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Associated Factor For Occupational Bloodborne Exposures At A Small General Hospital

Year 2013, Volume: 15 Issue: 1, 50 - 53, 01.03.2013

Abstract

Objective: To evaluate epidemiology of percutaneous injury or mucous exposures (PMEs) withblood or body fluids that leads serious risks for health care workers (HCWs) at a secondary carenon-teaching general hospital.Methods: An analytic, cross-sectional, hospital-wide survey study was conducted to describethe extent and associated factors of PMEs among HCWs at the hospital.Results: The total of 118 HCWs was the participants that were represented 43.7% of totalhospital workers. The participants were 66 nurses/midwives (55.9%), 12 doctors (29.0%), 22laboratory workers (9.3%), and 18 paramedics/cleaners (20.3%). The mean age of participantswas 31.8 year (SD ± 8.0 year), and mean of working time of occupation was 9.0 year (SD ± 6.6year). The study concluded that 26 of the participants (22.0%) were reported at least oneoccupational PME in the last year. The exposure rate was reported significantly higher amongthe paramedics/cleaners (8 persons, 38.9%, p=0.19) according to the others and the mean numberof exposures was 0.94/person-year. In the multivariate analysis; short time working at theoccupation was found significant factor for high occupational exposures (p=0.040).Conclusion: Beside the other well-known associated factors, short time working at theoccupation was found as predictive factor for occupational exposures among HCWs at asecondary care non-teaching general hospital

References

  • Kermode M, Jolley D, Langkham B, et al. Occupational exposure to blood and risk of bloodborne virus infection among health care workers in rural North Indian health care settings. Am J Infect Control 2005; 33:34-41.
  • Sagoe-Moses C, Pearson RD, Perry J, et al. Risks to health care workers in developing countries. N Engl J Med 2001; 345:538-541.
  • Tarantola A, Koumare A, Rachline A, et al. A descriptive, retrospective study of 567 accidental blood exposures in healthcare workers in three West African countries. J Hosp Infect 2005; 60:276–282.
  • Memish ZA, Almuneef M, Dillon J. Epidemiology of needlestick and sharps injuries in a tertiary care center in Saudi Arabia. Am J Infect Control 2002; 30:234-41.
  • Kane A, Lloyd J, Zaffran M, et al. Transmission of hepatitis B, hepatitis C and human immunodeficiency viruses through unsafe injections in the developing world: model-based regional estimates. Bull World Health Organ 1999; 77:801-7.
  • Erbay A, Ergonul O, Bodur H, et al. Evaluation of exposures to blood and body fluids in Ankara Numune Education and Research Hospital workers. Turkish J Viral Hepat 2002;8:497- 501.
  • Gönen I, Geyik MF. Percutaneous injuries among healthcare workers at a general hospital. J Microbiol Infect Dis 2011; 1(1): 26-30.
  • Hosoglu S, Akalin S, Sunbul M, et al. Occupational Infections Study Group. Predictive factors for occupational bloodborne exposure in Turkish hospitals. Am J Infect Control. 2009; 37:65-9.
  • Ozsoy MF, Oncul O, Cavuslu S, et al. Seroprevalences of hepatitis B and C among health care workers in Turkey. J Viral Hepatitis 2003; 10:150-6.
  • Kosgeroglu N, Ayranci U, Vardareli E, et al. Occupational exposure to hepatitis infection among Turkish nurses: frequency of needle exposure, sharps injuries and vaccination. Epidemiol Infect 2003; 132: 27-33.
  • Azap A, Ergonul O, Memikoglu KO, et al. Occupational exposure to blood and body fluids among health care workers in Ankara, Turkey. Am J Infect Control 2005; 33:48-52.
  • Clarke SP, Rockett JL, Sloane DM, et al. 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.
  • Aiken LH, Sloane DM, Klocinski JL. Hospital nurses’ occupational exposure to blood: prospective, retrospective and institutional reports. Am J Public Health 1997; 87: 103-7.
  • Fisker N, Mygind LH, Krarup HB, at al. Blood borne viral infections among Danish Health Care Workers-frequent blood exposure but low prevalence of infection. Europ J Epidemiol 2004; 19: 61-7.
  • Yang C, Jie C, Jianwen C. Injection practices in health care facilities of Shanghai, China (2001). In: WHO. Pilot-testing the WHO tools to assess and evaluate injection practices: a summary of 10 assessment coordinated by WHO in seven countries (2000-2001). Geneva: WHO/BCT/03.10; 2003.
  • Phipps W, Honghong W, Min Y, et al. Risk of medical sharps injuries among Chinese nurses. Am J Infect Control 2002; 30:277-82.

