Surgical Procedure Characteristics and Risk of Sharps-Related Blood and Body Fluid Exposure
Auteur Douglas J. Myers
Auteur Hester J. Lipscomb
Auteur Carol Epling
Auteur Debra Hunt
Auteur William Richardson
Auteur Lynn Smith-Lovin
Auteur John M. Dement
Volume 37
Numéro 1
Pages 80-87
Publication Infection Control and Hospital Epidemiology
ISSN 1559-6834
Date Jan 2016
Résumé OBJECTIVE To use a unique multicomponent administrative data set assembled at a large academic teaching hospital to examine the risk of percutaneous blood and body fluid (BBF) exposures occurring in operating rooms. DESIGN A 10-year retrospective cohort design. SETTING A single large academic teaching hospital. PARTICIPANTS All surgical procedures (n=333,073) performed in 2001-2010 as well as 2,113 reported BBF exposures were analyzed. METHODS Crude exposure rates were calculated; Poisson regression was used to analyze risk factors and account for procedure duration. BBF exposures involving suture needles were examined separately from those involving other device types to examine possible differences in risk factors. RESULTS The overall rate of reported BBF exposures was 6.3 per 1,000 surgical procedures (2.9 per 1,000 surgical hours). BBF exposure rates increased with estimated patient blood loss (17.7 exposures per 1,000 procedures with 501-1,000 cc blood loss and 26.4 exposures per 1,000 procedures with >1,000 cc blood loss), number of personnel working in the surgical field during the procedure (34.4 exposures per 1,000 procedures having ≥15 personnel ever in the field), and procedure duration (14.3 exposures per 1,000 procedures lasting 4 to
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doi:10.1017/ice.2015.233
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