The use and failure rates of protective equipment to prevent blood and bodily fluid contamination in the obstetric health care worker.
Annual Clinical Meeting of The American College of Obstetricians and Gynecologists. Las Vegas, NV, USA, 1997/04/26.
To determine the frequency of use and the failure rate of protective equipment by obstetric staff during common obstetric procedures.
A prospective observational study was conducted of multiple obstetric procedures.
The presence, area of specialty, level of training, and gender of each team member were recorded along with the use of protective equipment (cap, mask, eyewear, gown, gloves, and shoe protection).
These observations were recorded by two trained observers.
Blood and bodily fluid contamination of the protective equipment was quantified and recorded for each person.
A forensic medicine reagent (Luminol ; Cluefinders Inc., Tampa, FL) was used to detect trace amounts of blood on the inner surface of a selected subset of gowns that had gross external contamination but no obvious penetration.
Two hundred forty-one obstetric procedures were observed involving 1022 medical personnel.
The use of at least one piece of protective equipment was noted 88% of the time.
Compliance with universal precautions by attending and resident physicians in all deliveries (vaginal, forceps, vacuum, cesarean) was observed in 65 (25.2%) medical personnel.
The use of protective equipment varied by the type of procedure, area of specialty, and level of training of the team member.
In the gowns examined with the forensic medicine reagent, 44% of the cases demonstrated laboratory evidence of penetration. (...)
Mots-clés Pascal : Equipe soignante, Obstétrique, Pratique professionnelle, Vêtement protecteur, Lunette, Gant, Utilisation, Etude comparative, Qualification professionnelle, Contamination, Liquide biologique, Sang, Efficacité, Etats Unis, Amérique du Nord, Amérique, Homme
Mots-clés Pascal anglais : Health care staff, Obstetrics, Professional practice, Protective clothing, Spectacles, Glove, Use, Comparative study, Professional qualification, Contamination, Biological fluid, Blood, Efficiency, United States, North America, America, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0345470
Code Inist : 002B30B04. Création : 27/11/1998.