Bir Devlet Hastanesi Çalışanlarında Kanla Bulaşan Enfeksiyon Riski

Year 2013, Volume: 15 Issue: 1, 50 - 53, 01.03.2013

Abstract

Amaç: Eğitim hastanesi olmayan ikinci basamak bir kamu hastanesinde sağlık çalışanlarınınperkütanöz yaralanma ve mukozal maruziyet (PMM) sıklığı ve maruziyeti etkileyen faktörlerinaraştırılması hedeflendi.Yöntem: Analitik, kesitsel, tüm hastaneyi kapsayan bir anket kullanılarak sağlık çalışanlarıarasında son bir yıl içinde PMM’nin sıklığını ve eşlik eden faktörleri araştırıldı.Sonuç: Toplam 118 hastane çalışanı çalışmaya katıldı ve katılanlar tüm çalışanların % 43.7 idi.Çalışmaya katılanlardan 66’sı hemşire/ebe (% 55,9), 12’si doktor (% 10,2), 22’si laboratuarçalışanı (% 18,6) ve 18’i hasta bakıcı/temizlikçi (% 15,3) idi. Araştırmaya katılanların yaşortalaması 31,8 yıl (SD ± 8,0 yıl), meslekte ortalama çalışma süreleri 9,0 yıl (SD ± 6,6 yıl) idi.Katılımcıların 26’sı (% 22,0) son bir yılda en az bir PMM yaşadığını bildirdi ve PMM sıklığı0,46/kişi-yıl idi. Maruziyet oranı hastabakıcı/temizlik personeli arasında anlamlı şekilde yüksekti(8 kişi, % 38,9, p=0,19) ve yaralanma sıklığı 0,94/kişi-yıl idi. Çok değişkenli analizde sadecemeslekte daha kısa süre çalışma maruziyet için anlamlı eşlik eden faktör olarak bulundu(p=0,040).Tartışma: İkinci basamak küçük bir devlet hastanesinde sağlık çalışanları arasında meslekimaruziyet sıklığında daha önce bilinen etkin faktörlerin yanında meslekte daha kısa süreceçalışma eşlik eden bir faktör olarak bulundu

