Accidental blood exposure: risk and prevention in interventional radiology

Vijayananthan, A.; Lh, Tan; Owen, Anna; Bhat, Rahul; Edwards, Rachel; Robertson, Iain; Jg, Moss; Nicholls, R. J.

doi:10.2349/biij.2.4.e55

Cited by 4 publications

(3 citation statements)

References 14 publications

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“…Interventional radiology physicians are at particular risk because hepatitis B and C virus-positive patients frequently present for minimally invasive interventional radiology treatments for complications of cirrhosis and hepatocellular cancer (11)(12)(13). Little is known about the prevalence and reporting practice of needlestick injury in interventional radiology.…”

Section: Respondentsmentioning

confidence: 99%

Needlestick Injuries in Interventional Radiology Are Common and Underreported

et al. 2017

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Purpose To determine the prevalence of and risk factors for needlesticks in interventional radiology physicians, as well as the attitudes, behaviors, and conditions that promote or interfere with reporting of these injuries. Materials and Methods A total of 3889 interventional radiologists from academic and private practice in the United States were surveyed by emailing all interventional radiologist members of the Society of Interventional Radiology, including attending-level physicians and trainees (April-August 2016). The institutional review board waived the need for consent. Questions inquired about the nature, frequency, and type of needlestick and sharps injuries and whether and to whom these incidents were reported. Stepwise regression was used to determine variables predicting whether injuries were reported. Results In total, 908 (23%) interventional radiologists completed at least a portion of the survey. Eight hundred fourteen (91%) of 895 respondents reported a prior needlestick injury, 583 (35%) of 895 reported at least one injury while treating an HIV-positive patient, and 626 (71%) of 884 reported prior training regarding needlestick injury. There was, on average, one needlestick for every 5 years of practice. Most needlestick or sharps injuries were self inflicted (711 [87%] of 817) and involved a hollow-bore device (464 [56%] of 824). Only 566 (66%) of 850 injuries were reported. The most common reasons for not reporting included perceived lack of utility of reporting (79 [28%] of 282), perceived low risk for injury (56 [20%] of 282), noncontaminated needle (53 [19%] of 282), too-lengthy reporting process (37 [13%] of 282), and associated stigma (23 [8%] of 282). Only 156 (25%) of 624 respondents informed their significant other. Stepwise regression assessing variables affecting the likelihood of reporting showed that male sex (P = .009), low-risk patient (P < .0001), self injury (P = .010), trainee status (P < .0001), and the total number of prior injuries (P = .019) were independent predictors of not reporting. Conclusion Needlestick injuries are ubiquitous among interventional radiologists and are often not reported. RSNA, 2017 Online supplemental material is available for this article.

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Section: Respondentsmentioning

confidence: 99%

Needlestick Injuries in Interventional Radiology Are Common and Underreported

et al. 2017

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“…In contrast, although the occupational hazard for interventional radiology personnel of acquiring HIV or other bloodborne pathogens is lower than the risk related to surgical procedures, numerous cases associated with needlestick injuries and exposure to eye splashes have been reported [22][23][24][25][26].…”

Section: Precauzioni Standard Igiene Delle Mani Ed Infezioni Associamentioning

confidence: 81%

“…Al contrario, il rischio occupazionale di acquisizione di HIV ed altri patogeni ematici per il personale della radiologia interventistica, sebbene minore di quello derivante dall'eseguire procedure chirurgiche, è ben documentato e correlato a punture percutanee ed esposizioni congiuntivali a schizzi di sangue [22][23][24][25][26].…”

Section: Recommendationsunclassified

Norme igieniche e trasmissione delle infezioni in diagnostica per immagini

et al. 2009

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Healthcare-associated infections are a critical challenge for the public health sector. Most are acquired through contact, predominantly with the hands of health care personnel. Hand hygiene, therefore, is the single most effective measure for preventing and controlling infectious diseases. Recently, cases of acute hepatitis C occurred in patients who had undergone contrast-enhanced computed tomography. This was probably related to inadequate handling by health care staff. Rigorous compliance with standard precautions is therefore compulsory even in radiology, a setting traditionally considered at low risk for the transmission of pathogens. Adherence to standard precautions is still poor and the persistence of inappropriate practices responsible for preventable incidents is very common in radiology, often owing to underestimation of risk. Radiology units must promote compliance with correct hand hygiene through appropriate education programmes and provision of adequate areas and hand hygiene products. The evidence base to support the use of alcohol-based hand rub is demonstrating that these formulations are effective in improving hand hygiene compliance and preventing infections.

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Reducing Blood-borne Exposure in Interventional Radiology: What the IR Should Know

Tso

Athreya

2013

Cardiovasc Intervent Radiol

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Interventional radiologists are at risk of exposure to blood-borne pathogens in their day-to-day practice. Percutaneous exposure from unsafe sharps handling, mucocutaneous exposure from body fluid splashes, and glove perforation from excessive wear can expose the radiologist to potentially infectious material. The increasing prevalence of blood-borne pathogens, including hepatitis B and C, and human immunodeficiency virus, puts nurses, residents, fellows, and interventional radiologists at risk for occupational exposure. This review outlines suggestions to establish a culture of safety in the interventional suite.

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Accidental blood exposure: risk and prevention in interventional radiology

Cited by 4 publications

References 14 publications

Needlestick Injuries in Interventional Radiology Are Common and Underreported

Needlestick Injuries in Interventional Radiology Are Common and Underreported

Norme igieniche e trasmissione delle infezioni in diagnostica per immagini

Reducing Blood-borne Exposure in Interventional Radiology: What the IR Should Know

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