Occupational blood and body fluid exposure of university health care workers

Am J Infect Control. 2008 Dec;36(10):753-6. doi: 10.1016/j.ajic.2008.04.254. Epub 2008 Oct 22.

Abstract

Background: Occupational exposure to bloodborne pathogens caused by percutaneous injuries or mucosal contamination is common in hospital settings.

Methods: Reports of exposures to human blood and body fluids from Padua university health care workers since 2004 to 2006 and compliance with follow-up after injury according to the patients' source were analyzed.

Results: The injury reports were 497. The residents in surgery and anesthesiology were significantly more injured than others, and the compliance with follow-up was low: from 26.3% (hepatitis B virus) to 40% (hepatitis C virus) with a positive source, less than 30% with a negative source, as far as 40% with an unknown source. No seroconversion was observed in subjects completing the follow-up.

Conclusion: We suspect underestimation of injury reports and low compliance with the follow-up requests that health care workers adhere to the protocols and follow the standard procedures to prevent exposures to bloodborne pathogens.

MeSH terms

  • Blood / microbiology*
  • Blood-Borne Pathogens / isolation & purification
  • Body Fluids / microbiology*
  • Female
  • Guideline Adherence / statistics & numerical data*
  • HIV Seropositivity / complications
  • HIV Seropositivity / epidemiology
  • HIV Seropositivity / transmission
  • Hepatitis B / complications
  • Hepatitis B / epidemiology
  • Hepatitis B / transmission
  • Hepatitis C / complications
  • Hepatitis C / epidemiology
  • Hepatitis C / transmission
  • Hospitals, University
  • Humans
  • Infection Control / methods
  • Infectious Disease Transmission, Patient-to-Professional / statistics & numerical data*
  • Italy / epidemiology
  • Male
  • Medical Staff, Hospital / statistics & numerical data*
  • Needles / classification
  • Needlestick Injuries / epidemiology
  • Occupational Diseases / epidemiology
  • Occupational Diseases / etiology
  • Occupational Exposure / statistics & numerical data*
  • Patient Compliance / statistics & numerical data