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

American Journal of Infection Control
Jacqueline A MenezesPatrícia Brasil

Abstract

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. 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. 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). The adoption of a single safety device, which required no training, significantly reduced PIs among the nursing team.

References

Jun 20, 2001·Journal of Occupational and Environmental Medicine·W F Peate
Aug 5, 2004·American Journal of Infection Control·Marcia Trapé-Cardoso, Paula Schenck
Aug 11, 2004·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·SeJean SohnGianna Zuccotti
Feb 11, 2005·International Journal of Occupational and Environmental Health·Susan Q Wilburn, Gerry Eijkemans

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Citations

Feb 13, 2016·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·C HauptD Steinmann
Mar 6, 2016·American Journal of Infection Control·Priscila do Carmo Freitas de CarvalhoSilmara Elaine Malaguti-Toffano
Dec 1, 2017·The Cochrane Database of Systematic Reviews·Viraj K ReddyManisha Pahwa
Dec 6, 2018·Revista brasileira de enfermagem·Lívia Tech Dos SantosMaria Helena Palucci Marziale

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