The objective of this study was to describe the mechanisms of percutaneous blood exposure (PCE) among doctors and discuss rational strategies for prevention.
Data were obtained as part of a nation-wide questionnaire survey of occupational blood exposure among hospital employed doctors in Denmark.
The doctors were asked to describe their most recent PCE, if any, within the previous 3 months.
Detailed information on the instruments, procedures, circumstances and mechanisms that caused the PCE was obtained.
Of 9375 doctors, 6256 (67%) responded, and 6005 questionnaires were eligible for analysis.
Of 971 described PCE the majority were caused by suture needles (n=483), IV-catheter-stylets (n=94), injection needles (n=75), phlebotomy needles (n=53), scalpels (n=45), arterial blood sample needles (n=41) and bone fragments (n=23).
Inattentiveness was the most common cause, contributing to 30.5% of all PCE.
Use of fingers rather than instruments was a major cause of injury in surgical specialties and was a contributing cause of 36.9% PCE on suture needles.
Common contributing causes when fingers were used (n=199) were poor space in (30.2%) or view of (18.6%) the operation field.
It was often argued that instruments were not practical to use or might harm the tissue.
Of 689 PCE in surgical specialties, 17.4% were inflicted by colleagues.
Up to 53. (...)
Mots-clés Pascal : Exposition professionnelle, Médecin, Sang, Voie percutanée, Epidémiologie, Incidence, Facteur risque, Prévention, Homme, Danemark, Europe, Médecine travail, Education santé, Personnel sanitaire, Questionnaire
Mots-clés Pascal anglais : Occupational exposure, Physician, Blood, Percutaneous route, Epidemiology, Incidence, Risk factor, Prevention, Human, Denmark, Europe, Occupational medicine, Health education, Health staff, Questionnaire
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0432261
Code Inist : 002B30B01B. Création : 19/12/1997.