scholarly journals Exposure to Biological Material Between Workers of the Health Area and Support Team of a Reference Institution of the State of Pará

Author(s):  
Valquiria De Jesus Silva ◽  
Caroline Macedo de Camargo ◽  
Liwcy Keller de Oliveira Lopes Lima ◽  
Nayza Dourado Arantes

Abstract: The present study had as objective to evaluate the accidents with exposure to Biological Material (BM) among workers who work directly and indirectly in health care in the municipality of Redenção - PA. This is an epidemiological, retrospective and descriptive study, with a quantitative approach and analysis, developed in a public hospital which all records of work accidents with BM of the injured healthcare works from professionals between the years 2007 to 2014 were analyzed. The data were collected by filling out a standardized form and analyzed by descriptive statistical was performed by simple average and the data were presented in table format. A total of 257 accidents with BM exposure were reported engage different professional categories, and the largest accident record was from nursing technician’s category with 173 (67.3%). The professionals from 18 to 29 years presented highest frequency of accidents occurred with 109 (42.4%), and female sex was predominant with 224 (87.2%). The most prevalent perforating material was needle 175 (68.1%). The data indicate that most of the professionals were using some type of PPE at the time of the accident 244 (94.9%), glove 221 (86%) being the most cited. Most percutaneous exposures were washed with soap and water 119 (46.3%) and the identification of the source patient were identified in 222 (86.4%) accidents, but in the records the serological status of those patients were as reported as unknown. Therefore, negligence and poor knowledge about the importance of these data were carefully identified, leaving gaps in the records of that important information which could describe the real situation of the accidents. It is concluded that it is of utmost importance to review the form of registration and to train the professionals who execute it in order to raise awareness of the importance of complete and reliable information. Keywords: Occupational Exposure. Exposure to Biological Agents. Occupational Accidents Registry. -------------------------------------------------------------------------------------------------------- Exposição a Material Biológico entre Trabalhadores da Área da Saúde e Equipe de Apoio de uma Instituição de Referência do Estado do Pará Resumo: O presente estudo teve como objetivo avaliar os acidentes com exposição a Material Biológico (MB) entre trabalhadores que atuam direta e indiretamente na assistência à saúde no município de Redenção-PA. Trata-se de um estudo epidemiológico, retrospectivo e descritivo, com abordagem e análise quantitativa, desenvolvido em um hospital de referência. Foram analisadas todas as fichas de registro dos acidentes de trabalho com MB dos profissionais acidentados entre os anos de 2007 a 2014. Os dados foram coletados por meio do preenchimento de um formulário padronizado e analisados utilizando-se a estatística descritiva por meio de porcentagens e apresentados no formato de tabelas. Foram notificados 257 casos de acidentes com exposição a MB, entre diversas categorias profissionais, sendo a categoria de técnicos de enfermagem com maior registro de acidentes 173 (67,3%). A maior frequência de acidentes ocorreu entre profissionais com idade de 18 a 29 anos 109 (42,4%), com predominância do sexo feminino 224 (87,2%). O material perfurocortante de maior prevalência foi à agulha 175 (68,1%). Os dados indicam que a maioria dos profissionais estaria utilizando algum tipo de EPI no momento do acidente 244 (94,9%), sendo a luva 221 (86%) o mais citado. Na maioria das exposições percutâneas foram realizadas lavagem com água e sabão 119 (46,3%). E a maioria das ocorrências o paciente-fonte foi identificado 222 (86,4%), porém, nos registros o estado sorológico do paciente-fonte constava como desconhecidos. Portanto, observou-se negligência e conhecimento deficiente sobre a importância destes dados serem minuciosamente coletados, deixando lacunas nos registros de informações importantes para a identificação da real situação dos acidentes. Conclui-se que é de suma importância rever a forma de registro e capacitar os profissionais que a executam, a fim de conscientizá-los sobre a importância de informações completas e fidedignas. Palavras-chave: Exposição Ocupacional. Exposição a Agentes Biológicos. Notificação de Acidentes de Trabalho. -------------------------------------------------------------------------------------------------------- ■ Text in Portuguese

