In this study on occupational risks of HIV infection among 99 Dutch medics working in AIDS endemic areas, 61% reported percutaneous exposures during an average stay of 21 months.
The mean number of injuries was lower among physicians (2.0 versus 3.9 per year) and higher among nurses (1.9 versus 1.2) than in previous research conducted in 1987-1990 among Dutch medics returning from Africa.
But the reduction of exposures among physicians might be explained by the fact that the number of procedures they carried out was less in the later study.
Also among nurses a shift of tasks was seen.
On the basis of an estimated HIV prevalence in the patient population of 19%, a chance of transmission per accident of 0.3%, and 1.9 percutaneous exposures per year, the mean occupational risk of HIV infection per year can be estimated at 0.11% per person.
Besides length of stay and number of activities, characteristics of the work setting were associated with the frequency of different kinds of injuries.
From the analysis of 109 extensive descriptions of recent accidents, it appeared that the majority of the injuries occurred during routine activities and were self-inflicted.
Injuries with hollow needles usually occurred after the actual medical act (e.g. during recapping).
Carelessness (e.g. due to fatigue) or being in a hurry. (...)
Mots-clés Pascal : SIDA, Virose, Infection, Facteur risque, Personnel sanitaire, Médecin, Infirmier, Exposition professionnelle, Immunopathologie, Immunodéficit, Risque professionnel
Mots-clés Pascal anglais : AIDS, Viral disease, Infection, Risk factor, Health staff, Physician, Nurse, Occupational exposure, Immunopathology, Immune deficiency
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0395170
Code Inist : 002B30A05. Création : 25/01/1999.