Temat: needlestick injuries

Skocz do pozycji: 1.

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

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Skocz do pozycji: 2.

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

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Skocz do pozycji: 3.

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

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Skocz do pozycji: 4.

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

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Skocz do pozycji: 5.

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

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Skocz do pozycji: 6.

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

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