Work accidents with biological material with health professionals in Brazilian hospitals

Author(s):  
Trajano F. B. X. Silva ◽  
Humberto Costa ◽  
Marcelo M. Ribeiro
Proceedings ◽  
2020 ◽  
Vol 45 (1) ◽  
pp. 12
Author(s):  
Abayomi Akinola Emmanuel ◽  
Denloye Abiodun Akinpelu ◽  
Diagne Rokhaya ◽  
Diallo Sada ◽  
Ellis Maureen ◽  
...  

Background: Good laboratory practices in terms of biosecurity and biosafety are essential for the protection of laboratory personnel, the populations and the environment. If not implemented, the risk of pathogen spreading from the laboratory is conceivable. In addition, in current African geopolitical context, the reliable practices such as the protection, control and tracking of valuable biological material will prevent their loss, theft, uncontrolled access and potential misuse. WAHO, with the support of KfW is implementing trainings of trainers on biosecurity in the ECOWAS region in a project called PROALAB. PROALAB team realized that many partners were aiming at implementing in parallel quite similar non internationally certified programs in the ECOWAS region. Therefore, PROALAB decided to organize a meeting of key stakeholders in order to pool efforts, avoid duplication, and harmonize strategies and procedures. Objective: Develop a harmonized strategy and harmonized procedures for the training of health professionals in biosecurity/biosafety and biohazard risk management in ECOWAS member countries to pass internationally certified biosafety and biosecurity examinations. Methods: Programs of each of the institutions were presented and discussed. A regional program on biosecurity/biosafety training was elaborated during group working and a regional program of certification of trainers was discussed and validated. A work plan and timeline were developed through group working. Results: In the ECOWAS region, some countries are more advanced in biosecurity training. Training is generally organized by national biosecurity associations with the support of the IFBA or other partners (WHO, FMx, PHE, etc.). Côte d’Ivoire, Nigeria and Mali seem more advanced and could be solicited to organize training for less-advanced countries. The IFBA certification covers five domains: (1) Biorisk management, (2) biosecurity, (3) biosafety cabinet, (4) biological waste management and (5) biocontainment facility. The technical working group decided consensually that basic training for biosecurity managers in the laboratories should cover the first two domains. More advanced experts advising governments should be trained in the other domains progressively. Progressive training could be built on the 3 levels Nigerian/Ivoirian system of “basic-advanced-consolidated (or expert)” system. Existing module from WHO, FMx, IPD, IPCI and other ECOWAS countries should be adapted to match the international certification needs. Practical training should also be organized in the laboratory by the same institutions that will be allowed to deliver a practical certificate on behalf of WAHO. Conclusion: With the extension of laboratory activities in the context of strengthening the surveillance programs in the ECOWAS region, more expertise on biosecurity is needed. With the support of national biosecurity associations, WAHO could play a role in harmonizing reinforcing training on biosecurity and legislation.


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


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.


2014 ◽  
Vol 67 (1) ◽  
Author(s):  
Renata Siqueira Julio ◽  
Monique Borsato Silva Filardi ◽  
Maria Helena Palucci Marziale

2019 ◽  
Vol 18 (2) ◽  
Author(s):  
Vanessa Bordin ◽  
Débora Cristina Ignácio Alves ◽  
Ronan Felipe de Souza ◽  
Luciana Magnani Fernandes ◽  
Fabiana Gonçalves de Oliveira Azevedo Matos ◽  
...  

Objetivos:caracterizar os acidentes de trabalho com material biológico de acordo com o tipo de exposição e descrever o perfil dos profissionais dos serviços de saúde que sofreram esses acidentes. Método:estudo epidemiológico, transversal e retrospectivo.Fizeram parte da pesquisa 1.269 notificações de acidentes de trabalho com material biológico, os quais foram coletados através do Sistema de Informação de Agravos de Notificação (SINAN) e analisados por meio de estatística descritiva e inferencial. Para a análise de associação entre as variáveis selecionadas, utilizou-se o teste qui quadrado e a Correlação de Pearson.Resultados:identificou-se que o tipo de exposição tem relação direta com a circunstância do acidente, com o tempo de trabalho e com o agente causador do acidente, com predominância do sexo feminino, em adultos jovens, com escolaridade em nível médio, atuando principalmente na área da enfermagem, com experiência profissional igual ou inferior a 5 anos. Conclusão:ressalta-se a importância das boas práticas, como o uso de equipamentos de proteção individual e esquema vacinal, e o acompanhamento do profissional pós-exposição a acidentes de trabalho com material biológico, com intuito primordial de promover a saúde do trabalhador e a gestão de riscos nas instituições.


2012 ◽  
Vol 11 (1) ◽  
pp. 51-64 ◽  
Author(s):  
Marília Duarte Valim ◽  
Maria Helena Paluuci Marziale

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.


2013 ◽  
Vol 21 (spe) ◽  
pp. 199-206 ◽  
Author(s):  
Maria Helena Palucci Marziale ◽  
Fernanda Ludmilla Rossi Rocha ◽  
Maria Lúcia do Carmo Cruz Robazzi ◽  
Camila Maria Cenzi ◽  
Heloisa Ehmke Cardoso dos Santos ◽  
...  

OBJECTIVES: to analyze work accidents involving exposure to biological materials which took place among personnel working in nursing and to evaluate the influence of the organizational culture on the occurrence of these accidents. METHOD: a retrospective, analytical study, carried out in two stages in a hospital that was part of the Network for the Prevention of Work Accidents. The first stage involved the analysis of the characteristics of the work accidents involving exposure to biological materials as recorded over a seven-year period by the nursing staff in the hospital studied, and registered in the Network databank. The second stage involved the analysis of 122 nursing staff members' perception of the institutional culture, who were allocated to the control group (workers who had not had an accident) and the case group (workers who had had an accident). RESULTS: 386 accidents had been recorded: percutaneous lesions occurred in 79% of the cases, needles were the materials involved in 69.7% of the accidents, and in 81.9% of the accident there was contact with blood. Regarding the influence of the organizational culture on the occurrence of accidents, the results obtained through the analysis of the two groups did not demonstrate significant differences between the average scores attributed by the workers in each organizational value or practice category. It is concluded that accidents involving exposure to biological material need to be avoided, however, it was not possible to confirm the influence of organizational values or practices on workers' behavior concerning the occurrence of these accidents.


2019 ◽  
Vol 72 (suppl 1) ◽  
pp. 9-16 ◽  
Author(s):  
Vinícius Martins Dias Batista ◽  
Monica Oliveira Bernardo ◽  
Flávio Morgado ◽  
Fernando Antonio de Almeida

ABSTRACT Objective: To evaluate the knowledge of health professionals about radiological protection and to implement educational actions to promote a safe working environment for professionals, patients and companions. Method: An exploratory cross-sectional study, applying a questionnaire to 59 participants from different sectors of a teaching hospital. Open-ended questions were analyzed through the discourse of the collective subject and closed-ended questions were analyzed through quantitative analysis. Results: In the opinion of the participants, their professional training did not offer radioprotection class or the training was insufficient for the practice. In addition, the work environment does not provide regulatory norms and training on radioprotection. Most participants do not have solid knowledge and do not present safe behavior in radioprotection. In the internal week for the prevention of work accidents, a lecture and a theatricalisation about the topic of radioprotection were conducted and a booklet was distributed. Conclusion: Radiation protection education is necessary in the curricula of the training courses for health professionals and in the work environment.


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