Risk of Accidental Exposure to Blood Borne Infection During Plastic Surgical Operations

Author(s):  
Lars Onsberg Henriksen ◽  
Jørgen Lock-Andersen
2021 ◽  
Author(s):  
Defo Defo ◽  
Emmanuel Armand Kouotou ◽  
Ulrich Nguena Feungue ◽  
Joseline Domo ◽  
Antonin Wilson Ndjitoyap Ndam ◽  
...  

Abstract Background: There is little data on Accidental Exposure to Blood (AEB) in Cameroon.Objectives: to learn about the management of AEB among professional and non-professional patient at the day care unit of the Central Hospital of YaoundéMethod: This was a 10-year retrospective study in which data concerning socio-demographic characteristics, exposure and consultation circumstances, measures taken after the accident, the status of the source patient and of the patient consultant and the prescribed ARV protocol were analyzed.Results: Six hundred files were selected, including 49.2% professional exposure and 50.2% non-professional. The mean age was 30 ± 9.7 years with extremes of 11 and 67 years. The main circumstances of AEB were needle stick (professional AEB) and rape (non-professional AEB). Prophylaxis with triple antiretroviral therapy has been prescribed to all patients.Conclusion: Non-professional and professional AEB are found in equivalent proportions in our series. Triple antiretroviral therapy was prescribed for all patients. Staff awareness policies could be developed to respect universal precautionary measures.


2007 ◽  
Vol 49 (4) ◽  
pp. 317-321 ◽  
Author(s):  
Batoul Shariati ◽  
Ali Shahidzadeh‐Mahani ◽  
Turadj Oveysi ◽  
Hengameh Akhlaghi

2005 ◽  
Vol 21 (1) ◽  
pp. 283-291 ◽  
Author(s):  
Maria Rosa Rodrigues Rissi ◽  
Alcyone Artioli Machado ◽  
Marco Antonio de Castro Figueiredo

This study aimed to analyze affective and cognitive determinants of the professional work of individuals caring for patients with HIV/AIDS, in view of the risk and/or experience of accidental exposure to blood. We drew on the theoretical-methodological references of Fishbein & Ajzen and Maslow's theory. Fifty health care workers were evaluated using an attitudes questionnaire and a needs and motivations instrument. The research verified differences between answers by health care workers who had never suffered accidents and those who had already experienced accidental exposure to blood. Health care workers did their work activities motivated by the need for self-fulfillment and valued their own performance when they were able to meet the patients' emotional needs. Among health professionals who had never experienced accidental exposure to blood, the predominant beliefs was that patients feel remorse over having expose themselves to HIV. Accidental exposure to blood raises difficulties in personal life. Technical aspects are also associated with the possibility of accidental exposure to blood.


Author(s):  
Y. Cissoko ◽  
L. N. Sidibé ◽  
J. P. Dembele ◽  
A. A. Oumar ◽  
A. Traoré ◽  
...  

Accidental exposure to blood (AEB) constitutes a risk of transmission of blood-borne viruses including HIV, hepatitis B and hepatitis C virus especially amongst health workers. This study aims to describe accidental exposure to blood and post exposure management five years after it begin at the Hospital of Gao, since 2012 there is insurrection in this area making difficult to maintain health care system. This study will help to identify gaps to fill in order to improve the prevention of blood borne pathogen infection in this hospital. All cases of AEB declared at the Hospital from January 1st 2007 to December 31, 2011 have been enrolled. The sociodemographic profile of victims, the circumstances of the accident, the post exposure management and the follow up of subject have been registered. Data were entered and analyzed with the SPSS software. Chi square test was used with the level of significance p<0.05. During the 60 months of the study, an average of 124 workers were employed at the Hospital of Gao and 15 cases of accidental blood exposure were declared equal to an incidence density of 4.2 cases per 100 persons per year. Males were the most affected (60%). Nurses and lab technicians represent the majority of victims (53.3%). The most frequent type of accident was the injury by cannula needle sticks during intravenous injections (73.3%). Most of the cases received High Activity Antiretroviral Therapy (HAART) within a mean delay of 25 Hours from the accident, and the regiment (AZT/3TC/LPV/r) is predominantly used. HIV serology was done in 53.3% of subjects and revealed 1 positive case. Initial blood tests in all victims were normal. The HAART observance was worst among medical doctors (p < 0.001). No contaminations by HIV were detected after 6 months of follow up. The frequency of declared accidental exposures to blood at the Hospital of Gao is low. The post exposure management is facing a problem of observance of the treatment whenever it shows efficacy in all cases.


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