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    Wyświetlanie 1-8 z 8
    Tytuł:
    Do surgeons use double gloves during surgery? Results of a survey
    Autorzy:
    Walczak, Dominik
    Grajek, Maciej
    Pawełczak, Dariusz
    Żółtaszek, Agata
    Szumniak, Ryszard
    Czarnecki, Marek
    Trzeciak, Piotr
    Krakowczyk, Łukasz
    Maciejewski, Adam
    Pasieka, Zbigniew
    Tematy:
    needlestick injuries
    surgical gloves
    surveys and questionnaires
    Pokaż więcej
    Wydawca:
    Index Copernicus International
    Powiązania:
    https://bibliotekanauki.pl/articles/1391524.pdf  Link otwiera się w nowym oknie
    Opis:
    Introduction: The perforation of gloves during surgical procedures is quite common. A cheap and quite effective method of reducing the risk of blood-borne infections is wearing two pairs of gloves. Unfortunately, some surgeons are reluctant to it, and they report decreased dexterity and sensation. The aim of the study was to evaluate surgeons’ double-gloving practices to determine the factors related to compliance. Material and methods: An anonymous, 21-question survey in Polish was sent by post to 41 surgical departments. The questions concerned: demographic data, type of surgical gloves used, allergy to latex, number of surgeries performed, frequency of using double gloves and negative impressions from using them and finally, the frequency of needlestick injuries during surgical procedures. Results: We received 179 questionnaires back. More than 62% of the surgeons believe that double gloves provide better protection than a single pair, 24% do not believe in this, and 14% have no opinion. Only 0.6% of respondents always use double gloves during surgery, 19% double glove in at least 25% of cases and 68% do it occasionally. 13% of the surgeons declared that they had never worn double gloves. During high-risk procedures, 86% of respondents wear double gloves. About half of respondents (50.3%) report discomfort while wearing double gloves; 45% – decreased dexterity; about 30% complain of numbness and tingling; and 64% – decreased sensation. Conclusion: Due to the high number of surgical glove perforations and relatively high prevalence of needlestick injuries, it is necessary to use methods that reduce the risk of transmission of pathogens. The habit of using a double pair of gloves should be implemented especially among young surgeons starting to train in their specialities. Consequently, the period of initial discomfort will be combined with the acquisition of surgical skills, which will allow for gradual acclimatization.
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Occupational exposure to sharp injuries among medical and dental house officers in Nigeria
    Autorzy:
    Osazuwa-Peters, Nosayaba
    Obarisiagbon, Aimuamwosa
    Azodo, Clement C.
    Ehizele, Adebola O.
    Obuekwe, Ozoemene N.
    Tematy:
    occupational exposures
    sharp injuries
    needlestick injuries
    medical and dental house officers
    underreporting
    Nigeria
    Pokaż więcej
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Powiązania:
    https://bibliotekanauki.pl/articles/2179782.pdf  Link otwiera się w nowym oknie
    Opis:
    Objective: Sharp injuries constitute important occupational exposure in hospital environment, and perhaps the newly graduated medical and dental students, known as House Officers, in the first twelve months of their practice, are the most vulnerable of all health workers. This study was designed to examine the nature and prevalence of occupational injuries among medical and dental house officers and factors associated with reporting these injuries. Materials and Methods: A self-administered questionnaire was used to obtain information on demography, types of exposure, and barriers to official reporting of occupational injuries. One hundred and forty-four medical and dental house officers in 3 government owned hospitals in Edo State, Nigeria participated in the study, between April and May, 2010. Descriptive and multivariable analyses were performed. Results: The overall response rate was 96%. Out of all participants, 69.4% were male; 82.6% were medical house officers. Prevalence of percutaneous injury was 56.9%; where needlestick injury constituted one-third of all injuries. Mean frequency of injury was 1.86±2.24, with medicals having more injuries (p = 0.043). The ward was the most common location for the injury and 14.8% of exposures occurred as a result of lapse in concentration. At least 77.0% did not formally report their injury and perceived low injury risk was the most common reason given (51.67%). Conclusion: This study shows that a substantial number of House Officers are exposed to occupational injuries and that the majority of them does not formally report these. Safer work environment may be achieved by implementing adequate educational programs tailored specifically to house officers, and policies encouraging exposure reporting should be developed.
