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Percutaneous Exposure Incidents Among Australian Hospital Staff

Treść / Zawartość
Identyfikatory
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
We investigated all reported percutaneous exposure incidents (PEI) among staff from a large Australian hospital in the 3-year period, 2001–2003. There were a total of 373 PEI, of which 38.9% were needlestick injuries, 32.7% were cutaneous exposures and 28.4% sharps-related injuries. Nurses were the most commonly affected staff members, accounting for 63.5% of the total, followed by doctors (18.8%) and other staff (17.7%). Needlestick injuries were responsible for the majority of nurses’ PEI (44.7%). Sharps injuries constituted the major category for doctors (44.3%). Most needlestick injuries (67.6%) were caused by hollow-bore needles, while the majority of cutaneous exposures involved blood or serum (55.8%). Most sharps injures were caused by unknown devices (35.9%) or suture needles (34.9%). Overall, our investigation suggests that PEI is a considerable burden for health care workers in Australia. Further research is now required to determine the relationships, if any, between workers who suffer PEI and those who do not.
Rocznik
Strony
323--330
Opis fizyczny
Bibliogr. 20 poz., tab., wykr.
Twórcy
autor
  • Department of Hazard Assessment, National Institute of Industrial Health, Kawasaki, Japan
  • School of Public Health and Tropical Medicine, James Cook University, Townsville, QLD, Australia
autor
  • School of Public Health and Tropical Medicine, James Cook University, Townsville, QLD, Australia
autor
  • Department of Environmental Epidemiology, University of Occupational and Environmental Health, Kitakyushu, Japan
Bibliografia
  • 1. Hanrahan A, Reutter L. A critical review of the literature on sharps injuries: epidemiology, management of exposures and prevention. J Adv Nurs 1997;25:144– 54.
  • 2. Jagger J, Bentley M, Juillet E. Direct cost of follow-up for percutaneous and mucocutaneous exposures to at-risk body fluids: data from two hospitals. Adv Exp Prev 1998;3:1–3.
  • 3. Parsons EC. Successful reduction of sharps injuries using a structured change process. AORN J 2000;72:275–9.
  • 4. Aiken LH, Sloane DM, Klocinski JL. Hospital nurses’ occupational exposure to blood: prospective, retrospective, and institutional reports. Am J Pub Health 1997;87:103–7.
  • 5. Clarke SP, Sloane DM, Aiken LH. Effects of hospital staffing and organizational climate on needlestick injuries to nurses. Am J Pub Health 2002;92:1115–9.
  • 6. Clarke SP, Rockett JL, Sloane DM, Aiken LH. Organizational climate, staffing, and safety equipment as predictors of needlestick injuries and near-misses in hospital nurses. Am J Infect Control 2002;30:207–16.
  • 7. Puro V, De Carli G, Petrosillo N, Ippolito G, The Studio Italiano Rischio Occupazionale da HIV Group. Risk of exposure to bloodborne infection for Italian healthcare workers, by job category and work area. Infect Control Hosp Epidemiol 2001;22: 206–10.
  • 8. Jeffe DB, Mutha S, L’Ecuyer PB, Kim LE, Singal RB, Evanoff BA, Fraser VJ. Healthcare workers’ attitudes and compliance with universal precautions: gender, occupation and specialty differences. Infect Control Hosp Epidemiol 1997;18:710–2.
  • 9. Yassi A, McGill M. Determinants of blood and body fluid exposure in a large teaching hospital: hazards of the intermittent intravenous procedure. Am J Infect Control 1991;19:129–35.
  • 10. de Vries B, Cossart YE. Needlestick injury in medical students. Med J Aust 1994;160:398–400.
  • 11. Knight VM, Bodsworth NJ. Perceptions and practice of universal blood and body fluid precautions by registered nurses at a major Sydney teaching hospital. J Adv Nurs 1998;27:746–51.
  • 12. Perry J, Jagger J, Parker G. Nurses and needlesticks, then and now. Nursing 2003;33:22.
  • 13. Shiao JSC, McLaws ML, Huang KY, Guo YL. Sharps injuries among hospital support personnel. J Hosp Infect 2001;49:262–7.
  • 14. Stein AD, Makarawo TP, Ahmad MFR. A survey of doctors’ and nurses’ knowledge, attitudes and compliance with infection control guidelines in Birmingham teaching hospitals. J Hosp Infect 2003;54:68–73.
  • 15. Shiao JSC, McLaws ML, Huang KY, Ko WC, Guo YL. Prevalence of nonreporting behavior of sharps injuries in Taiwanese health care workers. Am J Infect Control 1999;27:254–7.
  • 16. Guo YL, Shiao J, Chuang YC, Huang KY. Needlestick and sharps injuries among health-care workers in Taiwan. Epidemiol Infect 1999;122:259–65.
  • 17. Leggat PA. Microbiological hazards posed by “sharps”: complications of needle puncture injuries to nurses. Aust Microbiol 1987;8:311–4.
  • 18. Whitby RM, McLaws ML. Hollow-bore needlestick injuries in a tertiary teaching hospital: epidemiology, education and engineering. Med J Aust 2002;177:418–22.
  • 19. Huang J, Jiang D, Wang X, Liu Y, Fennie K, Burgess J, et al. Changing knowledge, behavior and practice related to universal precautions among hospital nurses in China. J Cont Ed Nurs 2002;33:217–24.
  • 20. Jagger JC. Are Australia’s healthcare workers stuck with inadequate needle protection? Med J Aust 2002;177:405–6.
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-d8a4752f-7f86-4c14-8d9c-9434f9118551
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