1. Surveillance of occupational blood and body fluid exposures among French healthcare workers in 2004
- Author
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A.G. Venier, A. Vincent, P. Parneix, E. Reyreaud, H. Sénéchal, D. Abiteboul, F. L’Hériteau, N. Floret, Bruno Coignard, Matériaux, ingénierie et science [Villeurbanne] ( MATEIS ), Université Claude Bernard Lyon 1 ( UCBL ), Université de Lyon-Université de Lyon-Centre National de la Recherche Scientifique ( CNRS ) -Institut National des Sciences Appliquées de Lyon ( INSA Lyon ), Université de Lyon-Institut National des Sciences Appliquées ( INSA ) -Institut National des Sciences Appliquées ( INSA ), Laboratoire Chrono-environnement ( LCE ), Université Bourgogne Franche-Comté ( UBFC ) -Centre National de la Recherche Scientifique ( CNRS ) -Université de Franche-Comté ( UFC ), Centre de Coordination de Lutte contre les Infections Nosocomiales - Sud-Ouest, CCLIN, Matériaux, ingénierie et science [Villeurbanne] (MATEIS), Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Institut National des Sciences Appliquées de Lyon (INSA Lyon), Université de Lyon-Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Centre National de la Recherche Scientifique (CNRS), Laboratoire Chrono-environnement - CNRS - UBFC (UMR 6249) (LCE), Centre National de la Recherche Scientifique (CNRS)-Université de Franche-Comté (UFC), and Université Bourgogne Franche-Comté [COMUE] (UBFC)-Université Bourgogne Franche-Comté [COMUE] (UBFC)
- Subjects
Percutaneous ,Epidemiology ,medicine.medical_treatment ,Human immunodeficiency virus (HIV) ,MESH : Aged ,medicine.disease_cause ,MESH: Occupational Exposure ,Tracheotomy ,[ SDV.MP ] Life Sciences [q-bio]/Microbiology and Parasitology ,Health care ,MESH : Personnel, Hospital ,MESH: Incidence ,MESH: Needlestick Injuries ,Needlestick Injuries ,MESH: Aged ,MESH: Middle Aged ,Incidence ,[ SDV.SPEE ] Life Sciences [q-bio]/Santé publique et épidémiologie ,Middle Aged ,MESH : Adult ,MESH : Incidence ,3. Good health ,MESH : Occupational Exposure ,Blood ,[SDV.MP]Life Sciences [q-bio]/Microbiology and Parasitology ,Infectious Diseases ,MESH: Sentinel Surveillance ,France ,Adult ,Microbiology (medical) ,medicine.medical_specialty ,MESH : Sentinel Surveillance ,Adolescent ,MESH: Personnel, Hospital ,Occupational Exposure ,MESH : Adolescent ,MESH : Needlestick Injuries ,MESH: Blood ,medicine ,Humans ,MESH : Middle Aged ,Intensive care medicine ,MESH : France ,Aged ,MESH: Adolescent ,Body fluid ,MESH: Humans ,business.industry ,Public health ,MESH : Humans ,MESH: Adult ,Confidence interval ,Personnel, Hospital ,MESH: France ,Emergency medicine ,[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie ,MESH : Blood ,business ,Sentinel Surveillance ,Blood sampling - Abstract
Objective.To estimate the incidence rate of reported occupational blood and body fluid exposures among French healthcare workers (HCWs).Design.Prospective national follow-up of HCWs from January 1 to December 31, 2004.Setting.University hospitals, hospitals, clinics, local medical centers, and specialized psychiatric centers were included in the study on a voluntary basis.Participants.At participating medical centers, every reported blood and body fluid exposure was documented by the occupational practitioner in charge of the exposed HCW by use of an anonymous, standardized questionnaire.Results.A total of 375 medical centers (15% of French medical centers, accounting for 29% of hospital beds) reported 13,041 blood and body fluid exposures; of these, 9,396 (72.0%) were needlestick injuries. Blood and body fluid exposures were avoidable in 39.1% of cases (5,091 of 13,020), and 52.2% of percutaneous injuries (4,986 of 9,552) were avoidable (5.9% due to needle recapping). Of 10,656 percutaneous injuries, 22.6% occurred during an injection, 17.9% during blood sampling, and 16.6% during surgery. Of 2,065 splashes, 22.6% occurred during nursing activities, 19.1% during surgery, 14.1% during placement or removal of an intravenous line, and 12.0% during manipulation of a tracheotomy tube. The incidence rates of exposures were 8.9 per 100 hospital beds (95% confidence interval [CI], 8.7-9.0 exposures), 2.2 per 100 full-time—equivalent physicians (95% CI, 2.4-2.6 exposures), and 7.0 per 100 full-time—equivalent nurses (95% CI, 6.8-7.2 exposures). Human immunodeficiency virus serological status was unknown for 2,789 (21.4%) of 13,041 patients who were the source of the blood and body fluid exposures.Conclusion.National surveillance networks for blood and body fluid exposures help to better document their characteristics and risk factors and can enhance prevention at participating medical centers.
- Published
- 2007