI: 13 to 34%; P \ 0.001) Respondents' report of ''routine'' personal use of SEICs increased from 43 of 76 (56%) to 112 of 132 (85%) (difference in proportion 29%, 95% CI: 16 to 41%; P \ 0.001). Attitudes concerning perceived utility of SEICs remained unchanged and evenly split between respondents. ''Awkward handling'' remained Discussion En dépit d'une utilité perçue qui n'est que modérée, l'adoption des CIVS est élevée parmi les anesthésiologistes pédiatriques canadiens. Les piqûres d'aiguille restent néanmoins fréquentes. Plusieurs possibilités de réduction du risque de transmission des BBP au travail parmi les anesthésiologistes pédiatriques canadiens ont été évidentes.

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“…Saghafi et al 19 , também sugeriram tornar mais acessíveis os recipientes próprios para descarte, bem como a rotina de descartar esses recipientes antes da superlotação. Esses estudos ressaltam a importância de se fazer um diagnós-tico das condições de risco de acidentes com agulhas, a fim de buscar soluções fundamentadas na realidade de cada instituição hospitalar.…”

Section: Discussionunclassified

Acidente de trabalho, com material biológico, em profissionais de saúde de hospitais públicos do Distrito Federal, Brasil, 2002/2003

Caixeta

Barbosa-Branco

2005

Cad. Saúde Pública

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Foi estudada a ocorrência de acidente de trabalho em profissionais de saúde no período de 2002/2003 e a influência das medidas de biossegurança e aceitação de quimioprofilaxia frente ao risco de transmissão ocupacional do HIV. Avaliou-se 570 profissionais de saúde de seis hospitais públicos, selecionados aleatoriamente, do conjunto de hospitais do Distrito Federal, Brasil. Esses profissionais foram questionados quanto ao conhecimento sobre biossegurança, ocorrência de acidente de trabalho, aceitação da quimioprofilaxia e teste sorológico anti-HIV. Entre os profissionais avaliados, o coeficiente de acidentabilidade foi de 39,1 e mostrou-se inversamente proporcional ao porte do hospital. Dentistas, médicos e técnicos de laboratório acidentaram-se mais, em contrapartida aos farmacêuticos e enfermeiros. As situações relacionadas ao acidente de trabalho com maior aceitação e adesão ao uso da quimioprofilaxia foram sorologia positiva e carga viral intensa do paciente-fonte (99,6-99,0%), em contraposição à sorologia negativa do paciente-fonte e acidente de pequena proporção (36,8-55,6%). O conhecimento dos profissionais de saúde sobre o conceito e as normas de biossegurança, a disponibilidade destas na unidade de trabalho e a realização de treinamento em biossegurança não influenciaram positivamente no coeficiente de acidentabilidade de trabalho.

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Exposure to blood during various procedures: Results of two surveys before and after the implementation of universal precautions

Cited by 40 publications

References 9 publications

Prevalence of injuries and reporting of accidents among health care workers at the University Hospital of the West Indies

Prevalence of injuries and reporting of accidents among health care workers at the University Hospital of the West Indies

Safety-engineered intravenous catheter utilization among Canadian pediatric anesthesiologists

Acidente de trabalho, com material biológico, em profissionais de saúde de hospitais públicos do Distrito Federal, Brasil, 2002/2003

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