Adherence to management after occupational exposure to bloodborne pathogen among health care workers in Taiwan

Ko, Nai Ying; Yeh, Shu-Hui; Tsay, Shiow‐Luan; Pan, Shung‐Mei; Feng, Ming-Chu; Chiang, Ming-Chu; Lee, Yea-Wen; Chang, Ling-Hua; Jang, J.-F.

doi:10.1016/j.ajic.2008.11.008

Cited by 13 publications

(9 citation statements)

References 11 publications

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“…Only a limited number of studies on the occupational hazards of dentists have been published to date, and those only described the frequency of NSIs [17], [24], [25]. Additionally, most published studies analyzed NSI exposures of all healthcare workers, and it is difficult to identify the actual risk of NSIs for dentists [16], [28]–[30]. Furthermore, no studies analyzed related risk factors of NSIs for dentists.…”

Section: Discussionmentioning

confidence: 99%

Factors Affecting Occupational Exposure to Needlestick and Sharps Injuries among Dentists in Taiwan: A Nationwide Survey

Cheng

Yen

et al. 2012

PLoS ONE

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Background Although the risks of needlestick and sharps injuries (NSIs) for dentists are well recognized, most papers published only described the frequency of occupational exposure to NSIs. Less has been reported assessing factors contributing to exposure to NSIs. The purpose of this study was to update the epidemiology of NSIs among dentists in Taiwan and identify factors affecting NSIs in order to find preventive strategies. Methodology/Principal Findings A nationwide survey was conducted in dentists at 60 hospitals and 340 clinics in Taiwan. The survey included questions about factors supposedly affecting exposure to NSIs, such as dentist and facility characteristics, knowledge and attitudes about infectious diseases, and practices related to infection control. Univariate and multivariate logistic regression analyses were conducted to determine the association between risk factors and exposure to NSIs. In total, 434 (74.8%) of 580 dentists returned the survey questionnaires, and 100 (23.0%) reported that they had experienced more than one NSI per week. Our data showed that the risk of occupational NSIs is similarly heightened by an older age (odds ratio [OR], 3.18; 95% confidence interval [CI], 1.62–6.25), more years in practice (OR, 2.57; 95% CI, 1.41–4.69), working in clinics (OR, 1.73; 95% CI, 1.08–2.77), exhibiting less compliance with infection-control procedures (OR, 1.82; 95% CI, 1.04–3.18), having insufficient knowledge of blood-borne pathogens (OR, 1.67; 95% CI, 1.04–2.67), and being more worried about being infected by blood-borne pathogens (OR, 1.82; 95% CI, 1.05–3.13). Conclusions/Significance High rates of NSIs and low compliance with infection-control procedures highly contribute to the chance of acquiring a blood-borne pathogen infection and threaten occupational safety. This study reveals the possible affecting factors and helps in designing prevention strategies for occupational exposure to NSIs.

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Section: Discussionmentioning

confidence: 99%

Factors Affecting Occupational Exposure to Needlestick and Sharps Injuries among Dentists in Taiwan: A Nationwide Survey

Cheng

Yen

et al. 2012

PLoS ONE

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“…Zawodowa ekspozycja na patogeny krwiopochodne stanowi poważny problem, któremu należy zapobiegać (7,8). Jest on szczególnie istotny w grupie ratowników medycznych z uwagi, ponieważ osoby wykonujące ten zawód podejmując medyczne czynności ratunkowe wobec osób znajdujących się w stanie nagłego zagroże-nia zdrowotnego, w większości przypadków wykonują Wiedza o zakażeniach krwiopochodnych Nr 2 243 Niepokojące jest, że spośród 220 ratowników medycznych zaledwie 2 osoby potrafiły wymienić wszystkie kroki procedury poekspozycyjnej, do której moż-na zaliczyć: umycie miejsca skażenia, umożliwienie swobodnego wypływu krwi z uszkodzonego miejsca, dezynfekcję skóry, założenie opatrunku oraz zgłosze-nie zdarzenia przełożonemu (15).…”

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Knowledge of Aseptics and Antisepsis and Following Their Rules as Elements of Infection Prevention in the Work of Paramedics

