[Occupational accidents due to exposure to biological material in the multidisciplinary team of the emergency service].
This transversal, survey-based research was carried out with a multiprofessional emergency care team in Belo Horizonte, between June and December 2006. The study aimed at estimating the incidence of occupational accidents by exposure to biological material, post-accidents conducts and demographic determinant factors. The study applied a structured questionnaire and descriptive analyses, as well as incidence calculations and logistic regression. The incidence of accidents with biological material reached 20.6%, being 40.8% by sharp materials and 49.0% by body fluids; 35.3% of the accidents took place among physicians and 24.0% among nurses. Post-accidents procedures: no medical assessment, 63.3%; under-notification, 81.6%; no conduct, 55.0%; and no serological follow-up, 61.2%. Factors associated with accidents: working time in the institution (Odds Ratio--OR, 2.84; Credible Interval--CI 95%-1.22-6.62); working in advanced support units (OR = 4.18; CI 95%--1.64-10.64); and interaction between working time in the institution and working in Basic Support Unit (OR 0.27; CI 95%--0.07-1.00). In order to reduce accidents, the implementation of post-accident protocols and follow-up, as well as under-notification norms, are suggested.
Oliveira
Adriana Cristina
AC
Universidade Federal de Minas Gerais, Brasil. acoliveira@ufmg.br
Lopes
Aline Cristine Souza
AC
Paiva
Maria Henriqueta Rocha Siqueira
MH
D000062:Accidents, Occupational / Q000706:statistics & numerical data*; D001826:Body Fluids; D003430:Cross-Sectional Studies; D004636:Emergency Service, Hospital; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D016602:Needlestick Injuries / Q000453:epidemiology*; D016273:Occupational Exposure / Q000009:adverse effects*; D010348:Patient Care Team