References

  • Kermode M, Jolley D, Langkham B, et al. Occupational exposure to blood and risk of bloodborne virus infection among health care workers in rural North Indian health care settings. Am J Infect Control 2005; 33:34-41.
  • Sagoe-Moses C, Pearson RD, Perry J, et al. Risks to health care workers in developing countries. N Engl J Med 2001; 345:538-541.
  • Tarantola A, Koumare A, Rachline A, et al. A descriptive, retrospective study of 567 accidental blood exposures in healthcare workers in three West African countries. J Hosp Infect 2005; 60:276–282.
  • Memish ZA, Almuneef M, Dillon J. Epidemiology of needlestick and sharps injuries in a tertiary care center in Saudi Arabia. Am J Infect Control 2002; 30:234-41.
  • Kane A, Lloyd J, Zaffran M, et al. Transmission of hepatitis B, hepatitis C and human immunodeficiency viruses through unsafe injections in the developing world: model-based regional estimates. Bull World Health Organ 1999; 77:801-7.
  • Erbay A, Ergonul O, Bodur H, et al. Evaluation of exposures to blood and body fluids in Ankara Numune Education and Research Hospital workers. Turkish J Viral Hepat 2002;8:497- 501.
  • Gönen I, Geyik MF. Percutaneous injuries among healthcare workers at a general hospital. J Microbiol Infect Dis 2011; 1(1): 26-30.
  • Hosoglu S, Akalin S, Sunbul M, et al. Occupational Infections Study Group. Predictive factors for occupational bloodborne exposure in Turkish hospitals. Am J Infect Control. 2009; 37:65-9.
  • Ozsoy MF, Oncul O, Cavuslu S, et al. Seroprevalences of hepatitis B and C among health care workers in Turkey. J Viral Hepatitis 2003; 10:150-6.
  • Kosgeroglu N, Ayranci U, Vardareli E, et al. Occupational exposure to hepatitis infection among Turkish nurses: frequency of needle exposure, sharps injuries and vaccination. Epidemiol Infect 2003; 132: 27-33.
  • Azap A, Ergonul O, Memikoglu KO, et al. Occupational exposure to blood and body fluids among health care workers in Ankara, Turkey. Am J Infect Control 2005; 33:48-52.
  • Clarke SP, Rockett JL, Sloane DM, et al. 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.
  • Aiken LH, Sloane DM, Klocinski JL. Hospital nurses’ occupational exposure to blood: prospective, retrospective and institutional reports. Am J Public Health 1997; 87: 103-7.
  • Fisker N, Mygind LH, Krarup HB, at al. Blood borne viral infections among Danish Health Care Workers-frequent blood exposure but low prevalence of infection. Europ J Epidemiol 2004; 19: 61-7.
  • Yang C, Jie C, Jianwen C. Injection practices in health care facilities of Shanghai, China (2001). In: WHO. Pilot-testing the WHO tools to assess and evaluate injection practices: a summary of 10 assessment coordinated by WHO in seven countries (2000-2001). Geneva: WHO/BCT/03.10; 2003.
  • Phipps W, Honghong W, Min Y, et al. Risk of medical sharps injuries among Chinese nurses. Am J Infect Control 2002; 30:277-82.
There are 16 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Mehtap Akpınar This is me

Mehmet Faruk Geyik This is me

Mustafa Gülenç This is me

Publication Date March 1, 2013
Published in Issue Year 2013 Volume: 15 Issue: 1

Cite

APA Akpınar, M., Geyik, M. F., & Gülenç, M. (2013). Bir Devlet Hastanesi Çalışanlarında Kanla Bulaşan Enfeksiyon Riski. Duzce Medical Journal, 15(1), 50-53.
AMA Akpınar M, Geyik MF, Gülenç M. Bir Devlet Hastanesi Çalışanlarında Kanla Bulaşan Enfeksiyon Riski. Duzce Med J. March 2013;15(1):50-53.
Chicago Akpınar, Mehtap, Mehmet Faruk Geyik, and Mustafa Gülenç. “Bir Devlet Hastanesi Çalışanlarında Kanla Bulaşan Enfeksiyon Riski”. Duzce Medical Journal 15, no. 1 (March 2013): 50-53.
EndNote Akpınar M, Geyik MF, Gülenç M (March 1, 2013) Bir Devlet Hastanesi Çalışanlarında Kanla Bulaşan Enfeksiyon Riski. Duzce Medical Journal 15 1 50–53.
IEEE M. Akpınar, M. F. Geyik, and M. Gülenç, “Bir Devlet Hastanesi Çalışanlarında Kanla Bulaşan Enfeksiyon Riski”, Duzce Med J, vol. 15, no. 1, pp. 50–53, 2013.
ISNAD Akpınar, Mehtap et al. “Bir Devlet Hastanesi Çalışanlarında Kanla Bulaşan Enfeksiyon Riski”. Duzce Medical Journal 15/1 (March 2013), 50-53.
JAMA Akpınar M, Geyik MF, Gülenç M. Bir Devlet Hastanesi Çalışanlarında Kanla Bulaşan Enfeksiyon Riski. Duzce Med J. 2013;15:50–53.
MLA Akpınar, Mehtap et al. “Bir Devlet Hastanesi Çalışanlarında Kanla Bulaşan Enfeksiyon Riski”. Duzce Medical Journal, vol. 15, no. 1, 2013, pp. 50-53.
Vancouver Akpınar M, Geyik MF, Gülenç M. Bir Devlet Hastanesi Çalışanlarında Kanla Bulaşan Enfeksiyon Riski. Duzce Med J. 2013;15(1):50-3.