Risk of occupational exposure to the HBV infection in non-clinical healthcare personnel

Abstract

Background: Occupational risk of blood-borne infections is investigated mostly among nurses and doctors, studies concerning non-clinical health personnel (nCHP) being rare. The analysis of the occupational exposure to the hepatitis B virus (HBV) infection and the history of vaccination against the HBV in the nCHP group has been the aim of the study. Material and Methods: A retrospective analysis of 458 cases of the occupational exposure to biological agents was conducted: group I -doctors (N = 121, 28%), group II -nursing staff (N = 251, 55%), group 19%). Results: In the group III the source was usually unknown (group: I -0.83%, II -11.16%, III -86.05%, p < 0.001), and the proportion of individuals vaccinated against hepatitis B before the exposure was the lowest (group: I -98.35%, II -97.19%, III -77.91%, p < 0.001). In this group most exposures resulted from injuries caused by needles/sharps deposited in waste sacks (60%) or anywhere outside of the medical waste container (5%). The possibility of the HBV infection risk during the exposure was found in 25 cases and was significantly more frequent in the group III. The qualification for the HBV post-exposure prophylaxis was also significantly more frequent in the group III. Conclusions: The exposure to the occupational risk of the HBV infection also concerns the non-clinical healthcare personnel. The non-clinical healthcare personnel comprises one of the main groups of the HBV post-exposure recipients. It is essential to determine the causes of the low hepatitis B vaccination coverage in the nCHP and consider introduction of mandatory vaccination in this group in Poland. Med Pr 2016;67(3):301-310

Symptoms of posttraumatic stress disorder after exposure to biological material

“…Considering that a single occupational exposure, as well as biological risk may cause other psychological consequences, 12,13 this study aimed to track PTSD symptoms according to the Impact of Event Scale-Revised (IES-R) scores in nursing staff exposed to a PCBM accident in the period from October 2014 to May 2016 in a philanthropic hospital in Minas Gerais.…”

Acidentes Ocupacionais Com Material Potencialmente Contaminado Envolvendo Trabalhadores De Enfermagem

“…O sexo feminino representou a maioria dos expostos. Isto se deve às próprias características históricas da equipe de enfermagem que em sua grande maioria é exercida por mulheres (8) , justificando assim sua maior prevalência e corroborando com outras pesquisas encontradas na literatura nacional e internacional (4,11,13) .…”

“…Esses dados foram semelhantes à pesquisa realizada na Polônia (4) em que houve predominância de acidentes com perfurocortante em 92.5% dos casos e em outros achados encontrados (5)(6)10,22) .…”

“…Segundo estudos, a principal via de exposição envolvida nos acidentes ocupacionais é a percutânea (4)(5)(6) , ocorrendo principalmente devido ao descarte inadequado de materiais perfurocortantes, procedimentos de punção venosa e reencape de agulhas (2,7) , sendo o sangue o principal fluido envolvido (8)(9)(10)(11) .…”

Risk of occupational exposures to blood-borne pathogens in paramedics

“…W Polsce przeprowadzono dotychczas badania mające związek z ekspozycją zawodową na krwiopochodne zakażenia HBV, HCV i HIV wśród różnych grup zawodowych: lekarzy i pielęgniarek [2,[9][10][11], stomatologów [12,13], studentów kierunków medycznych oraz pracowników firm sprzątających obiekty medyczne [14,15], policjantów i strażników więziennych [15,16] oraz personelu gabinetów kosmetycznych i fryzjerskich [17].…”