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Needlestick and sharps injuries at a German university hospital: epidemiology, causes and preventive potential – a descriptive analysis
    Autorzy:
    Kaur, Manmeet
    Mohr, Sonja
    Andersen, Gabriele
    Kuhnigk, Olaf
    Tematy:
    occupational safety
    sharps injuries
    care workers
    needlestick injuries
    exposures to body fluids
    safety-engineered device
    Pokaż więcej
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Powiązania:
    https://bibliotekanauki.pl/articles/2085760.pdf  Link otwiera się w nowym oknie
    Opis:
    Objectives To analyze the number, epidemiology and circumstances of needlestick and sharps injuries (NSSI) and exposures to body fluids and to identify further preventive measures to improve the occupational safety of health care workers (HCW). Material and Methods Setting: German university tertiary-care referral center. Retrospective study based on injury documentation sheets of the hospital’s staff and faculty health service and, if given, on reports by continuity doctors and by the accident and emergency department in January 2014–June 2016. Results Altogether, 567 injuries were registered with a significant decrease of cases over the study period. The majority of accidents occurred in the operating theater (35%). Stress, time pressure, overstrain, carelessness and distraction were found to be the main reasons for injuries. At least 30% of the cases were preventable, mainly by wearing personal protective equipment (PPE), by proper disposal of an item and by early replacement of overfilled sharps containers (SC). In 20% of the cases involving an item, the injury was caused by a safety-engineered device (SED). Almost one-third of these injuries were attributable to an improper use of the SED. Conclusions Despite many efforts made to reduce their number, NSSI still occur. Health care workers and students should be offered regular trainings to be sensitized to this topic and to learn the appropriate use of SED. Moreover, organizational measures must be taken, such as the provision of suitable PPE and safe SC. Strategies need to be established to improve the working conditions and reduce the stress level of HCW.
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Sharps Injury Prevention for Hospital Workers
    Autorzy:
    Toraman, A. R.
    Battal, F.
    Ozturk, K.
    Akcin, B.
    Tematy:
    hospital infection control
    hospital infections
    needlestick injuries
    occupational health in hospitals
    protective measures
    sharps injuries
    Pokaż więcej
    Wydawca:
    Centralny Instytut Ochrony Pracy
    Powiązania:
    https://bibliotekanauki.pl/articles/90795.pdf  Link otwiera się w nowym oknie
    Opis:
    Objectives. The purpose of this study was to collect data on self-reported sharps injuries to develop best practices to reduce them. Methods. Data on sharps injuries were collected for the period of January–October 2008 using Adverse Event Notification Forms already in use at Sema Hospital. Results. On average, 0.2% of all self-reported injuries were sharps injuries averaging one injury per month. Housekeeping staff sustained 64% of such injuries, nurses sustained 36% (5 incidents). Outpatient clinics experienced the most injuries at 28%, followed by the Internal Diseases Inpatient Unit with 21% and the Medical Waste Room with 14%. Injuries often occurred during contact with medical waste bags (28%) and while replacing full sharp-boxes (14%). Conclusion. In summary, reducing needle stick injuries is an important component of the occupational and patient safety program at Sema Hospital. The research described in this study allowed the hospital to provide targeted interventions to increase awareness of the risks of needle stick injuries and reduce such injuries. The steps used in the study can be used in any health care organization in the world to design a customized improvement plan to reduce risk and injury.
