Abstract
Objective: Healthcare workers (HCWs) are at risk for occupational injury associated with contaminated blood and body fluids. This study aims to examine the frequency and type of occupational injuries and to determine best practices after exposure. Methods: A cross-sectional study was conducted in Haydarpaşa Teaching Hospital in December 2010. The questionnaires were completed by healthcare workers with face-to-face interviews. The questionnaire was evaluated occupational injuries in the hospital practice. Results: In total, 300of 350 healthcare practitioners (85.7%) answered the questions; 125 (41.6%) of them were nurses, 96 (32.0%) were physicians, 36 (12.0%) were cleaning staff, 23 (7.6%) were student nurses, and 20 (6.6%) were laboratory technicians. The number of HCWs who contact with blood and body fluids was 175 (58.3%). Forty-five HCWs (15.0%) have had injuries in the past year. The physicians had significantly lower injury rates (p=0.004), while nurses had significantly higher (p<0.001) injury rates. Needle-stick injuries resulting in transmission of contaminated blood and body fluids occurred in 144 (82.2%) HCWs. Among 175 injured HCWs, 54 (30.8%) reported their injuries at the time of injury. Twenty-seven nurses (%50) (p=0.882), nine doctors (16.6%) (p=0.126), eight cleaning staff (14.8%) (p=0.448), seven laboratory technicians (12.9%) (p=0.162), and three student nurses (5.5%) (p=0.831) had reported their injuries. Conclusion: Taking standard precautions against contact with contaminated blood and body fluid samples, reporting injuries, and not neglecting post-exposure prophylaxis may reduce risk of occupational exposure in HCWs.
Keywords
Healthcare workers occupational exposure needle stick injury Sağlık çalışanlarında mesleki maruziyet: Bir eğitim hastanesi
References
- National Institute for Occupational Safety and Health. NIOSH ALERT: Preventing needlestick injuries in health care setting. DHHS (NIOSH) Publication No 2000-108. Nov 1999.
- Hosoglu S, Akalin S, Sunbul M, et al; Occupational Infection Study Group. Healthcare workers’ compliance with universal precautions in Turkey. Med Hypotheses 2011;77:1079-1082.
- Askarian M, Shaghaghian S, Gillen M. Assadian O. Body fluid exposure in nurses of Fars province, Southern Iran. Arch Iran Med 2008;11;515-521.
- World Health Organization. Aide-memoire for a strategy to pro- tect health workers from infection with bloodborne viruses. Geneva, Switzerland: WHO, November 2003.
- Exposure to Blood. What Personel Need to Know. CDC book- let updated July 2003.
Abstract
Amaç: Sağlık çalışanları, kontamine kan ve vücut sıvıları ile mesleki yaralanma açısından risk altındadır. Bu çalışmanın amacı, mesleki yaralanmanın sıklığını, şeklini saptamak ve maruziyet sonrası uygulamaları belirlemektir.Yöntemler: Haydarpaşa Eğitim Hastanesi’nde 2010 yılı Aralık ayında kesitsel bir çalışma yapıldı. Sağlık çalışanları ile yüz yüze görüşülerek anket formları dolduruldu. Ankette sağlık çalışanlarına hastane hizmetleri sırasında yaşadıkları mesleki yaralanmalar soruldu.Bulgular: Anketin ulaştığı 350 sağlık çalışanından 300’ü (% 85,7) soruları yanıtladı. Sağlık personelinin 125’i (% 41,6) hemşire, 96’sı (% 32,0) doktor, 36’sı (% 12) temizlik personeli, 23’ü (% 7,6) öğrenci hemşire, 20’si (% 6,6) laboratuvar teknisyeni idi. Kan ve vücut sıvılarıyla maruziyet oranı 175 (% 58,3) olarak belirlendi. Sağlık personelinin 45’inde (%15,0) son bir yıl içerisinde yaralanma yaşadığını bildirdi. Sağlık personeli arasında kıyaslama yapıldığında; doktorlarda istatistiksel olarak anlamlı şekilde düşük (p=0,004), hemşirelerde istatistiksel olarak anlamlı şekilde yüksek (p<0,001) oranda yaralanma olduğu belirlendi. Kontamine kan ve vücut sıvılarıyla yaralanmanın 144’ü (% 82,2) iğne batması idi. Yaralanma olan 175 sağlık çalışanından 54’ü (% 30,8) yaralanma olduğunu rapor etmişti. Hemşirelerin 27’si (% 50,0) (p=0,882), doktorların dokuzu (% 16,6) (p=0,126), temizlik personelinin sekizi (% 14,8)’i (p=0,448), laboratuvar teknisyenlerinin yedisi (% 12,9) (p=0,162) ve öğrenci hemşirelerin üçü (% 5,5) (p=0,831) yaralanma olduğunu bildirmişti. Sonuçlar: Standart temas önlemlerini uygulamak, yaralanma olduğunda bildirimi yapmak, maruziyet sonrası profilaksiyi yapmak sağlık personelinde mesleki maruziyet risklerini azaltabilir
References
- National Institute for Occupational Safety and Health. NIOSH ALERT: Preventing needlestick injuries in health care setting. DHHS (NIOSH) Publication No 2000-108. Nov 1999.
- Hosoglu S, Akalin S, Sunbul M, et al; Occupational Infection Study Group. Healthcare workers’ compliance with universal precautions in Turkey. Med Hypotheses 2011;77:1079-1082.
- Askarian M, Shaghaghian S, Gillen M. Assadian O. Body fluid exposure in nurses of Fars province, Southern Iran. Arch Iran Med 2008;11;515-521.
- World Health Organization. Aide-memoire for a strategy to pro- tect health workers from infection with bloodborne viruses. Geneva, Switzerland: WHO, November 2003.
- Exposure to Blood. What Personel Need to Know. CDC book- let updated July 2003.
Details
| Primary Language | English |
|---|---|
| Journal Section | ART |
| Authors | |
| Publication Date | June 1, 2014 |
| Published in Issue | Year 2014 |