title: Reduced frequency of percutaneous injuries in surgeons: 1993 versus 1988.
abstract: OBJECTIVE
  To compare the frequency of occupational injuries reported by surgeons in 1993 with similar data obtained in 1988.
  
  
  METHODS
  Two point-prevalence studies of percutaneous injuries of surgeons practicing in tertiary and non-tertiary-care hospitals in the New York metropolitan area.
  
  
  METHODS
  A total of 202 surgeons and surgical residents surveyed in 1988 and 347 surveyed in 1993 (67 and 65% of the eligible groups, respectively), including 85 surgeons in 1993 (71% of the eligible group) who had participated in the 1988 survey.
  
  
  METHODS
  Yearly frequency of percutaneous injuries, and injury frequency per 1000 operative hours.
  
  
  RESULTS
  There was a significant decrease in the frequency of reported percutaneous injuries over the 5-year period. For all surgeons, the mean number of yearly injuries decreased from 5.5 +/- 14.4 SD to 2.1 +/- 6.0 SD (P < or = 0.001). Paired analysis of the subgroup of 85 surgeons who participated in both surveys showed a nearly identical decrease (P = 0.001). Significant decreases were observed in general surgeons, specialists and residents.
  
  
  CONCLUSIONS
  During the 5 years studied, surgeons practicing in the greater New York metropolitan area reported a significant reduction in the frequency of occupationally associated percutaneous injuries. The reduced risk of percutaneous injuries should substantially lower the rate of acquired infections from blood-borne pathogens.
authors.affiliation: Department of Surgery, New York Medical College, Valhalla 10595, USA.
authors.forename: A B
authors.initials: AB
authors.lastname: Lowenfels
authors.forename: V
authors.initials: V
authors.lastname: Mehta
authors.forename: D A
authors.initials: DA
authors.lastname: Levi
authors.forename: M A
authors.initials: MA
authors.lastname: Montecalvo
authors.forename: J A
authors.initials: JA
authors.lastname: Savino
authors.forename: G P
authors.initials: GP
authors.lastname: Wormser
mesh_terms: D000328:Adult; D005260:Female; D013502:General Surgery; D006678:HIV / Q000472:pathogenicity; D015658:HIV Infections / Q000453:epidemiology / Q000635:transmission*; D006801:Humans; D017758:Infectious Disease Transmission, Patient-to-Professional; D008297:Male; D008875:Middle Aged; D009518:New York; D009784:Occupational Diseases / Q000453:epidemiology / Q000209:etiology*; D012307:Risk Factors; D012867:Skin / Q000293:injuries* / Q000821:virology