2005 ◽  
Vol 13 (4) ◽  
pp. 496-500 ◽  
Author(s):  
Silvia Rita Marin da Silva Canini ◽  
Elucir Gir ◽  
Alcyone Artiolli Machado

Descriptive study was carried out to characterize the occupational accidents involving potentially contaminated material among workers of hospital supporting services. The study reviewed records of workers involved in these accidents and attended at a specialized outpatient clinic of a large tertiary care hospital between January 1997 and October 2001. A total of 2814 workers from different professional categories were attended during this period. Of these, 147 (5.2%) belonged to the hospital supporting services and were the victims of 156 accidents, auxiliary cleaning personnel (80.2%), and over a third of the workers had not received any dose of hepatitis B vaccine (35.4%). Most accidents were due to sharp injuries (96.8%) caused by inadequately discarded hollow needles. Chemoprophylaxis for HIV was not indicated in only 23.1% of cases. We conclude that these workers are also exposed to the possibility of acquiring blood-borne pathogens and that periodical education programs are needed.


2019 ◽  
Vol 13 ◽  
Author(s):  
Arimatéia Portela Azevedo ◽  
Jéssica Francisca Souza Medeiros ◽  
Francisca Parente Medeiros ◽  
José Geraldo Santos De Araújo ◽  
Rosana Batista Marques ◽  
...  

ABSTRACT Objective: to describe the occurrence and characteristics of accidents with biological material treated at the hospital of reference in Infectology for prophylactic treatment. Method: This is a quantitative, descriptive, retrospective study in the database of the hospital pharmacy. The completed notification forms were filled in appropriately. Results were presented in the form of tables and figures. Results: 529 cases of accidents involving exposure to biological material were reported; Of these, 496 (93.8%) required post-exposure prophylaxis and 43.3% had no information about the source person; As to gender identity, 351 (66.4%) claimed to be men, 173 (32.7%) claimed to be women and five (0.9%) claimed to be a transsexual man; were occupational accidents 397 (75%) occurrences, sexual exposure consented in 129 (24.4%) cases and victims sexual violence in three (0.6%). Conclusion: Any accident with exposure to biological material should be considered as a case of medical emergency, since, in order to be more effective, interventions for prophylaxis need to be initiated soon after the occurrence of the accident. Descriptors: Occupational Exposure; Biological Risks; Infectocontagious Disease; Work Accidents; Occupational Health; Infectology. RESUMOObjetivo: descrever a ocorrência e as características de acidentes com material biológico atendidos no hospital de referência em Infectologia para tratamento profilático. Método: trata-se de estudo quantitativo, descritivo, retrospectivo, no banco de dados da farmácia hospitalar. Elegeram-se as fichas de notificação preenchidas de forma adequada. Apresentaram-se os resultados em forma de tabelas e figuras. Resultados: notificaram-se, 529 casos de acidentes envolvendo exposição a material biológico; destes, 496 (93,8%) necessitaram de profilaxia pós-exposição e 43,3% não tinham nenhuma informação sobre a pessoa-fonte; quanto à identidade de gênero, 351 (66,4%) afirmavam ser homens, 173 (32,7%) afirmavam ser mulheres e cinco (0,9%) afirmavam ser homem transexual; foram acidentes ocupacionais 397 (75%) ocorrências, exposição sexual consentida em 129 (24,4%) casos e vítimas violência sexual em três (0,6%). Conclusão: deve-se considerar qualquer acidente com exposição a material biológico como caso de emergência médica, uma vez que, para se obter maior eficácia, as intervenções para profilaxia necessitam ser iniciadas logo após a ocorrência do acidente. Descritores: Exposição Ocupacional; Riscos Biológicos; Doença Infectocontagiosa; Acidentes de Trabalho; Saúde Ocupacional; Infectologia.   RESUMEN Objetivo: describir la ocurrencia y las características de accidentes con material biológico atendidos en el hospital de referencia en Infectología para tratamiento profiláctico. Método: se trata de un estudio cuantitativo, descriptivo, retrospectivo, en el banco de datos de la farmacia hospitalaria. Se eligieron las fichas de notificación cumplimentadas adecuadamente. Se presentaron los resultados en forma de tablas y figuras. Resultados: se notificaron 529 casos de accidentes que involucra exposición a material biológico; de estos, 496 (93,8%) necesitaron de profilaxis post-exposición y el 43,3% no tenían ninguna información sobre la persona-fuente; en cuanto a la identidad de género, 351 (66,4%) afirmaban ser hombres, 173 (32,7%) afirmaban ser mujeres y cinco (0,9%) afirmaban ser hombre transexual; fueron accidentes ocupacionales 397 (75%) ocurrencias, exposición sexual consentida en 129 (24,4%) casos y víctimas de violencia sexual entres (0,6%). Conclusión: se debe considerar cualquier accidente con exposición a material biológico como caso de emergencia médica, ya que, para obtener mayor eficacia, las intervenciones para profilaxis necesitan ser iniciadas inmediatamente después de la ocurrencia del accidente. Descritores: Exposición Ocupacional; Contención de Riesgos Biológicos; Enfermedades Transmisibles; Accidentes de Trabajo; Salud Laboral; Infectología.