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Work safety among Polish health care workers in respect of exposure to bloodborne pathogens
    Bezpieczeństwo pracy polskich pracowników ochrony zdrowia w kontekście narażenia na materiał krwiopochodny
    Autorzy:
    Rybacki, Marcin
    Piekarska, Anna
    Wiszniewska, Marta
    Walusiak-Skorupa, Jolanta
    Tematy:
    pracownicy ochrony zdrowia
    urazy z ukłucia igłą
    patogeny krwiopochodne
    zgłoszenie ekspozycji
    healthcare workers
    needlestick injuries
    bloodborne pathogens
    exposure notification
    Pokaż więcej
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Powiązania:
    https://bibliotekanauki.pl/articles/2168394.pdf  Link otwiera się w nowym oknie
    Opis:
    Objectives: Viral hepatitis is the second most often identified infectious illness acquired at work and it is mostly registered among health care personnel. This group of workers is at greater risk of exposure to blood and bloodborne pathogens, including hepatitis B and C viruses. The aims of this study were to evaluate the efficacy of methods promoting work safety in healthcare settings, to assess the frequency of exposures in the last 12 months prior to the study and to determine a rate of reporting them to appropriate authorities. Methods: A total of 1138 Polish healthcare workers were interviewed during the study period (between 2009 and 2010). Results: Sustaining accidental occupational percutaneous exposure during last 12 months was declared by 242 workers (21% of the whole group). Only in 146 cases these incidents were reported to authorities. Exposure incidents were associated with self-perception of high risk of exposure (OR = 3.69, p = 0.0027), employment in out-patient (vs. hospital-based) healthcare setting (OR = 1.71, p = 0.0089), conviction that the level of information about bloodborne infections conveyed at work was insufficient, lack of both exposure reporting system and knowledge about the ways of reporting. Conclusions: Despite the different established proposals of the post-exposure procedures, it turns out that particularly in small, not providing 24 hours service healthcare settings these procedures are not known or are not respected. More attention should be given to education, especially in regard to the risk of infection, advantages of post-exposure prophylaxis and reporting exposure incidents. Med Pr 2013;64(1):1–10
    Wstęp: Wirusowe zapalenie wątroby jest drugą najczęściej stwierdzaną zakaźną chorobą zawodową i rozpoznawaną głównie u pracowników ochrony zdrowia. Ta grupa zawodowa jest najbardziej narażona w miejscu pracy na ryzyko ekspozycji na patogeny krwiopochodne, w tym wirusy HBV i HCV. Celem badania była ocena skuteczności działań ukierunkowanych na bezpieczeństwo pracy w placówkach ochrony zdrowia, częstości incydentów ekspozycji na materiał biologiczny w ostatnich 12 miesiącach poprzedzających badanie oraz ich zgłaszalności. Materiał i metody: Do analizy użyto badania kwestionariuszowego przeprowadzonego w latach 2009-2010 wśród 1138 pracowników ochrony zdrowia. Wyniki: Ekspozycja na materiał biologiczny miała miejsce u 242 pracowników (21% całej grupy). Tylko 146 osób zgłosiło te zdarzenia odpowiednim służbom. Przypadkowe przerwanie ciągłości tkanek miało związek z postrzeganiem pracy jako obarczonej wysokim stopniem narażenia (OR = 3,69, p = 0,0027), zatrudnieniem w ambulatoryjnych (w porównaniu ze stacjonarnymi) placówkach ochrony zdrowia (OR = 1,71, p = 0,0089), przekonaniem o niewystarczającym poziomie przekazywanych przez zakład pracy informacji na temat zakażeń krwiopochodnych oraz brakiem procedur i wiedzy dotyczących raportowania ekspozycji. Wnioski: Mimo prezentowania w różnych publikacjach wytycznych dotyczących postępowania poekspozycyjnego, szczególnie w placówkach nieświadczących usług całodobowych, procedury te są nieznane bądź nieprzestrzegane. Powinien być kładziony większy nacisk na szkolenie pracowników, szczególnie w zakresie ryzyka transmisji zakażeń oraz korzyści płynących z przestrzegania procedur poekspozycyjnych i zgłaszania przypadków ekspozycji. Med. Pr. 2013;64(1):1-10
