[Percutaneous blood exposure among Danish physicians. Mechanisms and prevention].
The study describes the mechanisms of percutaneous blood exposure (PCE) among Danish doctors and discusses rational strategies for prevention. Data were obtained as part of a nation-wide survey of occupational blood exposure. The most recent percutaneous or mucocutaneous exposure within the previous three months was described. Of 9375 doctors, 6005 (64%) participated. A total of 971 PCE were described. Inattentiveness contributed to 30.5%. Use of fingers rather than instruments was a contributing cause of 36.9% of 483 PCE on suture needles. Common concomitant causes in such cases (n = 199) were poor space in (30.2%) or view of (18.6%) the operation field. Of 689 PCE in surgical specialties, 17.4% were inflicted by colleagues. Up to 53.3% of PCE on hollow-bore needles could be attributed to unsafe routines only. In conclusion, education in safer working routines are needed in all specialties. Introduction of safer devices should have a high priority in surgical specialties, and should be considered in non-surgical specialties too.
Lunding
S
S
Hvidovre Hospital, infektionsmedicinsk afdeling.
Nielsen
T L
TL
Nielsen
J O
JO
D000062:Accidents, Occupational; D017848:Blood-Borne Pathogens; D003718:Denmark; D004869:Equipment Safety; D015658:HIV Infections / Q000517:prevention & control / Q000635:transmission; D006509:Hepatitis B / Q000517:prevention & control / Q000635:transmission; D006801:Humans; D009339:Needles / Q000009:adverse effects*; D010564:Personnel, Hospital; D011482:Protective Devices; D013525:Surgical Instruments / Q000009:adverse effects* / Q000592:standards; D011795:Surveys and Questionnaires; D014951:Wounds, Stab / Q000453:epidemiology* / Q000517:prevention & control
Perkutan blodeksposition blandt danske laeger. Uheldsmekanismer og forebyggelse.