A multiple methods approach: radiation associated cataracts and occupational radiation safety practices in interventionalists in South Africa

Rose, André; Rae, William; Chikobvu, Perpetual; Marais, Willemien

doi:10.1088/1361-6498/aa5eee

Cited by 10 publications

(10 citation statements)

References 33 publications

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“…This study forms part of a larger study, the methods of which are described in detail elsewhere [18]. We had a quantitative component where we conducted a survey and collected data on demographics of the participants, risk factors for cataracts, occupational exposure to ionizing radiation, use and availability of PPE, and training in radiation safety.…”

Section: Methodsmentioning

confidence: 99%

Personal Protective Equipment Availability and Utilization Among Interventionalists

Rose

Rae

2019

Safety and Health at Work

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Objective This study explored personal protective equipment (PPE) availability and PPE utilization among interventionalists in the catheterization laboratory, which is a highly contextualized workplace. Methods This is a cross-sectional study using mixed methods. Participants (108) completed a survey. A hyperlink was sent to the participants, or they were asked to complete a paper-based survey. Purposively selected participants (54) were selected for individual (30) or group (six) interviews. The interviews were conducted at conferences, or appointments were made to see the participants. Logistic regression analysis was performed. The qualitative data were analyzed thematically. Results Lead glasses were consistently used 10.2% and never used 61.1% of the time. All forms of PPE were inconsistently used by 92.6% of participants. Women were 4.3 times more likely to report that PPE was not available. PPE compliance was related to fit and availability. Conclusions PPE use was inconsistent and not always available. Improving the culture of radiation protection in catheterization laboratories is essential to improve PPE compliance with the aim of protecting patients and operators. This culture of radiation protection must include all those involved including the users of PPE and the administrators and managers who are responsible for supplying sufficient, appropriate, fitting PPE for all workers requiring such protection.

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Section: Methodsmentioning

confidence: 99%

Personal Protective Equipment Availability and Utilization Among Interventionalists

Rose

Rae

2019

Safety and Health at Work

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“…This study had a qualitative design which formed part of a larger multiple methods study which is described elsewhere. 22…”

Section: Methodsmentioning

confidence: 99%

Interventionalists’ perceptions on a culture of radiation protection

Rose¹,

Uebel²,

Rae³

2018

S. Afr. j. radiol.

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Background: Occupational exposure to ionising radiation poses potential health risks to radiation workers unless adequate protection is in place. The catheterisation laboratory is a highly contextualised workplace with a distinctive organisational and workplace culture. Objective: This study was conducted to understand the culture of radiation protection (CRP). Methods: This study was a qualitative study and data were collected through 30 in-depth and 6 group interviews with 54 purposively selected South African interventionalists (interventional radiologists and cardiologists). The participants included a diversity of interventionalists who varied in sex, geographic location and years of experience with fluoroscopy. The transcribed data were analysed thematically using a deductive and inductive approach. Results: ‘Culture of radiation protection’ emerged as a complex theme that intersected with other themes: ‘knowledge and awareness of radiation’, ‘radiation safety practice’, ‘personal protective equipment (PPE) utilisation’ and ‘education and training’. Conclusion: Establishing and sustaining a CRP provides an opportunity to mitigate the potentially detrimental health effects of occupational radiation exposure. Education and training are pivotal to establishing a CRP. The time to establish a culture of radiation in the catheterisation laboratory is now.

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“…This was a prospective cross-sectional study that formed part of a larger multiple methods study. 25 …”

Section: Methodsmentioning

confidence: 99%

Radiation induced cataracts in interventionalists occupationally exposed to ionising radiation

et al. 2022

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Background: Occupational exposure to ionising radiation may have detrimental health effects. Longer and more complex fluoroscopic procedures have placed interventionalists at increased occupational health risks especially for developing cataracts in the radiosensitive lenses of the eyes.Objectives: This study aimed to determine the prevalence of occupational related cataracts and describe the risk factors for cataracts in occupationally exposed interventionalists compared with unexposed doctors.Method: A cross-sectional study using multiple methods. A survey was conducted. The radiation workload was determined based on a self-administered questionnaire and dose area product values determined in previous studies. Both groups had slit lamp examinations. The data were analysed analytically using R software version 9.3.Results: The study included 98 interventionalists. The combined prevalence of posterior sub-capsular (PSC) and cortical cataracts was 18.8% in the exposed and 13.9% in the unexposed group. The prevalence of PSC cataracts in the exposed group was 5.9% and 2.8% in the unexposed group, with an odds ratio (OR) of 2.2 (95% confidence interval [CI]: 0.58; 8.61). Posterior sub-capsular cataracts were more common in the left eye. The increase in cataracts was not statistically significant in the exposed group but is of clinical significance.Conclusion: The findings are important as they highlight the need for greater vigilance for protecting the radiation healthcare workforce in a developing country setting.Contribution: The research is the first of its kind in South Africa and Africa and contributes to determining the prevalence in this highly skilled and occupationally vulnerable group.

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A multiple methods approach: radiation associated cataracts and occupational radiation safety practices in interventionalists in South Africa

Cited by 10 publications

References 33 publications

Personal Protective Equipment Availability and Utilization Among Interventionalists

Personal Protective Equipment Availability and Utilization Among Interventionalists

Interventionalists’ perceptions on a culture of radiation protection

Radiation induced cataracts in interventionalists occupationally exposed to ionising radiation

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