Percutaneous and Mucocutaneous Exposure Among Orthopaedic Surgeons

Maniar, Hemil; Tawari, Akhil; Suk, Michael; Bowen, Thomas R.; Horwitz, Daniel S.

doi:10.1097/bot.0000000000000360

Cited by 11 publications

(24 citation statements)

References 12 publications

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“…The underreporting of NSI by HCWs is documented in several studies ranging from 22-99%. [22,27] The rate of reporting of NSI was 23.4% in this study, which is low compared with several studies. [37,29] Furthermore, Bowman and Bohnker showed that underreporting of NSI was more prevalent in the civil health system than US military facilities.…”

Section: Discussioncontrasting

confidence: 74%

“…[18,21] Similar to many other LMICs, there is lax implementation of policy interventions and enforcement standards to protect healthcare workers from exposure and reduction of NSIs and unsafe infection control practices are common. [22,23] This supports the need for ongoing research into prevalence and risk factors for NSIs among sectors of the Ugandan healthcare system.…”

Section: Introductionmentioning

confidence: 71%

“…[28] In contrast, in a study done by Maniar et al [22] indicated that there was no underreporting among healthcare workers. Unfortunately, in Uganda HCWs do not consider incident reporting protocol with immense gravity.…”

Section: Discussionmentioning

confidence: 98%

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Assessment of needle stick injuries among healthcare workers: a cross-sectional study from Kakiri military and SOS hospitals, Uganda

Basaza¹,

Otieno²,

Haddock³

2021

Preprint

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Background: The Ugandan military medical services work together with the civilian public health system to deliver quality healthcare. This Partnership is the mainstay of health service delivery in Uganda. The burden of needle stick injuries (NSIs) is increasing in Uganda’s larger health industry; however, data on needle stick injury in military and public health facilities is lacking. No published data exist on comparative studies for a mix of facilities both military and civilian health settings. This study represents the first time this issue has been studied in a military or public health hospital in Uganda.Methods: A hospital-based, cross-sectional study was conducted in July 2018 to September 2019 in Kakiri Military and SOS Hospitals in Uganda using a structured questionnaire. Respondents were purposively selected based on the objectives of study, occupation status and department (N = 310). Results: The overall prevalence of NSIs among respondents was 27.2% and prevalence rates for the two facilities was nearly identical. The largest percentage of NSIs occurred during drawing venous blood samples (49.4%). Significant predictors of NSI were gender, occupational status, age, poor knowledge on prevention and post exposure of NSI, and less professional experience. Infection control practices were lacking in both selected health facilities. Conclusion: Over a quarter of HCWs in Uganda reported NSIs, which places them at significant health risk. Fostering the practice of universal precautions, best infection control practices and training of healthcare workers on bio-safety measures can reduce the prevalence of NSIs.Trial Registration: Not Applicable

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Section: Discussioncontrasting

confidence: 74%

Section: Introductionmentioning

confidence: 71%

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Assessment of needle stick injuries among healthcare workers: a cross-sectional study from Kakiri military and SOS hospitals, Uganda

Basaza¹,

Otieno²,

Haddock³

2021

Preprint

View full text Add to dashboard Cite

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“… 1 Arthroplasty procedures are especially high risk for occupational exposure to blood and body fluids. 1 - 4 Some incidents, such as intra-operative splash, glove perforation and needlestick injuries are common occurrences in arthroplasty surgery, and can potentially transmit blood-borne diseases to surgeons and nurses. 5 - 7 Conversely, infected healthcare workers (HCWs) can transmit some of these viruses to the patients undergoing exposure-prone procedures.…”

Section: Introductionmentioning

confidence: 99%

The role of routine screening in blood-borne pathogens in Chinese patients undergoing joint arthroplasty

Cheng

et al. 2017

Bone & Joint Research

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ObjectivesSurgeons face a substantial risk of infection because of the occupational exposure to blood-borne pathogens (BBPs) from patients undergoing high-risk orthopaedic procedures. This study aimed to determine the seroprevalence of four BBPs among patients undergoing joint arthroplasty in Shanghai, China. In addition, we evaluated the significance of pre-operative screening by calculating a cost-to-benefit ratio.MethodsA retrospective observational study of pre-operative screening for BBPs, including hepatitis B and C viruses (HBV and HCV), human immunodeficiency virus (HIV) and Treponema pallidum (TP), was conducted for sequential patients in the orthopaedic department of a large urban teaching hospital between 01 January 2009 and 30 May 2016. Medical records were analysed to verify the seroprevalence of these BBPs among the patients stratified by age, gender, local origin, type of surgery, history of previous transfusion and marital status.ResultsOf the subjects who underwent arthroplasty surgery in our institution, pre-operative screening tests were available for 96.1% (11 609 patients). The seroprevalence of HBV, HCV, HIV and TP was 5.47%, 0.45%, 0.08% and 3.6%, respectively. A total of 761 seropositive cases (68.4%) were previously undiagnosed. Pre-operative screening for HIV resulted in a low cost to benefit ratio, followed by HCV and HBV.ConclusionRoutine HCV and HIV screening prior to joint arthroplasty is not a cost-effective strategy. Considering the high rate of undiagnosed patients and the shortage of protective options, targeted pre-operative screening for HBV and syphilis should be considered for the protection of healthcare workers in China who have not been vaccinated.Cite this article: Bone Joint Res 2017;6:566–571.

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“…Notably, the frequency of accidental exposure to biohazard agents increases among workers with less working seniority, such as nursing students or trainees, compared to the older workers (22–24). Conversely, other studies showed that workers with >15 years professional experience had an incidence rate for accidental contamination three times higher than workers with a work experience ≤5 years (25).…”

Section: Hcv Infection In Health-care Workersmentioning

confidence: 99%

The risk of HCV infection among health-care workers and its association with extrahepatic manifestations

Garozzo

Falzone

Rapisarda

et al. 2017

Molecular Medicine Reports

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Health care workers (HCWs) are frequently exposed to different biological agents during their activities and are frequently monitored. Among these infectious agents, human hepatitis C (HCV) can infect HCWs. In this review article, the risk of HCV infection among HCWs is discussed along with extrahepatic HCV-related malignancies, such as non-Hodgkin lymphoma. Accidental contamination, represented by percutaneous and mucocutaneous infections is the main risk factor for such infection. The compliance of the protection procedures, included in the current regulation for HCWs, is the most important issue to reduce the risk of pathogen infections that in turn may produce reduction of infection-associated malignancies.

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Percutaneous and Mucocutaneous Exposure Among Orthopaedic Surgeons

Cited by 11 publications

References 12 publications

Assessment of needle stick injuries among healthcare workers: a cross-sectional study from Kakiri military and SOS hospitals, Uganda

Assessment of needle stick injuries among healthcare workers: a cross-sectional study from Kakiri military and SOS hospitals, Uganda

The role of routine screening in blood-borne pathogens in Chinese patients undergoing joint arthroplasty

The risk of HCV infection among health-care workers and its association with extrahepatic manifestations

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