DOI QR코드

DOI QR Code

Occupational Exposure to Potentially Infectious Biological Material Among Physicians, Dentists, and Nurses at a University

  • 투고 : 2018.06.27
  • 심사 : 2019.07.24
  • 발행 : 2019.12.30

초록

Objective: The objective of this study was to evaluate the prevalence and incidence of accidents with biological material, the level of knowledge, and compliance to standard precautions (SPs) among dentists, physicians, nurses, and dental and medical students. Methods: A closed cohort study with a prospective and retrospective component was conducted between August 2014 and September 2015. The participants were contacted in two moments during the follow-up period, during which a structured questionnaire divided into six sections was used; the interviews were conducted during the follow-up period (Month 6) and at the end of the observation period (Month 12). Results: The global prevalence of accidents in the previous 12 months was 10.2%, with a difference between professionals and students (13.0% vs. 5.1%, respectively; p < 0.003). The incidence rate was 6.49 per 100 person/year, with difference between the groups (6.09 per 100 person/year in professionals and 7.26 per 100 person/year in students), type of specialization (hazard ratio, 3.27), and hours worked per week (hazard ratio, 2.27). The mean of compliance to SP was 31.99 (±3.85) points, with a median of 33 (30, 35) points against the expected 27.75 points. Adherence to SP was associated with the accident report (p < 0.020). Conclusion: We conclude that the proportion/incidence rate of accidents with biological material was high in relation to that in the literature, being higher in professionals and especially among physicians. The levels of knowledge and adherence to SP were good, with the best found in dentists and dental students.

