Compliance with universal precautions among Flemish self-employed home-care nurses.
Collecting information about workplace practises of self-employed home-care nurses to prevent transmission of bloodborne pathogens.
Method and population
Between November 1993 and February 1995,49 Flemish self-employed home-care nurses were invited to complete a confidential, one page questionnaire.
28.6% of the 49 participants reported not been vaccinated against hepatitis B. The mean age of the not-vaccinated group was 39 years ; 8 of the 14 nurses were at least 40 years ; compared to the younger population (<40 years), the difference in hepatitis B vaccination rate was statistically significant (p=0.004).
None of the nurses reported to use a sharps disposal container for safe disposal of used needles.
The definite removal of used needles was obtained through the intermediary of a pharmacist (n=5) or a hospital in the neighbourhood (n=3) ; 6 nurses reported to use the box for small dangerous household waste.
In all other cases, the needles were removed along with the household waste (n=35).
Only two nurses reported not recapping needles prior to disposal.
Six nurses reported (12%) that they should contact a physician after having a needlestick injury.
Finally, glove-use when having contact with blood, was reported by 29 participants (59%). Conclusion.
This brief study documents a lack of workplace practises to prevent transmission of bloodborne pathogens by self-employed home-care nurses. (...)
Mots-clés Pascal : Infirmier, A domicile, Personnel sanitaire, SIDA, Virose, Infection, Hépatite virale C, Hépatite virale B, Homme, Vaccination, Prévention, Risque infectieux, Aiguille, Blessure, Pratique professionnelle, Exposition professionnelle, Recommandation, Immunopathologie, Immunodéficit, Appareil digestif pathologie, Foie pathologie, Belgique, Europe, Médecine travail, Profession libérale
Mots-clés Pascal anglais : Nurse, At home, Health staff, AIDS, Viral disease, Infection, Viral hepatitis C, Viral hepatitis B, Human, Vaccination, Prevention, Infectious risk, Needle, Injury, Professional practice, Occupational exposure, Recommendation, Immunopathology, Immune deficiency, Digestive diseases, Hepatic disease, Belgium, Europe, Occupational medicine
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0304475
Code Inist : 002B30B04. Création : 15/07/1997.