" concern of health care workers.the aim of this"
Subject Areas : علوم پزشکیSara Rastegari 1 , Zahra Mostafavian 2
1 - متخصص عفونی-استادیار- دانشکده پزشکی-دانشگاه آزاد اسلامی مشهد
2 - متخصص پزشکی اجتماعی- استادیار-دانشکده پزشکی- دانشگاه ازاد اسلامی مشهد
Keywords: Hospital, occupational exposure – health personnel,
Abstract :
Background:Occupational exposure to blood and body fluids is a serious concern of health care workers.the aim of this study was to determine the frequency of occupational blood and body fluids exposures among Mashhad Islamic Azad university hospital's health care workers in 1394. Methods:this analytical and descriptive study was conducted among Mashhad Islamic Azad university hospital's health care workers,who had direct contact with paitents in 1394.A checklist was provided to health care workers,containing data about occurness of occupational exposures,age sex, frequency of injuries,type of injuries ,work experience ,job category and ward. Results:of the 430 healthcare workers completed the checklists,145(33/7%) reported having been exposed to blood and body fluids in the last year.splash of blood and body fluids was the most reported injury(in 26/69% of cases)followed by needle stick (26/06%) and suture needles(15/69%). The majority of the exposures occurred in the emergency department(22/8%) followed by surgery department.two factors associated with occupational exposures were ward and job.age ,sex,work experience were not associated with all kinds of injuries.only splash of blood and body fluids was related to age and sex(p<0/05).needle stick, suture needle,recaping,splash,scalpel and drug bottle were related to job and the majority of the exposures was among nurses and operation technicians. All kinds of occupational exposures were related to ward including needle stick , suture needle, recaping, splash and scalpel and the majority occurred in emergency department. Conclssion:considering the high rate of occupational exposure among nurses and high rate of all kinds of exposures in emergency department in 17 Shahrivar , Farabi, 22Bahman , Aria hospitals, further preventive standard precautions shoud be implemented to prevent occupational exposures and emphasized on the importance of more education.splash was the most common cause of occupational exposures due to lack of using mask and eyesheild, so this personal protective equipments shoud be provided in adequate number and shoud be available . high rate of occupational exposure with suture needle ,scalpel and drug bottle in nurses emphasized on the importance of targeted education for personels. So that educations shoud be proportionable to personnel's special exposures.
1. معصومی اصل ، حسین و همکاران.راهنمای کشوری نظام مراقبت عفونت های بیمارستانی.تهران: وزارت بهداشت، درمان و آموزش پزشکی، مرکز مدیریت بیماری ها، 1385.
2. Ribeiro Fagundes de Souza-Borges F, Araujo Ribeiro L, Carlos L, de Oliveira M, Occupational Exposures to Body Fluids and Behaviors Regarding Their Prevention and post-Exposure among medical and nursing students at a Brazilian public university. Rev Inst Med Trop sao Paulo. 2014 Mar-Apr; 56(2): 157-163.
3. Farsi D, Zare M.A, Hassani S.A, Abbasi S, Emaminaini A, Hafezimoghadam P, et al. Prevalence of occupational exposure to blood and body secretions and its related effective factors among health care workers of three emergency Departments in Tehran, J Res Med Sci. 2012 Jul; 17(7): 656-661.
4. Center for Disease Control and Prevention. Updated U.S. public health service guidelines for the management of occupational exposures to HBV, HCV and HIV and recommendations for postexposure prophylaxis. MMWR Recomm Rep. 2001;50:1–52.
5. Fauci AS,Lane C.Human Immunodeficiency Virus Disease:AIDS and Related Disorders.In: Faci A,Kasper D,Hausers S,Longo D,Jameson L,Loscalzo J. Harison's Internal Medicine.19th ed.New York:Mc Graw-Hill;2015.p.1222.
6.Sharma GK, Gilson MM, Nathan H, Makary MA. Needlestick injuries among medical students: incidence and implications. Acad Med. 2009;84:1815–21.
7. Nouetchognou JS, Ateudjieu J, Jemea B, Mbanya D. Accidental exposures to blood and body fluids among health care workers in a Referral Hospital of Cameroon. BMC Res Notes. 2016 Feb 15;9:94.
8. Marković-Denić L, Branković M, Maksimović N, Jovanović B, Petrović I, Simić M, Lesić AOccupational exposures to blood and body fluids among health care workers at university hospitals. Srp Arh Celok Lek. 2013 Nov-Dec;141(11-12):789-93.
9. Kaweti G, Abegaz T. Prevalence of percutaneous injuries and associated factors among health care workers in Hawassa referral and adare District hospitals, Hawassa, Ethiopia, January 2014. BMC Public Health. 2016 Jan 5;16:8.
10.Shokuhi Sh, Gachkar L, Alavi-Darazam I, Yuhanaee P, Sajadi M. Occupational Exposure to Blood and Body Fluids among Health Care Workers in Teaching Hospitals in Tehran, Iran. Iran Red Crescent Med J. 2012 Jul;14(7):402-7.
11.Amini M, Behzadnia MJ, Saboori F, Bahadori M, Ravangard R. Needle-Stick Injuries Among Healthcare Workers in a Teaching Hospital. Trauma Mon. 2015 Nov; 20(4):e18829.
12. قانعی قشلاق رضا ،زاهدنژاد حسین،شبانی فیدان،حمه مجید،قهرمانی محمد،فرج زاده محمد و همکاران. آسیب نیدل استیک و عوامل مرتبط با آن در پرستاران. نشریه پرستاری ایران،دوره 27، شماره 89 (شهریور1393) : 21-29.
13. Khalil Sda S, Khalil OA, Lopes-Júnior LC, Cabral DB, Bomfim Ede O, Landucci LF, Santos Mde L. Occupational exposure to bloodborne pathogens in a specialized care service in Brazil. Am J Infect Control. 2015 Aug;43(8):e39-41.
19. قانعی قشلاق رضا ،زاهدنژاد حسین،شبانی فیدان،حمه مجید،قهرمانی محمد،فرج زاده محمد و همکاران. آسیب نیدل استیک و عوامل مرتبط با آن در پرستاران. نشریه پرستاری ایران،دوره 27، شماره 89 (شهریور1393) : 21-29.
_||_