Risk to surgeons: A survey of accidental injuries during operations

Hussain, Syed; Latif, Abdul; Choudhary, Abdul A. A.

doi:10.1002/bjs.1800750407

Cited by 168 publications

(34 citation statements)

References 5 publications

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“…This is similar to results from the previous study and various earlier studies. 10,17,18 Momah,13 in her study of two hospitals, where she followed doctors and nurses for two three-monthly periods to ascertain the occurrence of injuries, found the incidence rates of needle stick and sharp injuries to be 3.9ppy and 2.2ppy for the first and second quarters respectively. A study among health workers in teaching hospitals in Taiwan found the incidence of needle prick to be 1.30ppy and 1.21ppy for other sharp objects.…”

Section: Discussionmentioning

confidence: 99%

Incidence of blood-related work accidents among health workers in a government hospital in Benin City, Nigeria

Ofili¹,

Asuzu²,

Okojie³

2009

Journal of Medicine and Biomedical Research

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Accidents are hazards to which health workers are exposed. Hazards may be physical, chemical, biological, mechanical or psychosocial. Mechanical hazards are very common in the health industry because of the frequent use of pointed and sharp instruments such as needles, scalpel and knives. This six-month (June 1999 and June 2000) longitudinal incidence study was carried out at the Central Hospital, Benin City, Nigeria, as a follow-up on a previous cross-sectional study on frequency of blood-related work accidents in the same hospital. All the doctors, laboratory workers and 50% of nurses were included in the study. The nurses were selected using stratified random sampling method. Two hundred and fourteen health care workers started the follow-up study, out of which 146 were left at the end of the six-month period, giving an attrition rate of 31.8%. Results shows that contact with patients' blood with ungloved hands, blood splashes on the face and other parts of the body, needle pricks, cuts from drug ampoules and glove perforation during surgery were the major work-related accidents/injuries during the six-month follow-up. This is similar to findings from the retrospective study. The frequencies of various accidents were higher during the six-month follow-up (incidence study) than the six months prior to the study (retrospective study). Combining all the health workers, the incidence densities of these five major work-related accidents were between 3.6 per person years (ppy) to 9.5ppy. These incidence densities were all significantly higher for doctors than nurses or laboratory workers. There is an urgent need to reduce the incidence of these work-related accidents/injuries in order to reduce the chances of health workers developing occupationally acquired diseases.

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Section: Discussionmentioning

confidence: 99%

Incidence of blood-related work accidents among health workers in a government hospital in Benin City, Nigeria

Ofili¹,

Asuzu²,

Okojie³

2009

Journal of Medicine and Biomedical Research

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“…Perforations in the scrub nurses' group appear to be related to the handling of instruments and needles, irrespective of the procedure being carried out [73]. In a comparative study, it has been shown that the highest incidence of glove perforations occurred among general surgeons in comparison to other specialties such as orthopedics and urology [74].…”

Section: Glove Perforationmentioning

confidence: 99%

Surgical Gloves: Current Problems

Osman

Jensen

1999

World j. surg.

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One century ago surgical gloves were introduced to practice as part of the new antiseptic technique and originally to protect the hands of the surgeon and his assistants from the harmful dermatologic effects of powerful antiseptics (e.g., carbolic acid) in use at that time. Since then, the wearing of gloves during surgery has been standard practice. Furthermore, the protection value of surgical gloves in preventing cross-infection has stood the test of time. Nevertheless, materials used in glove manufacturing have caused a succession of iatrogenic problems in surgical patients over the years. More recently, emergence of transmissible viruses, such as hepatitis B and C and human immunodeficiency virus, has led surgeons to consider their own safety with the frequent possibility of perforation of surgical gloves by sharp instruments. In this review we discuss the problems associated with surgical glove practice: glove powder-induced peritonitis and adhesions, latex rubber-associated hypersensitivity, and glove perforation.

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“…The potential for infection by human immunodeficiency virus (HIV) or hepatitis (B and C) through contact with a patient's blood is well recognized, 5e7 and the risk of transmission of diseases via the conjunctiva and cornea has been reported. 8,9 Various authors have calculated the cumulative risk of acquiring occupationally transmitted HIV to vary from 1% to 10%. 10e12 Simonian et al 13 found that 4.5% of patients undergoing elective orthopaedic surgery were infected with hepatitis C virus over a one-year period.…”

Section: Discussionmentioning

confidence: 99%