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Evaluation of reported percutaneous/mucocutaneous injuries in a tertiary care hospital

Abstract number: 1734_148

Kanyilmaz D., Erbay A., Avci N., Oztas D., Bodur H.

Objectives: Healthcare workers (HCW) have the risk of occupational exposure to bloodborne pathogens. This study is planned to examine the characteristics of exposures in HCW.

Methods: Prospective surveillance of percutaneous, mucous membrane, and cutaneous contacts. A structured survey form was administered to HCW by person-to-person interview, who sought medical advice following the injury from The Infection Control Department (ICD).

Results: There were 2938 HCW including housekeeping staff in ANEAH. Thirty-six HCW applied to ICD following the injury from Oct 2005 to Oct 2006 and 34 of them were interviewed. Mean age was 31.8 (range 18–52) and 17 (50%) were female. HCW of the surgical wards were accounted for 35% of the injuries. Most of the injured HCW were working as housekeeping staff (44%). Half of the HCW were working more than five years in their job, no statistically significant difference was obtained between the employment duration of the injured HCW. Almost all of the HCW (88%) described themselves as an experienced staff at their job. Although 94% of the HCW told that they were not tired at the time of the injury, most of the injuries occurred at the last hour of the shift (p = 0.039) and most of the injuries occurred on Friday (27%) but no statistically significant difference was found between the days of the week. Needle stick injuries were the most common type. Of the injured HCW, 82.6% were using personal protective equipment. Among HCW surveyed, 82.4% of them had blood screening test for hepatitis B, C and HIV in last 6 months; but only 52.4% had been previously vaccinated against HBV. The main reason for the unvaccinated status was personal neglectfulness (50%). HCW sought medical advice following the injury by attending (71%) and phone call (21%) to ICD. The serologic profiles of the source patients were unknown in 44%, HBsAg was positive in 32%, HCV was positive in 12% and HIV was positive in 3%. Eleven of the HCW injured from a HBsAg positive patient had received postexposure prophylaxis against HBV, including immunoglobulin and vaccination within 72 hours of injury. Also sixteen HCW who were negative screening tests for hepatitis B were enrolled to vaccination programme.

Conclusion: Housekeeping staff injuries ranked first at our facility and most of these injuries caused by devices discarded inappropriately. Hepatitis B immunisation, universal precautions training, barrier protection, and safer disposal systems should be implemented.

Session Details

Date: 31/03/2007
Time: 00:00-00:00
Session name: European Society of Clinical Microbiology and Infectious Diseases
Subject:
Location: ICC, Munich, Germany
Presentation type:
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