The Comparison of Sharps Injuries Reported by Doctors Versus Nurses from Surgical Wards in the Context of the Prevalence of HBV, HCV and HIV Infections
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The aim of the study was to evaluate the nature and frequency of sharps injuries among doctors and nurses from the same surgical/gynecological wards and the prevalence of HBV/HCV/HIV infection.Material and methods. An anonymous cross-sectional sero-survey, with ELISA system used to detect anti-HBc, anti-HCV, anti-HIV, was conducted among 89 doctors and 414 nurses from 16 randomly selected hospitals in West Pomerania, Poland, between January-June 2009.Results. During the preceding 12 months, 82% doctors and 44.4% nurses (p<0.0001) had sustained at least one sharps injury; 12.3% doctors vs 2.2% nurses (p<0.003) sustained more than 10 injuries. The multivariable regression model revealed that being a doctor was associated with a greater odds (OR 4.2) of being injured with sharps. Sixty nine percent of nurses sustained a hollow-bore needle injury vs 8.9% doctors; p<0.001. Anti-HBc were found in 16.4% of doctors and 11.2% of nurses, p>0.28; anti-HCV - in 1.1% of doctors vs 1.4% of nurses, p>0.79; no anti-HIV positive cases were found. The analysis of potential risk factors for contracting a HBV revealed that for both job categories only length of employment was associated with an increased odds of being infected.Conclusions. Although the prevalence of HBV/HCV infection between doctors and nurses does not differ significantly, modifiable risk factors for contracting a BBI such as frequency and nature of sharps injuries may differ, which call for tailoring preventive measures to specific job categories. Long lasting exposure to injury events should be taken into consideration while assessing the risk for accuiring an occupational infection with HBV, HCV or HIV.
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- Save needles save lives. Joint Statement by the European Federation of Nurses Associations and the International Council of Nurses. 01/12/2004.
- Moloughney BW: Transmission and postexposure management of bloodborne virus infections in the health care setting: Where are we now? CMAJ 2001; 165: 445-51.
- Berguer R, Heller PJ: Strategies for preventing sharps injuries in the operating room. Surg Clin N Am 2005; 85: 1299-1305.
- FritzSimons D, Francois G, De Carli G et al.: Hepatitis B virus, hepatitis C virus and other blood-borne infections in health care workers: guideliness for prevention and management in industrialised countries. Occup Environ Med 2008; 65: 446-51.[WoS]
- Gerberding JL, Littell G, Tarkington A et al.: Risk of exposure of surgical personnel to patients blood during surgery at San Francisco General Hospital. N Engl J Med 1990; 322: 1781-93.
- Davanzo E, Frasson HA, Morandin HA et al.: Occupational blood and body fluid exposure of university health care workers. Am J Infect Contr 2008; 36: 753-56.
- Wicker S, Jung J, Allwinn R et al.: Prevalence and prevention of needlestick injuries among HCWs in a German university hospital. Int Arch Occup Environm Health 2008; 81: 347-54.
- Gańczak M, Bohatyrewicz A, Szych Z et al.: Markery zakażenia HBV, HCV i HIV u pacjentów i personelu klinicznego oddziału ortopedii. Chir Narz Ruchu Ortop Pol 2008; 73: 83-88.
- R Development Core Team. R: A language and environment for statistical computing. Vienna: R Foundation for Statistical Computing, 2005. URL
- Nguyen M, Paton S: Surveillance of healthcare workers exposed to blood/body fluids and bloodborne pathogens: 1 April, 2000 to 31 March, 2001. Canada Communicable Disease Report. 2001; 27: 201.
- Stein AD, Makarawo TP, Ahmad MFR: A survey of doctors' and nurses' knowledge, attitudes and compliance with infection control guideliness in Birmingham teaching hospitals. J Hosp Infect 2003; 54: 68-73.
- Vaz K, McGrowder D, Crawford T et al.: Prevalence of injuries and reporting of accidents among health care workers at the University Hospital of the West Indies. Int J Occup Med Environ Health. 2010; 23: 133-43.[WoS]
- Gańczak M, Barss P, Al-Marashda A et al.: Haddon Matrix as a useful tool in assessing sharps injuries in emergency departments in United Arab Emirates. Infect Control Hosp Epidemiol 2007; 28: 751-54.
- Beltrami EM, Williams IT, Shapiro CN et al.: Risk and management of blood-borne infections in health care workers. Clin Microbiol Rev 2000; 13: 385-407.[PubMed][Crossref]
- Gańczak M, Szych Z: Przesłanki do wdrożenia przedoperacyjnego badania pacjentów w kierunku zakażenia HCV w świetle wyników oznaczeń anty- HCV i HBsAg w populacji pacjentów klinicznych oddziałów zabiegowych. Przegl Epid 2009; 42: 164-71.
- Hanrahan A, Reutter L: A critical review of the literature on sharps injuries: epidemiology, management and prevention. J Adv Nurs 1997; 25: 144-54.[Crossref][PubMed]
- Gailiene G, Cenenkiene R: Professional biological risk factors of health care workers. Medicina 2009; 45: 530-36.
- Bennett NT, Howard RJ: Quantity of blood inoculated in a needlestick injury from suture needles. J Am Coll Surg 1994; 178: 107-10.
- Krikorian R, Lozach-Perlant A, Ferrier-Rembert A et al.: Standardization of needlestick injury and evaluation of a novel virus-inhibiting protective glove. J Hosp Inf 2007; 44: 339-45.[Crossref]
- Trape-Cardoso M, Schenck P: Reducing percutaneous injuries at an academic health center: a 5-year review. Am J Infect Control 2004; 32: 301-05.[Crossref]
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