2009 ◽  
Vol 3 (4) ◽  
pp. 839
Author(s):  
Felipe Do Cabo Silva ◽  
Roberto Carlos Lyra Da Silva

Objective: to identify the main technical difficulties operational faced by the nurse in the sector of politrauma during the assistance for the client politraumatized. Methods: this is about a descriptive study, from qualitative approach, performed with 10 nurses from politraumatized sector at large public hospital in Rio de Janeiro city, Brazil, from July to August 2007. Information was collected through structured interviews script whose analysis was based on content analysis, thematic analysis, method proposed by Bardin. Results: through the testimonies if realizes to real situation of public service emergency from Rio de Janeiro city. When evaluating the assistance provided to the client politraumatized, we note several technical problems operational what make difficult the nurse work with these clients. Conclusion: the emergency care of trauma victims to the customer still needs many improvements. The technology, when put into practice the correct way, become a facilitator, minimizing the difficulties, contributing to the development of technical and scientific professionals and increasing the survival of the client polytraumatized in serious condition. Descriptors: politraumatized; emergency; nursing care.


2007 ◽  
Vol 15 (4) ◽  
pp. 632-638 ◽  
Author(s):  
Mônica Bonagamba Chiodi ◽  
Maria Helena Palucci Marziale ◽  
Maria Lúcia do Carmo Cruz Robazzi

This descriptive research aimed to recognize the occurrence of work accidents (WA) involving exposure to biological material among health workers at Public Health Units in Ribeirão Preto-SP, Brazil. A quantitative approach was adopted. In 2004, 155 accidents were notified by means of the Work Accident Communication (WAC). Sixty-two accidents (40%) involved exposure to biological material that could cause infections like Hepatitis and Aids. The highest number of victims (42 accidents) came from the category of nursing aids and technicians. Needles were responsible for 80.6% of accidents and blood was the biological material involved in a majority of occupational exposure cases. This subject needs greater attention, so that prevention measures can be implemented, which consider the peculiarities of the activities carried out by the different professional categories.


