Implementation of clinical guidelines using a computer charting system. Effect on the initial care of health care workers exposed to body fluids

JAMA ◽  
1997 ◽  
Vol 278 (19) ◽  
pp. 1585-1590 ◽  
Author(s):  
D. L. Schriger
2021 ◽  
Author(s):  
Tesfaye Solomon ◽  
Dejene Lemessa

Abstract Background: Health care workers are susceptible to acquiring blood and body fluids borne infections due to their occupations involving contact with patients and their body fluids, although studies conducted in Ethiopia are scarce. Therefore, the aim of this study was to investigate the magnitude of exposure to blood and body fluids among health care workers in governmental health facilities in West Shewa Zone, Ethiopia.Materials and methods: A facility-based cross-sectional study was conducted from May 19 to June 25, 2018. A total of 381 health care workers were selected by simple random sampling from 31 sampled governmental health facilities using proportional to size allocation. Data were collected through self-administered questionnaires, entered into Epi-info version 7, and analyzed by SPSS version 21. Adjusted odds ratio (AOR) with 95% confidence intervals (CI) calculated for variables retained in the multivariable logistic regression and significance declared at p<0.05.Results: Of 377 health care workers who participated, the study found that 233 (61.2%) were exposed to blood and body fluids in their lifetime. Previous needle stick injury (AOR=0.30; 95%CI: 0.12-0.75), type of health facility (AOR=0.42; 95%CI: 0.26-0.68), handwashing practice (AOR=0.15; 95%CI: 0.07, 0.31), and perceiving at risk (AOR=0.16; 95%CI: 0.03, 0.98) were protective factors whereas long work experience (AOR=1.47; 95%CI: 1.13-1.93) was a risk factor for the exposure.Conclusions: Exposures to blood and body fluids during patient care were common among health care workers in the study area. Therefore, health care workers especially those newly hired and working in hospitals should pay due attention to their occupation's safety and regularly practice hand washing during critical times.


2014 ◽  
Vol 24 (1) ◽  
pp. 36-41 ◽  
Author(s):  
Ljiljana Markovic-Denic ◽  
Natasa Maksimovic ◽  
Vuk Marusic ◽  
Jelena Vucicevic ◽  
Irena Ostric ◽  
...  

1991 ◽  
Vol 20 (12) ◽  
pp. 1341-1350 ◽  
Author(s):  
George W Go ◽  
Larry J Baraff ◽  
David L Schriger

2005 ◽  
Vol 33 (1) ◽  
pp. 48-52 ◽  
Author(s):  
Alpay Azap ◽  
Önder Ergönül ◽  
Kemal O. Memikoğlu ◽  
Aypegül Yeşilkaya ◽  
Adalet Altunsoy ◽  
...  

Nephron ◽  
1995 ◽  
Vol 70 (2) ◽  
pp. 180-184 ◽  
Author(s):  
Giuseppe Ippolito ◽  
Nicola Petrosillo ◽  
Vincenzo Puro ◽  
Claudio Arici ◽  
Janine Jagger

2013 ◽  
Vol 141 (11-12) ◽  
pp. 789-793 ◽  
Author(s):  
Ljiljana Markovic-Denic ◽  
Milos Brankovic ◽  
Natasa Maksimovic ◽  
Bojan Jovanovic ◽  
Ivana Petrovic ◽  
...  

Introduction. Occupational exposure to blood and body fluids is a serious concern of health care workers and presents a major risk of transmission of infections such as human immuno-deficiency virus (HIV), hepatitis B virus (HBV), and hepatitis C virus (HCV). Objective. The aim of this study was to determine the frequency and circumstances of occupational blood and body fluid exposures among health care workers. Methods. Cross-sectional study was conducted in three university hospitals in Belgrade. Anonymous questionnaire was used containing data about demographic characteristics, self-reported blood and body fluid exposures and circumstances of percutaneous injuries. Results. Questionnaire was filled in and returned by 216 health care workers (78.2% of nurses and 21.8% of doctors). 60.6% of participants-health care workers had sustained at least one needlestick injury during their professional practice; 25.9% of them in the last 12 months. Of occupational groups, nurses had higher risk to experience needlestick injuries than doctors (p=0.05). The majority of the exposures occurred in the operating theatre (p=0.001). Among factors contributing to the occurrence of needlestick injuries, recapping needles (p=0.003) and decontamination/cleaning instruments after surgery (p=0.001) were more frequent among nurses, while use of a needle before intervention was common among doctors (p=0.004). Only 41.2% of health care workers had reported their injuries to a supervisor in order to obtain medical attention. 50.2% of health care workers were vaccinated with three doses of hepatitis B vaccine. Conclusion. There is a high rate of needlestick injuries in the daily hospital routine. Implementation of safety devices would lead to improvement in health and safety of medical staff.


2016 ◽  
Vol 9 (1) ◽  
Author(s):  
Julienne Stéphanie Nouetchognou ◽  
Jérôme Ateudjieu ◽  
Bonaventure Jemea ◽  
Dora Mbanya

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