Needlestick injuries among medical students

被引:70
作者
Patterson, JMM [1 ]
Novak, CB [1 ]
Mackinnon, SE [1 ]
Ellis, RA [1 ]
机构
[1] Washington Univ, Sch Med, Div Plast & Reconstruct Surg, St Louis, MO 63110 USA
关键词
D O I
10.1067/mic.2003.44
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: Concern about occupational exposure to bloodborne pathogens exists, and medical students, who lack in experience in patient care and surgical technique, may be at an increased exposure risk. Methods: This prospective cohort study evaluated needlestick injuries and practices regarding the use of protective strategies against bloodborne pathogens in medical students. A questionnaire was developed and sent to 224 medical students. Results: Of 224 students, 146 students (64%) returned questionnaires. Forty-three students (30%) reported needlestick injuries that most commonly occurred in the operating room; 86% of students reported always using double gloves in the operating room; 90% reported always wearing eye protection, and all but one student had been vaccinated against hepatitis B. A concern about contracting a bloodborne pathogen through work was noted in 125 students, although they usually reported that this concern only slightly influenced their decision regarding a career subspecialty. Conclusion: Medical students have a high risk for needlestick injuries, and attention should be directed to protection strategies against bloodborne pathogens.
引用
收藏
页码:226 / 230
页数:5
相关论文
共 48 条
[1]  
BARIE PS, 1994, ARCH SURG-CHICAGO, V129, P27
[2]   HUMAN-IMMUNODEFICIENCY-VIRUS TRANSMISSION IN HEALTH-CARE SETTINGS - RISK AND RISK REDUCTION [J].
BELL, DM .
AMERICAN JOURNAL OF MEDICINE, 1991, 91 :S294-S300
[3]   Intervention for medical students: Effective infection control [J].
Calabro, K ;
Weltge, A ;
Parnell, S ;
Kouzekanani, K ;
Ramirez, E .
AMERICAN JOURNAL OF INFECTION CONTROL, 1998, 26 (04) :431-436
[4]   A case-control study of HIV seroconversion in health care workers after percutaneous exposure [J].
Cardo, DM ;
Culver, DH ;
Ciesielski, CA ;
Srivastava, PU ;
Marcus, R ;
Abiteboul, D ;
Heptonstall, J ;
Ippolito, G ;
Lot, F ;
McKibben, P ;
Bell, DM .
NEW ENGLAND JOURNAL OF MEDICINE, 1997, 337 (21) :1485-1490
[5]  
*CDCP, 1997, MMWR-MORBID MORTAL W, V46, P21
[6]   FREQUENCY OF GLOVE PERFORATIONS AND SUBSEQUENT BLOOD CONTACT IN ASSOCIATION WITH SELECTED OBSTETRIC SURGICAL-PROCEDURES [J].
CHAPMAN, S ;
DUFF, P .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1993, 168 (05) :1354-1357
[7]   SURGICAL GLOVES AS A MECHANICAL BARRIER AGAINST HUMAN IMMUNODEFICIENCY VIRUSES [J].
DALGLEISH, AG ;
MALKOVSKY, M .
BRITISH JOURNAL OF SURGERY, 1988, 75 (02) :171-172
[8]  
Fay M F, 1992, AORN J, V55, P1500, DOI 10.1016/S0001-2092(07)66588-0
[9]  
Flowerdew J M, 2000, Am J Orthop (Belle Mead NJ), V29, P279
[10]  
Fry D E, 1997, Bull Am Coll Surg, V82, P8