Exposure to blood during various procedures: results of two surveys before and after the implementation of universal precautions

Détails

ID Serval
serval:BIB_B56F820791A7
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Exposure to blood during various procedures: results of two surveys before and after the implementation of universal precautions
Périodique
American Journal of Infection Control
Auteur⸱e⸱s
Saghafi  L., Raselli  P., Francillon  C., Francioli  P.
ISSN
0196-6553 (Print)
Statut éditorial
Publié
Date de publication
04/1992
Volume
20
Numéro
2
Pages
53-7
Notes
Comparative Study
Journal Article --- Old month value: Apr
Résumé
In an attempt to define better situations involving exposure to blood, we surveyed nurses (N = 565) in a 1000-bed university hospital to determine the following for the last working shift: the rate of cutaneous exposure to blood for different procedures, the rate of needlestick injury, and the prevalence of hand lesions. Among nurses who had performed at least one of the specified procedures, 42% had been exposed to blood with unprotected skin. Direct examination of 100 pairs of hands revealed that 57% of the nurses had either acute or chronic skin lesions. Universal precautions were introduced, and a similar survey (N = 541) was carried out 1 year later to assess compliance. Exposure of unprotected skin to blood had been reduced to 27%, although 46% of nurses had not used gloves for any of the procedures they had performed. The main reason given by nurses for not wearing gloves was that they did not consider the patient to be at risk for carrying a blood-borne infection. The rate of needlestick injuries was high and had remained stable at approximately 2.8 needlesticks/nurse per year, as determined by information from the last working shifts. We conclude that compliance of nursing personnel with universal precautions was insufficient, despite an informational campaign throughout the hospital. Repeated instruction on barrier precautions and the prevention of needlestick injury (including the correct use of disposable containers) is necessary to ensure optimal protection.
Mots-clé
*Blood Gloves, Surgical/utilization Hand Dermatoses/epidemiology Hospital Bed Capacity, 500 and over Hospitals, University/statistics & numerical data Humans Needlestick Injuries/epidemiology Nursing Care/standards Nursing Staff, Hospital/*statistics & numerical data Occupational Exposure/*statistics & numerical data Questionnaires Risk Factors Skin Switzerland/epidemiology *Universal Precautions
Pubmed
Web of science
Création de la notice
25/01/2008 18:08
Dernière modification de la notice
20/08/2019 16:23
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