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Background. Pathogens can be transmitted to health professionals after contact with biological material. The exact number of infections deriving from these events is still unknown, due to the lack of systematic surveillance data and under-reporting. Methods. A cross-sectional study was carried out, involving 451 nursing professionals from a Brazilian tertiary emergency hospital between April and July 2009. Through an active search, cases of under-reporting of occupational accidents with biological material by the nursing team were identified by means of individual interviews. The Institutional Review Board approved the research project. Results. Over half of the professionals (237) had been victims of one or more accidents (425 in total) involving biological material, and 23.76% of the accidents had not been officially reported using an occupational accident report. Among the underreported accidents, 53.47% were percutaneous and 67.33% were bloodborne. The main reason for nonreporting was that the accident had been considered low risk. Conclusions. The under-reporting rate (23.76%) was low in comparison with other studies, but most cases of exposure were high risk.
Wydawca
Rocznik
Tom
Strony
623--629
Opis fizyczny
Bibliogr. 21 poz., tab.
Twórcy
autor
- Ribeirao Preto Nursing School, University of Sao Paulo, Ribeirao Preto, Sao Paulo, Brazil
autor
- Ribeirao Preto Nursing School, University of Sao Paulo, Ribeirao Preto, Sao Paulo, Brazil
autor
- Ribeirao Preto Faculty of Medicine, University of Sao Paulo, Ribeirao Preto, Sao Paulo, Brazil
autor
- Ribeirao Preto Nursing School, University of Sao Paulo, Ribeirao Preto, Sao Paulo, Brazil
autor
- Ribeirao Preto Nursing School, University of Sao Paulo, Ribeirao Preto, Sao Paulo, Brazil
Bibliografia
- 1.Tarantola A, Abiteboul D, Rachline A. Infection risks following accidental exposure to blood or body fluids in health care workers: a review of pathogens transmitted in published cases. Am J Infect Control. 2006;34(6):367–75.
- 2.Ippolito G, Puro V, Heptonstall J, Jagger J, DeCarli G, Petrosillo N. Occupational human immunodeficiency virus in health care workers: worldwide cases through September 1997. Clin Infect Dis. 1999;28(2):365–83. Retrieved August 20, 2013, from: http://cid.oxfordjournals.org/content/28/2/365.long.
- 3.Do AN, Ciesielski CA, Metler RP, Hammett TA, Li J, Fleming PL. Occupational acquired human immunodeficiency virus (HIV) infection: national case surveillance data during 20 years of the HIV epidemic in the United States. Infect Control Hosp Epidemiol. 2003;24(2):86–96.
- 4.Wicker S, Ludwig AM, Gottschalk R, Rabenau HF. Needlestick injuries among health care workers: occupational hazard or avoidable hazard? Wien Klin Wochenschr. 2008;120(15–16):486–92.
- 5.Gershon RR, Sherman M, Mitchell C, Vlahov D, Erwin MJ, Lears MK, Felknor S, Lubelczyk RA, Alter MJ. Prevalence and risk factors for bloodborne exposure and infection in correctional healthcare workers. Infect Control Hosp Epidemiol. 2007;28(1):24–30.
- 6.Au E, Gossage JA, Bailey SR. The reporting of needlestick injuries sustained in theatre by surgeons: are we under-reporting? J Hosp Infect. 2008;70(1):66–70.
- 7.Hamory BH. Underreporting of needlestick injuries in a university hospital. Am J Infect Control. 1983;11(5):174–7.
- 8.Canini SR, Gir E, Hayashida M, Machado AA. Needlestick injuries among nursing staff members at a university hospital in the interior of Sao Paulo state. Rev Lat Am Enfermagem. 2002;10(2):172–8.
- 9.Osborne S. Perceptions that influence occupational exposure reporting. AORN J. 2003;78(2):262–72.
- 10.Zafar A, Aslam N, Nosheen N, Meraj, Mehraj V. Knowledge, attitudes and practices of health care workers regarding needlestick injuries at a tertiary care hospital in Pakistan. J Pak Med Assoc. 2008;58(2):57–60. Retrieved August 20, 2013, from: http://ecommons.aku.edu/cgi/viewcontent.cgi?article=1049&context=pakistan_fhs_mc_pathol_microbiol.
- 11.Elmiyeh B, Whitaker IS, James MJ, Chachal CA, Galea A, Alshafi K. Needlestick injuries in the National Health Service: a culture of silence. J R Soc Med. 2004;97(7):326–7. Retrieved August 20, 2013, from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1079524/.
- 12.Tabak N, Shiaabana AM, Shasha S. The health beliefs of hospital staff and the reporting of needlestick injury. J Clin Nurs. 2006;15(10):1228–39.
- 13.Zhang M, Wang H, Miao J, Du X, Li T, Wu Z. Occupational exposure to blood and body fluids among health care workers in a general hospital, China. Am J Ind Med. 2009; 52(2):89–98.
- 14.Shiao JS, McLaus ML, Lin MH, Jagger J, Chen CJ. Chinese EPINet and recall rates for percutaneous injuries: an epidemic proportion of underreporting in the Taiwan healthcare system. J Occup Health. 2009;51(2):132–6.
- 15.Oliveira AC, Marziale MH, Paiva MH, Lopes AC. Knowledge and attitude regarding standard precautions in a Brazilian public emergency service: a cross-sectional study. Rev Esc Enferm USP. 2009;43(2):313–9.
- 16.Gershon RR, Pearson JM, Sherman MF, Samar SM, Canton AN, Stone PN. The prevalence and risk factors for percutaneous injuries in registered nurses in the home health care sector. Am J Infect Control. 2009;37(7):525–33.
- 17.Azadi A, Anoosheh M, Delpisheh A. Frequency and barriers of underreported needlestick injuries amongst Iranian nurses, a questionnaire survey. J Clin Nurs. 2011;20(3–4):488–93.
- 18.Canini SR, Moraes SA, Gir E, Freitas IC. Percutaneous injuries correlates in the nursing team of a Brazilian tertiary-care university hospital. Rev Lat am Enfermagem. 2008;16(5):818–23.
- 19.Smith DR, Mihashi M, Adachi Y, Shouyama Y, Mouri F, Ishibashi N, et al. Organizational climate and its relationship with needlestick and sharps injuries among Japanese nurses. Am J Infect Control. 2009;37(7):545–50.
- 20.Blatter BM, Roeleveld N, Zielhuis GA, Verbeek AL. Assessment of occupational exposure in a population based case-control study: comparing postal questionnaires with personal interviews. Occup Env Med. 1997;54(1):54–59. Retrieved August 20, 2013, from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1128636/pdf/oenvmed00085-0061.pdf.
- 21.Cardo DM, Culver DH, Ciesielski CA, Srivastava PU, Marcus R, Abiteboul D, et al. A case-control study of HIV seroconversion in health care workers after percutaneous exposure. Centers for disease control and prevention needlestick surveillance group. New Engl J Med. 1997;337(21):1485–90. Retrieved August 20, 2013, from: http://www.nejm.org/doi/full/10.1056/NEJM199711203372101#t=articleTop.
Typ dokumentu
Bibliografia
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