Trends in bloodborne pathogen exposure and follow-up at an urban teaching hospital: 1987 to 1997

Journal of Occupational and Environmental Medicine
A J BehrmanJ Green-McKenzie

Abstract

Health care workers (HCWs) risk occupational exposure to bloodborne pathogens. Effective postexposure treatment and testing depend on compliance with follow-up, but compliance rates are poorly understood. We examined trends in exposure and follow-up at a large teaching hospital after interventions to improve compliance. We reviewed exposures from October 1987 to September 1988 (group 1) and July 1996 to June 1997 (group 2). Data were analyzed for HCW demographics, source patient characteristics, and follow-up outcomes. We found that group 2 source patient serologic data were obtained more often. Group 1 source patients were more likely to be positive for the human immunodeficiency virus (HIV). Group 2 HCWs were more likely to be immune to hepatitis B virus, to agree to HIV testing, and to comply with follow-up. Follow-up rates remained suboptimal, even after high-risk exposures. Non-licensed HCWs were less likely to accept postexposure testing than physicians or nurses in group 2. General and targeted interventions to improve compliance and follow-up are still needed.

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Citations

Jul 17, 2012·American Journal of Infection Control·Sharon L KarmonMichael Phillips
Dec 25, 2007·Annales Françaises D'anesthèsie Et De Rèanimation·F Mérat, S Mérat
Feb 1, 2015·The Annals of Occupational Hygiene·Daniela Vieira Silva EscuderoEduardo Alexandrino Medeiros
Feb 1, 2007·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Madelyn Azar-CavanaghJudith Green-McKenzie

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