Provision and use of personal protective equipment and safety devices in the National Study to Prevent Blood Exposure in Paramedics.
BACKGROUND
Paramedics are at risk for human immunodeficiency virus, hepatitis B virus, and hepatitis C virus infection from occupational blood exposure. This study examined how often paramedics are provided with personal protective equipment (PPE), sharps containers, and selected safety devices by their employers; the frequency with which paramedics use sharps containers and these safety devices; and paramedics' attitudes regarding this equipment.


METHODS
We conducted a mail survey among a nationally representative sample of certified paramedics. California was oversampled to allow for separate estimation of proportions for this population.


RESULTS
The final sample included 2588 paramedics, 720 of whom were from California (adjusted response rate, 55%). Paramedics in California were provided safety devices more often than paramedics in the United States as a whole. For each type of device, there was at least a 40% increase in use when the device was always provided compared with when it was not always provided. Eighty-four percent of paramedics thought that safety needles significantly reduce blood exposure, but substantial percentages thought that safety needles, eye protection, and masks interfere with some medical procedures. Approximately one fifth said that they need more training in the use of safety devices and PPE.


CONCLUSIONS
Lack of access to safety devices is the major barrier to their use, and the higher rates of provision and use in California may be the result of the state's early safety needle legislation. Increased provision, training, and improvement of safety equipment are needed to better protect paramedics from blood exposure.
Center for Health Research, Constella Group, LLC, Durham, NC 27713, USA. rmathews@constellagroup.com
Rahel
R
Mathews
Jack K
JK
Leiss
Jennifer T
JT
Lyden
Sara
S
Sousa
Jennifer M
JM
Ratcliffe
Janine
J
Jagger
D000328:Adult; D000488:Allied Health Personnel / Q000706:statistics & numerical data*; D017848:Blood-Borne Pathogens; D002140:California / Q000453:epidemiology; D005260:Female; D006306:Health Surveys; D006801:Humans; D015994:Incidence; D017053:Infection Control / Q000379:methods; D008297:Male; D008875:Middle Aged; D016602:Needlestick Injuries / Q000453:epidemiology / Q000517:prevention & control*; D009784:Occupational Diseases / Q000453:epidemiology / Q000517:prevention & control*; D016273:Occupational Exposure / Q000517:prevention & control* / Q000706:statistics & numerical data; D017410:Practice Guidelines as Topic; D011481:Protective Clothing / Q000706:statistics & numerical data* / Q000600:supply & distribution; D011482:Protective Devices / Q000706:statistics & numerical data* / Q000600:supply & distribution; D018570:Risk Assessment; D011795:Surveys and Questionnaires; D014481:United States / Q000453:epidemiology