Veille documentaire MTPH

Médecine du travail du personnel hospitalier

Training-related accidents during teacher-student-assistance activities of medical students.

Rev Soc Bras Med Trop. 2004 Sep-Oct;37(5):405-8. Epub 2004 Sep 3.
Training-related accidents during teacher-student-assistance activities of medical students.
‘Reis JM, Lamounier Filho A, Rampinelli CA, Soares EC, Prado Rda S, Pedroso ER.
Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.’

A survey was done to determine the most common hospital accidents with biologically contaminated material among students at the Medical College of the Federal University of Minas Gerais. Six hundred and ninety-four students (between fifth and twelfth semesters of the college course) answered the questionnaire individually. Three-hundred and forty-nine accidents were reported. The accident rate was found to be 33.9% in the third semester of the course, and increased over time, reaching 52.3% in the last semester. Sixty-three percent of the accidents were needlestick or sharp object injuries; 18.3% mucous membrane exposure; 16.6% were on the skin, and 1.7% were simultaneously on the skin and mucous membrane exposure. The contaminating substances were: blood (88.3%), vaginal secretion (1.7%), and others (9.1%). The parts of the body most frequently affected were: hands (67%), eyes (18.9%), mouth (1.7%), and others (6.3%). The procedures being performed when the accidents occurred were: suture (34.1%), applying anesthesia (16.6%), assisting surgery (8.9%), disposing of needles (8.6%), assisting delivery (6.3%), and others (25.9%). Forty-nine percent of those involved reported the accident to the accident control department. Of these 29.2% did not receive adequate medical assistance. Eight percent of those involved used antiretroviral drugs and of these 86% discontinued the treatment on receiving the Elisa method applied to the patient (HIV-negative); 6.4% discontinued the treatment due to its side-effects; and 16% completed the treatment.
MeSH Terms: Accidents, Occupational/statistics & numerical data* – Anti-Retroviral Agents/therapeutic use – Blood-Borne Pathogens* – Body Fluids* – Cross-Sectional Studies – Disease Transmission, Patient-to-Professional/prevention & control – HIV Infection

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