2018 ◽  
Vol 71 (6) ◽  
pp. 3084-3092 ◽  
Author(s):  
Lívia Tech dos Santos ◽  
Fernanda Ludmilla Rossi Rocha ◽  
Maria Helena Palucci Marziale

ABSTRACT Objective: To identify in the literature the efficacy of needlesticks with safety devices to reduce the occurrence of occupational accidents with exposure to biological material among health workers. Method: Integrative literature review, structured in the stages: Guiding question, search, categorization of studies, evaluation, discussion and interpretation of results, and synthesis of knowledge. Search for original articles and systematic reviews on the main bases of the Health area, published from 2000 to 2016 in Portuguese, English and Spanish, with descriptors: needlesticks injuries, exposure to biological agents, needles, protective devices, occupational accidents, accident prevention and health personnel. Results: We selected eleven articles, most characterized the passive safety devices as more effective in reducing the occurrence of injuries by needlesticks. Conclusion: The use of needlesticks with safety devices reduces the occurrence of accidents, bringing greater solvency when combined with the training of workers.


2021 ◽  
Author(s):  
Tesgera Tekle ◽  
Teferi Abegaz ◽  
Abigiya Wondimagne ◽  
Ziyad Ahmed Abdo

Abstract Background: Health facilities generate different types of wastes characterized as hazardous wastes and most of them are infectious, toxic, harmful and carcinogenic. Medical Waste handlers faced massive exposure to hazardous wastes and occupational accidents as a result of manual handling of waste and working under unfavorable conditions. This indicates that waste handlers are often at high risk occupational injuries. In Ethiopia there are limited studies and updated information concerning this issues and it is not well studied in our study settings. The aim of this study was to assess safety practices and associated factors among selected public hospital waste handler in Addis Ababa, Ethiopia, 2019.Method: An institutional based cross- sectional study was used to conduct the study. All waste handlers of selected government hospital were included in the study. The data was collected via interview using structured questionnaire. Bivariate and multi variable logistic regressions were employed to identify the predictor variables. Statistical significance was considered at P <0.05 with adjusted odds ratio calculated at 95% CI. Result: The prevalence of current safety practice among public hospital waste handlers was found to be 44.1% (95% CI; 37.3-51.0). Respondents with good knowledge (AOR=4.7; 95% CI: 1.9, 11.5), having good supplies (AOR=6.78; 95% CI: 2.2, 20.7) had higher odds of adherence to safety practices compared to their counterparts.Conclusion: The study shows that the prevalence of safety practice is low. Knowledge of waste handles on safety measures and availability & accessibility of safety materials is the determinant factors for safety practice while handling waste. To sustain good safety practice adequate per-service and in-service training should be in place to increase their knowledge about safety precautions and availing safety materials for adherence to safety practice among hospital waste handlers.


KREATOR ◽  
2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Ahmad Faqih Solansa ◽  
Hendra Nanang ◽  
M Sudiyamto

Every production process in a company is inseparable from all the dangers of disease and occupational accidents for workers. So in a company it is necessary to implement occupational safety and health in order to reduce and prevent occupational diseases and accidents. In carrying out occupational safety and health at PT Pantja Simpati, PT Pantja Simpati has several problems that can cause illness and work accidents such as unavailability of personal protective equipment, non-functioning air vents, employees smoking in the production room, employees drinking in the production section. part. areas, fire fighting equipment lacks lighting, damaged ceilings or roofs, untidy cables, and slippery production floors. Ways to avoid work accidents such as providing PPE and APAR, repairing damaged equipment, and taking firm action against workers. From the problems found, the implementation of occupational safety and health at PT Pantja Simpati is still not good.Keywords— Occupational Safety and Health, 5W+1H


2018 ◽  
Vol 86 (24) ◽  
Author(s):  
Roberta Carozo Torres ◽  
Sacha Jamille de Oliveira ◽  
Ana Cristina Freire Abud ◽  
Rita Maria Viana Rego