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Did safety-engineered device implementation contribute to reducing the risk of needlestick and sharps injuries? Retrospective investigation of 20 years of observation in a specialist tertiary referral hospital
    Autorzy:
    Szczypta, Anna
    Różańska, Anna
    Siewierska, Małgorzata
    Drożdż, Kamil
    Szura, Mirosław
    Talaga-Ćwiertnia, Katarzyna
    Tematy:
    occupational exposure
    needlestick and sharps injuries
    safety-engineered device
    healthcare workers
    implementation of European Union Council Directive
    2010/32/EU
    Pokaż więcej
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Powiązania:
    https://bibliotekanauki.pl/articles/31341055.pdf  Link otwiera się w nowym oknie
    Opis:
    Objectives In Poland, there are numerous cases of injuries caused by sharp instruments annually, still significantly more than in other European Union countries. The aim of this study was to analyze work-related injuries among healthcare workers in a selected hospital before and after the implementation of safety-engineered devices (SED). Material and Methods Retrospective analysis of medical documentation regarding occupational needlestick and sharps injuries (NSSI) in a tertiary referral surgical hospital in 1998–2018. The study group consisted of nurses and doctors who had been injured and reported the incident. The frequency of injury reports, injury rate, and characterization of circumstances surrounding NSSI are presented. Results Over the period of 20 years, a total of 257 NSSI incidents were reported. The average injury rate was statistically significant for nurses (p = 0.004) and was higher before the introduction of SED. Moreover, the number of injuries among nurses showed a downward trend during the study period. However, for doctors, there was no statistically significant difference in the median puncture rate (p = 0.099), and the number of injuries showed an increasing trend. Conclusions In this study, the authors’ have demonstrated not only the occurrence of injuries and punctures in the daily work of medical personnel but also the potential for their reduction through the use of safety equipment at every workstation where healthcare services are provided using sharp medical instruments.
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Percutaneous Exposure Incidents Among Australian Hospital Staff
    Autorzy:
    Smith, D. R.
    Leggat, P. A.
    Takahashi, K.
    Tematy:
    Percutaneous Exposure Incident
    needlestick
    sharps
    health care workers
    Australia
    hospital
    universal precautions
    nurse
    doctor
    Hepatitis B
    pielęgniarka przemysłowa
    szpitale
    wypadki przy pracy
    warunki pracy
    czynniki ryzyka
    personel pielęgniarski
    Pokaż więcej
    Wydawca:
    Centralny Instytut Ochrony Pracy
    Powiązania:
    https://bibliotekanauki.pl/articles/90789.pdf  Link otwiera się w nowym oknie
    Opis:
    We investigated all reported percutaneous exposure incidents (PEI) among staff from a large Australian hospital in the 3-year period, 2001–2003. There were a total of 373 PEI, of which 38.9% were needlestick injuries, 32.7% were cutaneous exposures and 28.4% sharps-related injuries. Nurses were the most commonly affected staff members, accounting for 63.5% of the total, followed by doctors (18.8%) and other staff (17.7%). Needlestick injuries were responsible for the majority of nurses’ PEI (44.7%). Sharps injuries constituted the major category for doctors (44.3%). Most needlestick injuries (67.6%) were caused by hollow-bore needles, while the majority of cutaneous exposures involved blood or serum (55.8%). Most sharps injures were caused by unknown devices (35.9%) or suture needles (34.9%). Overall, our investigation suggests that PEI is a considerable burden for health care workers in Australia. Further research is now required to determine the relationships, if any, between workers who suffer PEI and those who do not.
