title: Risk of occupational blood exposure in a cohort of 24,000 hospital healthcare workers: position and environment analysis over three years.
abstract: Early and efficient prevention of occupational blood exposure at hospital requires knowledge of exposures and risks according to staff characteristics. Calculation of annual exposure rates and relative rates from personal and occupational data. The overall annual incidence was 3.5 per 100 workers per year; maximum for nurses and midwives (6.5); minimum for cleaners and paramedics (0.6). Exposures affected mainly nurses (57.81% of accidents, 12.12% of cohort) and occurred mostly in the surgical and the medical departments (26.34 and 25.20% of accidents). Men/women and students/physicians rate differences were not significant. Emergency and intensive care staffs had the highest relative rates (4.27 and 3.05) compared with maintenance staff. Nurses and laboratory staff were more exposed than physicians (3.76 and 2.30 times) were. Our results prompt prevention and training to be precisely focused and efficiently devised.
authors.affiliation: Occupational Health Department, Edouard Herriot Hospital, Lyon, France. marie-agnes.denis@chu-lyon.fr
authors.forename: Marie-Agnes
authors.initials: MA
authors.lastname: Denis
authors.forename: R
authors.initials: R
authors.lastname: Ecochard
authors.forename: A
authors.initials: A
authors.lastname: Bernadet
authors.forename: M F
authors.initials: MF
authors.lastname: Forissier
authors.forename: J M
authors.initials: JM
authors.lastname: Porst
authors.forename: O
authors.initials: O
authors.lastname: Robert
authors.forename: Cl
authors.initials: C
authors.lastname: Volckmann
authors.forename: A
authors.initials: A
authors.lastname: Bergeret
mesh_terms: D000328:Adult; D000488:Allied Health Personnel / Q000145:classification / Q000706:statistics & numerical data*; D017848:Blood-Borne Pathogens; D015331:Cohort Studies; D003428:Cross Infection / Q000453:epidemiology*; D005260:Female; D005602:France / Q000453:epidemiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D016273:Occupational Exposure / Q000706:statistics & numerical data*; D010564:Personnel, Hospital / Q000145:classification / Q000706:statistics & numerical data*; D018570:Risk Assessment