HIV and interventional radiology: a national survey of physician attitudes and behaviors.
OBJECTIVE
The frequency of parenteral and cutaneous exposure to blood or body fluid during interventional radiologic procedures, current use of barrier precautions by interventional radiologists, and physician attitudes about testing for the human immunodeficiency virus (HIV) and related issues were assessed.


METHODS
An anonymous survey of interventional radiologists was conducted by mail in November 1991.


RESULTS
Of 1,530 surveys, 819 (54%) were returned and 806 (53%) were completed and evaluable. Ninety-six percent of respondents (763 of 794) perform procedures in patients infected with HIV. Sixty-nine percent oppose mandatory testing of physicians for HIV. Eighty-seven percent (693 of 797) reported at least one procedure-related injury (range, 0-99; mean, four). Fifty-eight percent of injuries occurred with use of a sharp instrument (381 of 662), 20% were due to needle recapping (133 of 662), and 7% (44 of 662), to improper disposal of a sharp instrument. Contact between a physician's blood and a patient was reported in only one case (0.2%). Eighty-five percent of respondents (671 of 789) changed their use of barrier precautions in the last 10 years; concerns about HIV were cited by 96% as a reason for change. Reported use of barrier measures was highly variable.


CONCLUSIONS
Exposure to patients' blood or body fluid is not infrequent during interventional radiologic procedures. Exposure of patients to the blood or body fluid of health care workers is rare. Use of recommended precautions in interventional radiology is variable, and practices that could lead to preventable injury remain common. Strategies should be developed to reduce risks even further and to encourage universal compliance with government guidelines.
Hansen
M E
ME
Department of Radiology, University of Texas Southwestern Medical Center, Dallas 75235-9071.
Miller
G L
GL
Redman
H C
HC
McIntire
D D
DD
D015492:AIDS Serodiagnosis; D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D001519:Behavior; D003625:Data Collection; D015658:HIV Infections / Q000517:prevention & control / Q000523:psychology* / Q000635:transmission; D006801:Humans; D008875:Middle Aged; D016602:Needlestick Injuries / Q000150:complications; D009784:Occupational Diseases; D010361:Patients; D015642:Radiology, Interventional; D012307:Risk Factors; D016635:Universal Precautions