키워드

참고문헌

  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 Contr 2006;34:367-75. https://doi.org/10.1016/j.ajic.2004.11.011
  2. CDC. Guidelines for the management of occupational exposures to HBV, HCV, and HIV and recommendations for postexposure prophylaxis. MMWR. Atlanta 2001;50:3-7.
  3. Pruss-Ustun A, Rapiti E, Hutin Y. Estimation of the global burden of disease attributable to contaminated sharps injuries among health-care workers. Am J Ind Med 2005;48:482-90. https://doi.org/10.1002/ajim.20230
  4. Panlilio AL, Orelien JG, Srivastava PU, Jagger J, Cohn RD, Cardo DM. NaSH Surveillance Group; EPINet Data Sharing Network. Estimate of the annual number of percutaneous injuries among hospital-based healthcare workers in the United States, 1997-1998. Infect Contr Hosp Epidemiol 2004;25:556-62. https://doi.org/10.1086/502439
  5. Ferguson JK. Preventing healthcare-associated infection: risks, healthcare systems and behaviour. Intern Med J 2009;39:574-81. https://doi.org/10.1111/j.1445-5994.2009.02004.x
  6. Arenas Jimenez MD, Sanchez-Paya J. Standard precautions in haemodialysis- the gap between theory and practice. Nephrol Dial Transplant. Nephrol Dial Transplant 1999;14:823-5. https://doi.org/10.1093/ndt/14.4.823
  7. Phipps W, Honghong W, Min Y, Burgess J, Pellico L, Watkins CW, Guoping H, Williams A. Risk of medical sharps injuries among Chinese nurses. Am J Infect Contr 2002;30:277-82. https://doi.org/10.1067/mic.2002.122435
  8. Wang H, Fennie K, He G, Burgess J, Williams AB. A training programme for prevention of occupational exposure to bloodborne pathogens: impact on knowledge, behaviour and incidence of needle stick injuries among student nurses in Changsha, People's Republic of China. J Adv Nurs 2003;4:187-94.
  9. Nelsing S1, Nielsen TL, Bronnum-Hansen H, Nielsen JO. Occupational blood exposure among Danish physicians-incidence and risk factors. Ugeskr Laeger 1997;159:6216-21.
  10. Rotta Gomez-La, Hideo Aoki F, Stephan C. Conhecimento e adesao as precaucoes padrao: Estudantes diante dos riscos biologicos no Brasil e na Colombia. Revista de Salud Publica 2015;17:429-42. https://doi.org/10.15446/rsap.v17n3.44907
  11. Janjua NZ, Razaq M, Chandir S, Rozi S, Mahmood B. Poor knowledge predictor of nonadherence to universal precautions for blood borne pathogens at first level care facilities in Pakistan. BMC Infect Dis 2007;7:81. https://doi.org/10.1186/1471-2334-7-81
  12. Sax H, Perneger T, Hugonnet S, Herrault P, Chraiti MN, Pittet D. Knowledge of standard and isolation precautions in a large teaching hospital. Infect Contr Hosp Epidemiol 2005;26:298-304. https://doi.org/10.1086/502543
  13. Janjua NZ, Khan MI, Mahmood B. Sharp injuries and their determinants among health care workers at first-level care facilities in Sindh Province, Pakistan. Trop Med Int Health 2010;15:1244-51. https://doi.org/10.1111/j.1365-3156.2010.02610.x
  14. Matsumoto H, Sunakawa M, Suda H, Izumi Y. Analysis of factors related to needle-stick and sharps injuries at a dental specialty university hospital and possible prevention methods. J Oral Sci 2019;61:164-70. https://doi.org/10.2334/josnusd.18-0127
  15. Talaat M, Kandeel A, El-Shoubary W, Bodenschatz C, Khairy I, Oun S, Mahoney FJ. Occupational exposure to needlestick injuries and hepatitis B vaccination coverage among health care workers in Egypt. Am J Infect Control. Am J Infect Control 2003;31:469-74. https://doi.org/10.1016/j.ajic.2003.03.003
  16. Garcia de Codes Ilario A, de Juanes Pardo JR, Arrazola Martinez Mdel P, Jaen Herreros F, Sanz Gallardo MI, Lago Lopez E. [Accidents with exposure to biological material contaminated with HIV in workers at a third level hospital in Madrid. Rev Esp Salud Publica 2003;78:41-51.
  17. Khalil Sda S, Khalil OA, Lopes-Junior LC, Cabral DB, Bomfim Ede O, Landucci LF, Santos Mde L. Occupational exposure to bloodborne pathogens in a specialized care service in Brazil. Am J Infect Contr 2015;43:39-41.
  18. Wood AJ, Nadershahi NA, Fredekind RE, Cuny EJ, Chambers DW. Student occupational exposure incidence: perception versus reality. J Dent Educ 2006;70:1081-8. https://doi.org/10.1002/j.0022-0337.2006.70.10.tb04181.x
  19. Deming William Edwards, Edwards Deming W. Quality, productivity, and competitive position. Cambridge, MA: Massachusetts Institute of Technology, Center for advanced engineering study; 1982.
  20. Yoshikawa T, Wada K, Lee JJ, Mitsuda T, Kidouchi K, Kurosu H, Morisawa Y, Aminaka M, Okubo T, Kimura S, Moriya K. Incidence rate of needlestick and sharps injuries in 67 Japanese hospitals: a national surveillance study. PLoS One 2013;30(8) e77524.
  21. Bhardwaj A, Sivapathasundaram N, Yusof M, Minghat A, Swe K, Sinha N. The prevalence of accidental needle stick injury and their reporting among healthcare workers in orthopaedic wards in general hospital melaka, Malaysia. Malaysia Orthop J 2014;8:6. https://doi.org/10.5704/MOJ.1407.009
  22. Rasmussen-Cruz B, Hidalgo-San Martin A, Alfaro-Alfaro N. Comportamientos de riesgo de ITS/SIDA en adolescentes trabajadores de hoteles de Puerto Vallarta y su asociacion con el ambiente laboral. Salud Publica Mex 2003;45:81-91.
  23. Wicker S, Stirn AV, Rabenau HF, Von Gierke L, Wutzler S, Stephan C. Needlestick injuries: causes, preventability and psychological impact. Infection 2014;42:549-52. https://doi.org/10.1007/s15010-014-0598-0
  24. Tapias Luis Felipe, Tapias Leonidas, Torres Sergio Andres. Accidentes biologicos en estudiantes de medicina. Revista de la Universidad Ind de Santander 2007;39:3.
  25. Sharma R, Rasania S, Verma A, Singh S. Study of prevalence and response to needle stick injuries among health care workers in a tertiary care hospital in Delhi, India. Indian J Community Med 2010;35:74. https://doi.org/10.4103/0970-0218.62565
  26. Alam M. Knowledge, attitude and practices among health care workers on needle-stick injuries. Ann Saudi Med 2002;22:396-9. https://doi.org/10.5144/0256-4947.2002.396
  27. Doebbeling BN, Vaughn TE, McCoy KD, Beekmann SE, Woolson RF, Ferguson KJ, Torner JC. Percutaneous injury, blood exposure, and adherence to standard precautions: are hospital-based health care providers still at risk? Clin Infect Dis 2003;37:1006-13. https://doi.org/10.1086/377535
  28. Haroun D, El Saleh O, Wood L, Mechli R, Al Marzouqi N, Anouti S. Assessing knowledge of, and attitudes to, HIV/AIDS among university students in the United Arab Emirates. PLoS One 2016;11:2.

피인용 문헌

  1. Assessing the awareness on occupational safety and health hazards among nursing staff of a teaching hospital vol.9, pp.12, 2019, https://doi.org/10.4103/jfmpc.jfmpc_1025_20