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Impact of a single safety-engineered device on the occurrence of percutaneous injuries in a general hospital in Brazil.

Abstract：

BACKGROUND:Health care workers are exposed to bloodborne pathogens through occupational injuries, and the replacement of sharps by safety-engineered devices has been recommended as a key preventive measure. This recommendation has been difficult to implement in Brazil. METHODS:We conducted a retrospective study of selected data from a database of blood and body fluid exposures reported from January 2007 through December 2011 in a public general hospital in Rio de Janeiro where, from the end of 2009, a safety lancet for blood glucose testing (BGT) was introduced. A log-binomial model was used to evaluate the effect of the introduction of the safety lancet on the proportion of percutaneous injuries (PIs) during BGT in the nursing staff. RESULTS:Nursing staff had a significant reduction in rate of PIs per 100 full-time equivalents from 2007 to 2011 (P < .001), and medical residents had the highest rate throughout the same period. A reduction of PIs by small-gauge needles was observed since 2009, and injuries during BGT fell abruptly in 2010 and 2011 paralleling the number of purchased safety lancets (P < .001). CONCLUSION:The adoption of a single safety device, which required no training, significantly reduced PIs among the nursing team.

journal_name

Am J Infect Control

journal_title

American journal of infection control

authors

Menezes JA,Bandeira CS,Quintana M,de Lima E Silva JC,Calvet GA,Brasil P

doi

10.1016/j.ajic.2013.07.017

subject

Has Abstract

pub_date

2014-02-01 00:00:00

pages

174-7

issue

2

eissn

0196-6553

issn

1527-3296

pii

S0196-6553(13)01154-1

journal_volume

42

pub_type

杂志文章

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