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Médecine du travail du personnel hospitalier

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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