title: [Accidental exposure to blood and the risk of transmission of virus infections for various occupational groups in Amsterdam, 1986-1996].
abstract: Since 1986 the number of parenteral exposures to potentially infectious blood reported to the Amsterdam Public Health Service increases every year. The number of needlestick accidents increased significantly from 64 in 1986 to 166 in 1996 whereas the number of other exposures decreased from 59 to 44 in these years. The increase was mainly seen in nonhospital based (para)medics. A possible explanation of this increase is greater awareness of the potential infection risk with HIV, hepatitis B or C virus leading to a tendency to report more readily. This assumption is in contradiction with results of studies in hospital-based personnel where a decrease is observed as a result of educational programmes. Other explanations are a higher frequency of use of sharp instruments and (or) an increase in the workload. Out of a total of 1886 needlestick accidents in 1986-1996 one woman became HIV positive; she was deliberately infected by her ex-partner who injected her with blood of an AIDS patient, and one person contracted an hepatitis C virus infection: a policeman wounded by a needle used by a drug addict.
authors.affiliation: GG&GD, divisie Volksgezondheid en Milieu, Nieuwe Achtergracht, Amsterdam.
authors.forename: C M
authors.initials: CM
authors.lastname: Berger
authors.forename: A
authors.initials: A
authors.lastname: Leentvaar-Kuijpers
authors.forename: G J
authors.initials: GJ
authors.lastname: Van Doornum
authors.forename: R A
authors.initials: RA
authors.lastname: Coutinho
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000635:transmission; D000328:Adult; D017848:Blood-Borne Pathogens / Q000302:isolation & purification*; D005260:Female; D006678:HIV / Q000302:isolation & purification; D006281:Health Occupations / Q000706:statistics & numerical data*; D006509:Hepatitis B / Q000097:blood / Q000635:transmission; D006526:Hepatitis C / Q000097:blood / Q000635:transmission; D006801:Humans; D017758:Infectious Disease Transmission, Patient-to-Professional / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D016602:Needlestick Injuries / Q000453:epidemiology*; D009426:Netherlands / Q000453:epidemiology; D009784:Occupational Diseases / Q000453:epidemiology*; D014777:Virus Diseases / Q000635:transmission*
vernacular_title: Accidentele blootstelling aan bloed en risico op transmissie van virusinfecties bij verschillende beroepsgroepen in Amsterdam, 1986-1996.