Multicenter Study of Contaminated Percutaneous Injuries in Anesthesia Personnel

Greene, Elliott S.; Berry, Arnold J.; Jagger, Janine; Hanley, Eileen; Arnold, William P.; Bailey, Melinda K.; Brown, Morris; Gramling-Babb, Patricia; Passannante, Anthony N.; Seltzer, Joseph L.; Southorn, Peter A.; Clief, Martha A. Van; Venezia, Richard A.

doi:10.1097/00000542-199812000-00013

Cited by 35 publications

(32 citation statements)

References 36 publications

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“…8 In fact, this pattern is identical to that in 20-yr-old adult anesthesia literature. 15,16 Remarkably, even though recapping needles is a common, well-known cause for NSIs, it remained among the top three causes for syringe-related injuries for both years of our survey. Our study's findings of intravenous accessrelated injuries occurring primarily after use but before disposal -with the majority considered preventablemirrors findings of previous studies.…”

Section: Discussionmentioning

confidence: 85%

“…Our study's findings of intravenous accessrelated injuries occurring primarily after use but before disposal -with the majority considered preventablemirrors findings of previous studies. 9,15,16 The reported rise in needleless intravenous tubing associated with a decline in associated NSIs, however, was encouraging.…”

Section: Discussionmentioning

confidence: 99%

“…Domains specific to SEICs were identified from literature related to needlestick and sharps-related injuries among health care workers. 9,12,[14][15][16][17][18][19][20] They included perceived utility (primary outcome), availability, and mechanism type; physician uptake (usage); opportunities for improvement; and overall satisfaction. Domains related to limiting transmission of BBPs included Occupational Health and Safety Committee (OHSC) engagement, familiarity with related literature and evidence of engineering, work practice, and administrative controls.…”

Section: Domains and Item Generationmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Section: Domains and Item Generationmentioning

confidence: 99%

See 1 more Smart Citation

Safety-engineered intravenous catheter utilization among Canadian pediatric anesthesiologists

Murto

Breton

Ramakko

et al. 2015

Can J Anesth/J Can Anesth

View full text Add to dashboard Cite

show abstract

“…Greene et al haben in einem Modell für Anästhesiepersonal das HCV-Risiko nach perkutaner Verletzung kalkuliert; hierbei würden sich bei einer Verletzungshäufigkeit von 0,42 pro Mitarbeiter und Jahr umgerechnet 5,18 HCV-Infektionen pro Jahr bei Anästhe-siepersonal in den USA ergeben [6].…”

Section: Hcv-übertragung Von Patienten Auf Krankenhauspersonalunclassified

“…Häufigste Ursachen von perkutanen Verletzungen bei Anästhesiepersonal sind das Legen von intravasalen Kathetern, die Injektion von Lokalanästhetika in die Haut und das Annähen von intravasalen Kathetern [6].…”

Section: Hcv-übertragung Von Patienten Auf Krankenhauspersonalunclassified