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Risk of occupational exposure to the HBV infection in non-clinical healthcare personnel
    Ryzyko zawodowego narażenia na zakażenie HBV u personelu niemedycznego zatrudnionego w placówkach służby zdrowia
    Autorzy:
    Rymer, Weronika
    Gładysz, Andrzej
    Filipowski, Henryk
    Zubkiewicz-Zarębska, Anna
    Tumińska, Anna
    Knysz, Brygida
    Tematy:
    HBV
    pracownicy pomocniczy
    zakłucie
    szczepienie przeciw WZW B
    zawodowe ryzyko zakażenia HBV
    salowe
    non-clinical healthcare personnel
    needlestick injury
    vaccination against HBV
    occupational risk of HBV infection
    orderlies
    Pokaż więcej
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Powiązania:
    https://bibliotekanauki.pl/articles/2164297.pdf  Link otwiera się w nowym oknie
    Opis:
    Background Occupational risk of blood-borne infections is investigated mostly among nurses and doctors, studies concerning non-clinical health personnel (nCHP) being rare. The analysis of the occupational exposure to the hepatitis B virus (HBV) infection and the history of vaccination against the HBV in the nCHP group has been the aim of the study. Material and Methods A retrospective analysis of 458 cases of the occupational exposure to biological agents was conducted: group I – doctors (N = 121, 28%), group II – nursing staff (N = 251, 55%), group III – nCHP (N = 86, 19%). Results In the group III the source was usually unknown (group: I – 0.83%, II – 11.16%, III – 86.05%, p < 0.001), and the proportion of individuals vaccinated against hepatitis B before the exposure was the lowest (group: I – 98.35%, II – 97.19%, III – 77.91%, p < 0.001). In this group most exposures resulted from injuries caused by needles/sharps deposited in waste sacks (60%) or anywhere outside of the medical waste container (5%). The possibility of the HBV infection risk during the exposure was found in 25 cases and was significantly more frequent in the group III. The qualification for the HBV post-exposure prophylaxis was also significantly more frequent in the group III. Conclusions The exposure to the occupational risk of the HBV infection also concerns the non-clinical healthcare personnel. The non-clinical healthcare personnel comprises one of the main groups of the HBV post-exposure recipients. It is essential to determine the causes of the low hepatitis B vaccination coverage in the nCHP and consider introduction of mandatory vaccination in this group in Poland. Med Pr 2016;67(3):301–310
    Wstęp Narażenie zawodowe na zakażenia krwiopochodne bada się przede wszystkim u pielęgniarek i lekarzy, rzadko u innych grup zawodowych pracujących w placówkach opieki zdrowotnej. Celem badania była ocena ryzyka zawodowego narażenia na zakażenie wirusem zapalenia wątroby typu B (WZW B) i realizacji szczepień przeciw WZW B u pracowników pomocniczych zatrudnionych w Zespołach Opieki Zdrowotnej (ZOZ). Materiał i metody Retrospektywną analizą objęto 458 osób eksponowanych zawodowo na materiał biologiczny: lekarzy – grupa I (N = 121, 28%), personel pielęgniarski – grupa II (N = 251, 55%) i personel pomocniczy – grupa III (N = 86, 19%). Wyniki W grupie III pacjent będący źródłem zakażenia personelu (pacjent źródłowy) był najczęściej nieznany (grupa: I – 0,83%, II – 11,16%, III – 86,05%, p < 0,001), a odsetek wykonanych szczepień przedekspozycyjnych najniższy (grupa: I – 98,35%, II – 97,19%, III – 77,91%, p < 0,001). Badani z grupy III byli narażeni na zakażenie WZW B najczęściej poprzez skaleczenie/zakłucie ostrym narzędziem znajdującym się w worku ze śmieciami (60%) lub innych miejscach poza pojemnikiem na odpady medyczne (5%). Ryzyko zakażenia WZW B stwierdzono łącznie u 25 osób, jednak istotnie częściej występowało ono w grupie III. Także osoby z tej grupy badanej najczęściej kwalifikowano do profilaktyki poekspozycyjnej zakażenia WZW B. Wnioski Pracownicy pomocniczy zatrudnieni w służbie zdrowia również są zawodowo narażeni na zakażenie WZW B. Stanowią oni jedną z głównych grup pacjentów, u których stosuje się profilaktykę poekspozycyjną zakażenia WZW B. Konieczna jest ocena przyczyn niższego odsetka szczepień przeciw WZW B u pracowników pomocniczych niż u lekarzy i personelu pielęgniarskiego i wprowadzenie obowiązku szczepień w tej grupie w Polsce. Med. Pr. 2016;67(3):301–310
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
      Wyświetlanie 1-8 z 8

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