Szarpak¹

2013

Med Pr

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StreszczenieWstęp: Pracownicy ochrony zdrowia, szczególnie ratownicy medyczni, są grupą zawodową, która podczas udzielania medycznych czynności ratunkowych narażona jest na zakażenia krwiopochodne. Niniejsze badania miały na celu ocenę wiedzy ratowników medycznych w zakresie zakażeń krwiopochodnych, ich profilaktyki oraz przerwania dróg transmisji zakażenia. Materiał i metody: Badaniem objęto 220 ratowników medycznych zatrudnionych w szpitalnych oddziałach ratunkowych oraz zespołach ratownictwa medycznego. Materiał zebrano drogą anonimowej ankiety, której kwestionariusz został specjalnie skonstruowany na potrzeby badań. Wyniki: Aż 80% ankietowanych osób deklaruje częsty kontakt z krwią pacjenta, 65% ratowników medycznych przed założeniem dostępu dożylnego przeprowadza badanie palpacyjne przebiegu żyły, a 81% wprowadza kaniulę dożylną bezpośrednio po dezynfekcji skóry. Środki ochrony osobistej stosuje 98% osób. Wnioski: Analiza wiedzy badanej grupy ratowników medycznych w zakresie aseptyki i antyseptyki zakażeń krwiopochodnych wskazuje na wiele braków we właściwym przygotowaniu personelu medycznego do ograniczenia skutków ekspozycji na materiał zakaźny. Przy tym osoby z wykształceniem wyższym zawodowym prezentowały wyższy poziom wiedzy niż osoby po policealnym studium zawodowym. W opinii badanej grupy najważniej-szym czynnikiem wpływającym na zmniejszenie liczby zakażeń krwiopochodnych byłyby obowiązkowe szkolenia z tego zakresu. Med. Pr. 2013;64(2):239-243 Słowa kluczowe: zakażenia krwiopochodne, ratownicy medyczni, wiedza Abstract Background: The health-care professionals, particularly paramedics are exposed to bloodborne infections during medical rescue operations. The aim of this study was to assess knowledge of bloodborne infections, their prevention and interrupted routes of infection transmission among paramedics. Materials and Methods: The study comprised 220 paramedics employed in emergency departments and ambulance services. Material was collected using an anonymus questionnaire, developed for the purpose of this study. Results: As many as 80% of the surveyed people reported frequent contact with patients' blood; 65% of the paramedics before establishing the intravenous access palpates the conduct of the vein; 81% introduce peripheral venous catheter directly after disinfection of the skin; and 98% apply personal protection measures. Conclusions: The analysis of knowledge of asepsis and antisepsis of bloodborne infections among paramedics points to a series of shortcomings in their adequate preparation to reduce the effects of exposure to infectious material. However, it should be emphasized that people with higher education presented a higher level of knowledge than those with postsecondary vocational education. In the opinion of the study group mandatory training in the discussed area would prove to be the most effective method for reducing the number of bloodborne infections. Med Pr 2013;64(2):239-243

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“…[3][4][5] Although previous studies demonstrate HCW compliance with performing CDCrecommended follow-up ranges between 33% and 87%, none have systematically evaluated factors influencing HCW completion of follow-up. 6,7 …”

Section: Introductionmentioning

confidence: 99%

Health care worker follow-up compliance after occupational bloodborne pathogens exposure: A brief report

Díaz

Johnson

2016

American Journal of Infection Control

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Adherence to management after occupational exposure to bloodborne pathogen among health care workers in Taiwan

Cited by 13 publications

References 11 publications

Factors Affecting Occupational Exposure to Needlestick and Sharps Injuries among Dentists in Taiwan: A Nationwide Survey

Factors Affecting Occupational Exposure to Needlestick and Sharps Injuries among Dentists in Taiwan: A Nationwide Survey

Knowledge of Aseptics and Antisepsis and Following Their Rules as Elements of Infection Prevention in the Work of Paramedics

Health care worker follow-up compliance after occupational bloodborne pathogens exposure: A brief report

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