O cuidado aos indivíduos com lesões na pele é um desafio multiprofissional, porém com maiorresponsabilidade para a equipe de enfermagem, por ter a responsabilidade da execução dos curativos. Esteestudo objetivou relatar a experiência de implantação da Comissão de Prevenção e Tratamento de Lesões naPele (CPTLP) em um hospital público do estado de Sergipe. Trata-se de um estudo descritivo, do tipo relato deexperiência, realizado a partir da vivência profissional na CPTLP de um hospital público de Sergipe. Com ointuito de sistematizar a assistência aos portadores de feridas e aqueles com risco de desenvolvê-las, a equipeda CPTLP foi criada e organizada com a finalidade de prevenir e tratar lesões na pele dos pacientes internados.A CPTLP tem o enfermeiro como profissional de referência para esses cuidados tendo em vista o protagonismodesse profissional nesse cenário. Assim, a equipe da CPTLP tem conseguido minimizar o surgimento de lesõescomplexas, além de tratar de forma efetiva as existentes através do atendimento individualizado e educaçãodas equipes assistenciais.Palavras-chave: Ferimentos e lesões; Cuidados de Enfermagem; Segurança do Paciente. AbstractCare for individuals with skin lesions is a multiprofessional challenge, but with greater responsibility for thenursing team, for having responsibility for the dressings execution. This study aimed to report the experienceof the Commission for the Prevention and Treatment of Skin Injuries (CPTLP) implementation in a publichospital in the state of Sergipe. This is a descriptive study, of the experience report type, carried out from theprofessional experience in the CPTLP of a public hospital in Sergipe. To systematize assistance to woundpatients and those at risk of developing them, the CPTLP team was created and organized to prevent and treatinjuries to the patients' skin. The CPTLP has the nurse as a reference professional for such care in view of thisprofessional role in this scenario. Thus, the CPTLP team has managed to minimize the complex lesionsoccurrence, in addition to effectively treating existing ones through the individualized care and the care teams’education.Keywords: Wounds and Injuries; Nursing Care; Patient Safety.


2021 ◽  
Vol 38 (4) ◽  
pp. 533-544
Author(s):  
Ozan Soykan

This study was carried out to make a holistic evaluation on the occupational health and safety (OHS) of fisheries and aquaculture sector with its subsectors and to reveal the actual situation of fisheries and aquaculture sector by comparing relevant OHS statistics reported in Turkey. Annual average of accidents in the fisheries and aquaculture sector was found to be 312 (± 147.6), of which 2.14 (± 1.57) resulted in permanent incapacity and 1.57 (± 1.51) of them with fatality. While general incidence rate, fatal incidence rate, permanent incapacity incidence rate and work accident frequency rate were calculated as 2211.8 (±574) 103.6 (±13.4), 5.88 (±2.41) ve 8.36 (±1.93), these values for fisheries and aquaculture sector were determined to be 3579.1 (±1549.3) 175.65 (±152.34), 240.67 (154.62) ve 13.65 (±5.84), respectively. In 2019, the fatal accident rate in Turkey was found to be 0.27% in general, 0.34% in the mining sector, 0.77% in construction and 0.80% in transportation. This ratio was calculated as 1% in the fisheries and aquaculture sector. It was determined that there were more work accidents and fatal incidents in fisheries and aquaculture activities in the seas than in fresh water. Difference between number of work accidents and the duration of temporary incapacity as a result of work accidents in fisheries and aquaculture activities in marine and fresh waters were also significant (p<0.05). Number of fatal accidents in aquaculture sector was found to be more than 4 times than in fisheries. It was determined that the all types of incident rates, work accident frequency rates and fatality rates per work accident in fisheries and aquaculture sector were higher than that of Turkey in general. Evaluation of occupational accidents in the fisheries and aquaculture activity was found to be riskier than expected. Although some evaluations and suggestions are put forward to reduce the number of accidents and the severity of these accidents, a systematic and legislative approach will be more effective. Therefore, it would be a suitable approach to raise the hazard classes of fisheries and aquaculture economic activity to the “very dangerous” class. In this way, the training period of the sector employees on occupational risks and the titles and numbers of OHS professionals working in the sector will be increased, a more qualified specialization will be realized, and control and audit activities will be more frequent.


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