Notification of Work Accidents With Exposure to Biological Material: Cross Study

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

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Accidents with exposure to biological material treated at a hospital

Revista de Enfermagem UFPE on line ◽

10.5205/1981-8963.2019.239025 ◽

2019 ◽

Vol 13 ◽

Author(s):

Arimatéia Portela Azevedo ◽

Jéssica Francisca Souza Medeiros ◽

Francisca Parente Medeiros ◽

José Geraldo Santos De Araújo ◽

Rosana Batista Marques ◽

...

Keyword(s):

Biological Material ◽

Prophylactic Treatment ◽

Treatment Method ◽

Medical Emergency ◽

Occupational Accidents ◽

Post Exposure Prophylaxis ◽

Effective Interventions ◽

Work Accidents ◽

Quantitative Descriptive ◽

Exposure Prophylaxis

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.

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Work accidents with biological material occurred in municipalities of Minas Gerais

Revista Brasileira de Enfermagem ◽

10.5935/0034-7167.20140016 ◽

2014 ◽

Vol 67 (1) ◽

Cited By ~ 2

Author(s):

Renata Siqueira Julio ◽

Monique Borsato Silva Filardi ◽

Maria Helena Palucci Marziale

Keyword(s):

Biological Material ◽

Minas Gerais ◽

Work Accidents

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Occupational accidents involving biological material among public health workers

Revista Latino-Americana de Enfermagem ◽

10.1590/s0104-11692007000400017 ◽

2007 ◽

Vol 15 (4) ◽

pp. 632-638 ◽

Cited By ~ 18

Author(s):

Mônica Bonagamba Chiodi ◽

Maria Helena Palucci Marziale ◽

Maria Lúcia do Carmo Cruz Robazzi

Keyword(s):

Public Health ◽

Occupational Exposure ◽

Biological Material ◽

Health Workers ◽

Occupational Accidents ◽

Prevention Measures ◽

Descriptive Research ◽

Public Health Workers ◽

Work Accident ◽

Work Accidents

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.

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Organizational influence on the occurrence of work accidents involving exposure to biological material

Revista Latino-Americana de Enfermagem ◽

10.1590/s0104-11692013000700025 ◽

2013 ◽

Vol 21 (spe) ◽

pp. 199-206 ◽

Cited By ~ 7

Author(s):

Maria Helena Palucci Marziale ◽

Fernanda Ludmilla Rossi Rocha ◽

Maria Lúcia do Carmo Cruz Robazzi ◽

Camila Maria Cenzi ◽

Heloisa Ehmke Cardoso dos Santos ◽

...

Keyword(s):

Organizational Culture ◽

Nursing Staff ◽

Biological Material ◽

Biological Materials ◽

Control Group ◽

Case Group ◽

Staff Members ◽

Or Practice ◽

Work Accidents ◽

Group Workers

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.

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Acidentes de trabalho com exposição à material biológico notificados em um hospital infantil / Work accidents with exposure to biological material notified in a child hospital

Brazilian Journal of Development ◽

10.34117//bjdv7n8-527 ◽

2021 ◽

Vol 7 (8) ◽

pp. 83593-83604

Author(s):

Rafaela Dias Da Silva ◽

Jackeline Silva Cabral ◽

Elizabeth Iracy Alves Leite ◽

Felipe Leonardo Rigo ◽

Ana Cláudia Da Cunha ◽

...

Keyword(s):

Biological Material ◽

Work Accidents ◽

Child Hospital

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A Simple Dichromatic Stain for Plastic Embedded Tissues

Proceedings, annual meeting, Electron Microscopy Society of America ◽

10.1017/s0424820100068473 ◽

1970 ◽

Vol 28 ◽

pp. 296-297 ◽

Cited By ~ 1

Author(s):

G. R. Mackay ◽

M. L. Mead

Keyword(s):

Electron Microscopy ◽

Toluidine Blue ◽

Biological Material ◽

Good Reproducibility ◽

Routine Work ◽

Staining Techniques

Color contrasting of 1 to 2 micron sections of plastic embedded biological material is an important adjunct to electron microscopy. The procedures in general use today are simple and rapid giving monochromatic results, e.g., toluidine blue. Although many di- and polychromatic histologic staining techniques have been modified to obtain a counterstaining effect with plasticembedded tissue, the methods are usually undesirable for routine work because they are time consuming, complicated and often defy good reproducibility.

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Ultrathin frozen sections of yeast without aldehyde prefixation

Proceedings, annual meeting, Electron Microscopy Society of America ◽

10.1017/s0424820100081152 ◽

1978 ◽

Vol 36 (2) ◽

pp. 58-59

Author(s):

K. J. Böhm ◽

a. E. Unger

Keyword(s):

Aqueous Solutions ◽

Biological Material ◽

Yeast Cells ◽

Frozen Sections ◽

Good Preservation ◽

Ultrathin Frozen Sections

During the last years it was shown that also by means of cryo-ultra-microtomy a good preservation of substructural details of biological material was possible. However the specimen generally was prefixed in these cases with aldehydes.Preparing ultrathin frozen sections of chemically non-prefixed material commonly was linked up to considerable technical and manual expense and the results were not always satisfying. Furthermore, it seems to be impossible to carry out cytochemical investigations by means of treating sections of unfixed biological material with aqueous solutions.We therefore tried to overcome these difficulties by preparing yeast cells (S. cerevisiae) in the following manner:

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Albumins as Embedding Media for Electron Microscopy

Proceedings, annual meeting, Electron Microscopy Society of America ◽

10.1017/s0424820100064025 ◽

1969 ◽

Vol 27 ◽

pp. 422-423 ◽

Cited By ~ 1

Author(s):

J. L. Farrant ◽

J. D. McLean

Keyword(s):

Electron Microscopy ◽

Electron Microscope ◽

High Temperature ◽

Biological Material ◽

Globular Proteins ◽

The Past ◽

Antibody Staining ◽

Thin Sectioning ◽

Embedding Medium

For electron microscope techniques such as ferritin-labeled antibody staining it would be advantageous to have available a simple means of thin sectioning biological material without subjecting it to lipid solvents, impregnation with plastic monomers and their subsequent polymerization. With this aim in view we have re-examined the use of protein as an embedding medium. Gelatin which has been used in the past is not very satisfactory both because of its fibrous nature and the high temperature necessary to keep its solutions fluid. We have found that globular proteins such as the serum and egg albumins can be cross-linked so as to yield blocks which are suitable for ultrathin sectioning.

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