Epidemiology of exposure to blood borne pathogens on a surgical service

Bakaeen, Faisal G.; Awad, Samir S.; Albo, Daniel; Bellows, Charles F.; Huh, Joseph; Kistner, Clara; D, Izard; Triebel, Jeffery; Khan, Myrna M.; Berger, David H.

doi:10.1016/j.amjsurg.2006.08.013

Cited by 37 publications

(38 citation statements)

References 16 publications

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“…[3][4][5][6] According to Jagger et al, 7 although sharps injuries in the nonsurgical setting have decreased substantially since the passage of the Needlestick Safety and Prevention Act of 2000, reported sharps injuries in the surgical setting have actually increased 6.5%. BBF exposures, therefore, remain a common health risk among healthcare workers, particularly for surgical staff members.…”

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confidence: 99%

“…4,[13][14][15][16][17][18][19][20][21][22][23][24] Although some studies have examined the characteristics of the surgical procedures, [13][14][15]18 other studies of BBF exposures have been mostly descriptive, focusing on the distribution of events by categories such as type of exposure, surgical service, occupation, and device type. 6,8,12,[25][26][27] The current study presents descriptive statistics of BBF exposures occurring in the OR and examines properties of the procedures, gathered in administrative data sources, to determine whether these predict the risk of exposure during surgical procedures. Regression models were produced separately for exposures caused by suture needles, which are the devices most commonly involved in exposures in the OR, 6,8,12,17 and those caused by all other surgical instruments to determine whether risk factors differed by device type.…”

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confidence: 99%

“…6,8,12,[25][26][27] The current study presents descriptive statistics of BBF exposures occurring in the OR and examines properties of the procedures, gathered in administrative data sources, to determine whether these predict the risk of exposure during surgical procedures. Regression models were produced separately for exposures caused by suture needles, which are the devices most commonly involved in exposures in the OR, 6,8,12,17 and those caused by all other surgical instruments to determine whether risk factors differed by device type.…”

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confidence: 99%

“…BBF exposures, therefore, remain a common health risk among healthcare workers, particularly for surgical staff members. 6,[8][9][10][11][12] Many studies focusing on risk of BBF exposures in operating rooms (OR) have examined the effectiveness of safety measures such as double-gloving, the use of blunt suture needles or other safety devices, and neutral instrument passing zones. 4,[13][14][15][16][17][18][19][20][21][22][23][24] Although some studies have examined the characteristics of the surgical procedures, [13][14][15]18 other studies of BBF exposures have been mostly descriptive, focusing on the distribution of events by categories such as type of exposure, surgical service, occupation, and device type.…”

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confidence: 99%

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Surgical Procedure Characteristics and Risk of Sharps-Related Blood and Body Fluid Exposure

Myers

Lipscomb

Epling

et al. 2015

Infect. Control Hosp. Epidemiol.

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OBJECTIVETo use a unique multicomponent administrative data set assembled at a large academic teaching hospital to examine the risk of percutaneous blood and body fluid (BBF) exposures occurring in operating rooms.DESIGNA 10-year retrospective cohort design.SETTINGA single large academic teaching hospital.PARTICIPANTSAll surgical procedures (n=333,073) performed in 2001–2010 as well as 2,113 reported BBF exposures were analyzed.METHODSCrude exposure rates were calculated; Poisson regression was used to analyze risk factors and account for procedure duration. BBF exposures involving suture needles were examined separately from those involving other device types to examine possible differences in risk factors.RESULTSThe overall rate of reported BBF exposures was 6.3 per 1,000 surgical procedures (2.9 per 1,000 surgical hours). BBF exposure rates increased with estimated patient blood loss (17.7 exposures per 1,000 procedures with 501–1,000 cc blood loss and 26.4 exposures per 1,000 procedures with >1,000 cc blood loss), number of personnel working in the surgical field during the procedure (34.4 exposures per 1,000 procedures having ≥15 personnel ever in the field), and procedure duration (14.3 exposures per 1,000 procedures lasting 4 to <6 hours, 27.1 exposures per 1,000 procedures lasting ≥6 hours). Regression results showed associations were generally stronger for suture needle–related exposures.CONCLUSIONSResults largely support other studies found in the literature. However, additional research should investigate differences in risk factors for BBF exposures associated with suture needles and those associated with all other device types.Infect. Control Hosp. Epidemiol. 2015;37(1):80–87

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Surgical Procedure Characteristics and Risk of Sharps-Related Blood and Body Fluid Exposure

Myers

Lipscomb

Epling

et al. 2015

Infect. Control Hosp. Epidemiol.

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“…Health care associated infections (HAI) pose an ongoing and increasing challenge to hospitals in the clinical treatment of patients, infections of HCWs and patients and in the prevention of the cross transmission drug resistance pathogens [6]. In 2002 they caused 14.9 million deaths, accounting for 26% of total global mortality and also accounted for almost 30% of the total disability-adjusted life years (DALYs) lost worldwide.…”

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confidence: 99%

Adherence to Infection Prevention and Factors among Nurses in Jimma University Medical Center

Bekele¹,

Yimam²,

Akele³

2018

Immunome Res

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Background: Adherence to infection prevention and control guidelines is critical to improving the quality of hospital care based on their efficacy in reducing the occurrence of infections that compromise patients' outcome. Nurses are front line of protecting themselves and clients from infectious disease. Nurses perform clinical procedures or other activities that can generate waste and expose themselves and clients to potentially infectious disease. This put nurses to be at higher risk for acquiring blood borne pathogens at health care facilities. Objective:The main objective of this study was to assess the level of knowledge and practice on adherence of infection prevention and its associated factors among nurses in Jimma University medical center.Method: Cross-sectional study design was conducted from April 1 to 10, 2016 and systematic sampling technique was used to select a total of 231 study subjects and data were collected using self-administered questionnaire and entered to Epi data manager and client analyzed using SPSS version 20 software and the analyzed data was presented using graphs, charts and tables were used to summarize and present major findings. Result:The overall knowledge of nurses is 83.08%. Majority of the respondents 215 (83.08%) was knowledgeable regarding infection prevention and 16 (16.02%) was less knowledgeable. The overall practice of respondents were 61.08% and 148 (64.06%) of nurses has good practice but 83 (35.09%) has less practice. Conclusion and recommendation:Majority of the respondents were knowledgeable regarding infection prevention principles. Although there were some gaps regarding infection prevention practice like washing hands in between patients, wearing of gloves when giving patient care, wearing of masks and goggles, recapping of used needles. The nurses were not strictly adhered to infection prevention practices due to insufficient supply of resources, working experience, negligence and shortage of time.

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Comparison of Injuries From Sharps Among Resident Physicians Within Dermatology and Other Medical and Surgical Specialties

Morris

Adotama

et al. 2019

JAMA Dermatol

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Epidemiology of exposure to blood borne pathogens on a surgical service

Cited by 37 publications

References 16 publications

Surgical Procedure Characteristics and Risk of Sharps-Related Blood and Body Fluid Exposure

Surgical Procedure Characteristics and Risk of Sharps-Related Blood and Body Fluid Exposure

Adherence to Infection Prevention and Factors among Nurses in Jimma University Medical Center

Comparison of Injuries From Sharps Among Resident Physicians Within Dermatology and Other Medical and Surgical Specialties

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