DETERMINANTS OF BLOOD AND BODY-FLUID EXPOSURE IN A LARGE TEACHING HOSPITAL - HAZARDS OF THE INTERMITTENT INTRAVENOUS PROCEDURE

被引：28

作者：

YASSI, A

MCGILL, M

机构：

[1] Department of Community Health Sciences and Medicine, University of Manitoba, Health Sciences Centre, Winnipeg, Man.

来源：

AMERICAN JOURNAL OF INFECTION CONTROL | 1991年 / 19卷 / 03期

关键词：

D O I：

10.1016/0196-6553(91)90018-8

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Determinants of staff exposure to blood and body fluids in a 1100-bed hospital were examined over a 2-year period. Eighty-two percent of the 799 reported accidental exposures were needlestick injuries, and 18% were cutaneous or mucous membrane splashes. Nurses and nursing students incurred 78.8% of the exposures; respiratory technologists and laboratory personnel, 9.2%; medical personnel, 7.5%; and support staff, 4.2%. Rates of exposure per 100,000 hours worked showed nursing students to be at particularly high risk, highlighting the need for specific instruction. Analysis of events leading to needlestick-related exposures revealed that the heparin lock intermittent intravenous procedure was involved in 26%; recapping accounted for 17%; improper disposal, 15%; manipulating equipment, 14%; phlebotomy, 12%; and other needlestick events, 16%. Ocular splashes and spills onto nonintact skin each accounted for 50% of the total number of non-needlestick-related exposures. This study revealed the hazardous nature of the intermittent intravenous procedure, prompting specific revisions in this procedure as well as promoting point-of-use sharps disposal and other preventive measures.

引用

页码：129 / 135

页数：7

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