Blood and body fluid exposures during clinical training: Relation to knowledge of universal precautions

被引:16
作者
Diekema, DJ [1 ]
Albanese, MA [1 ]
Schuldt, SS [1 ]
Doebbeling, BN [1 ]
机构
[1] UNIV IOWA,COLL MED,DEPT INTERNAL MED,DIV GEN MED CLIN EPIDEMIOL & HLTH SERV RES,IOWA CITY,IA 52242
关键词
education; medical students; needlestick injuries; universal precautions;
D O I
10.1007/BF02599587
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
To investigate the relation between knowledge of universal precautions and rates of exposure to blood and body fluid during clinical training, a cohort of 155 students was surveyed following training in universal precautions and 18 months later. A total of 127 students (82%) participated; 58 (46%) experienced at least one exposure during the first clinical training year. Knowledge of universal precautions was inversely associated with the frequency of mucous membrane exposures (p =.001): an apparent ''dose-response'' effect was evident (one-way analysis of variance; F = 5.2, p = .007). Students are frequently exposed to blood and body fluid during clinical training. Higher levels of retained knowledge about universal precautions are associated with a decreased risk of mucous membrane exposure.
引用
收藏
页码:109 / 111
页数:3
相关论文
共 14 条
[1]  
*ASS AM MED COLL E, 1992, REC REG HLTH SERV ME
[2]   TEMPORAL ASSOCIATION BETWEEN IMPLEMENTATION OF UNIVERSAL PRECAUTIONS AND A SUSTAINED, PROGRESSIVE DECREASE IN PERCUTANEOUS EXPOSURES TO BLOOD [J].
BEEKMANN, SE ;
VLAHOV, D ;
KOZIOL, DE ;
MCSHALLEY, ED ;
SCHMITT, JM ;
HENDERSON, DK .
CLINICAL INFECTIOUS DISEASES, 1994, 18 (04) :562-569
[3]   UNIVERSAL PRECAUTIONS TRAINING OF PRECLINICAL STUDENTS - IMPACT ON KNOWLEDGE, ATTITUDES, AND COMPLIANCE [J].
DIEKEMA, DJ ;
SCHULDT, SS ;
ALBANESE, MA ;
DOEBBELING, BN .
PREVENTIVE MEDICINE, 1995, 24 (06) :580-585
[4]   ENTERING 1ST-YEAR RESIDENTS EXPERIENCES AND KNOWLEDGE OF INFECTION CONTROL OF HEPATITIS-B AND HIV, AT 5 UNIVERSITY-AFFILIATED HOSPITALS [J].
GOETZ, A ;
YU, CM ;
MUDER, RR .
ACADEMIC MEDICINE, 1992, 67 (04) :275-276
[5]   A 5-YEAR STUDY OF NEEDLESTICK INJURIES - SIGNIFICANT REDUCTION ASSOCIATED WITH COMMUNICATION, EDUCATION, AND CONVENIENT PLACEMENT OF SHARPS CONTAINERS [J].
HAIDUVEN, DJ ;
DEMAIO, TM ;
STEVENS, DA .
INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 1992, 13 (05) :265-271
[6]   NEEDLESTICK INJURIES AMONG RESIDENT PHYSICIANS [J].
HEALD, AE ;
RANSOHOFF, DF .
JOURNAL OF GENERAL INTERNAL MEDICINE, 1990, 5 (05) :389-393
[7]   SENIOR MEDICAL-STUDENTS KNOWLEDGE OF UNIVERSAL PRECAUTIONS [J].
KOENIG, S ;
CHU, J .
ACADEMIC MEDICINE, 1993, 68 (05) :372-374
[8]   EPIDEMIOLOGY OF NEEDLESTICK INJURIES IN HOUSE OFFICERS [J].
MCGEER, A ;
SIMOR, AE ;
LOW, DE .
JOURNAL OF INFECTIOUS DISEASES, 1990, 162 (04) :961-964
[9]   RISK OF NEEDLESTICKS AND OCCUPATIONAL EXPOSURES AMONG RESIDENTS AND MEDICAL-STUDENTS [J].
ONEILL, TM ;
ABBOTT, AV ;
RADECKI, SE .
ARCHIVES OF INTERNAL MEDICINE, 1992, 152 (07) :1451-1456
[10]   EXPOSURE TO BLOOD DURING VARIOUS PROCEDURES - RESULTS OF 2 SURVEYS BEFORE AND AFTER THE IMPLEMENTATION OF UNIVERSAL PRECAUTIONS [J].
SAGHAFI, L ;
RASELLI, P ;
FRANCILLON, C ;
FRANCIOLI, P .
AMERICAN JOURNAL OF INFECTION CONTROL, 1992, 20 (02) :53-57