Occupational Exposure to Sharp Tools in Emergency Medical Service Staff; an Epidemiologic Study
Iranian Journal of Emergency Medicine,
Vol. 4 No. 4 (2017),
8 October 2017
,
Page 152-146
https://doi.org/10.22037/ijem.v2i1.16491
Abstract
Introduction: Sharp tools are among the major risk factors for transmission of blood borne infections. Therefore, the present study was carried out with the aim of determining epidemiologic aspects of occupational exposure and injury with sharp tools in emergency medical service (EMS) of Dezfoul, Iran, in 2014-2015. Methods: This cross-sectional study was carried out on 140 EMS staff who met the inclusion criteria, using census method. The tool used for data gathering was a questionnaire prepared by the researcher including demographic and personal health data, prevalence and cause of injury with sharp tools, knowledge, mental state, reporting exposure, measures taken, and follow-ups. Data were analyzed using statistical tests such as chi square. Results: Overall, 75% of the participants had been exposed to sharp tools at least once in the past year. Most injuries had occurred during venipuncture of the patient (41.09%). 54.2% of all exposures had happened during transfer. In addition, sadly, 63.9% of the exposures of the staff to patients’ infected secretions were not reported. 63% of injuries with sharp objects had occurred in the night shift. There was a correlation between working experience and frequency of exposure (p=0.02, r=0.19). Conclusion: The results of the present study are indicative of the high occupational exposure to sharp tools among staff of the studied EMS, a significant number of which had not been reported.- آسیب های شغلی؛ اپیدمیولوژی؛ سرویس اورژانس پیش بیمارستانی؛ آسیب با سرسوزن
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References
Elmqvist C, Fridlund B, Ekebergh M. More than medical treatment: The patient’s first encounter with prehospital emergency care. International Emergency Nursing. 2008;16(3):185-92.
Foo CP, Ahghari M, MacDonald RD. Use of geographic information systems to determine new helipad locations and improve timely response while mitigating risk of helicopter
emergency medical services operations. Prehospital Emergency Care. 2010;14(4):461-8.
Gomes E, Araújo R, Soares-Oliveira M, Pereira N. International EMS systems: Portugal. Resuscitation. 2004;62(3):257-60.
Manitoba EMS Center. Emergency Medical Services in Manitoba, Canada: planning for tomorrow - Making a difference today2012: 1-4. 2013. Available from: http://www.gov.mb.ca/health/ems/planning.html.
Zelenik K, Stanikova L, Smatanova K, Cerny M, Kominek P. Treatment of Laryngoceles: what is the progress over the last two decades? BioMed research international. 2013;2014:ID: 819453.
Boyle S. United Kingdom (England). Health system review European Observatory on Health Systems and Policies. 2011.
G C. Disaster medicine. Churchill Livingstone: Mosby; 2006.
Suserud B-O, Blomquist M, Johansson I. Experiences of threats and violence in Swedish ambulance service. Prehospital and Disaster Medicine. 2002;17(S2):S84-S5.
Kouhestani HR, Baghcheghi N, Rezayee K. Blood contaminated needle stick/sharp objects injuries and exposure to patients’ body fluids in medical emergencies students. Journal of Critical Care Nursing. 2010;3(2):5-6.
Alert N. Preventing needlestick injuries in health care settings. DHHS (NIOSH) Publication. 1999(2000-108):2000-108.
Prüss‐Üstün A, Rapiti E, Hutin Y. Estimation of the global burden of disease attributable to contaminated sharps injuries among health‐care workers. American journal of industrial medicine. 2005;48(6):482-90.
Mahfoozpour S, Baratloo A, Hatamabadi H, Karimian K, Safari S. Minding the Prevention Protocol for Blood-Borne Diseases via EM Residents. Trauma monthly. 2012;18(1):50-3.
Goniewicz M, Wloszczak-Szubzda A, Niemcewicz M, Witt M, Marciniak-Niemcewicz A, Jarosz MJ. Injuries caused by sharp instruments among healthcare workers–international and Polish perspectives. Annals of Agricultural and Environmental Medicine. 2012;19(3).
Mahfoozpoor S, Hatamabadi H, Karimian K, Baratloo A, Alamdari S. Preventive measures for blood borne disease by emergency medicine residents. Payesh. 2012;11(5):745-51.
Dezful 2015 [cited 2015]. Available from: https://en.wikipedia.org/wiki/Dezful.
Luksamijarulkul P, Pipitsangjan S, Vatanasomboon P. Occupational risk towards blood-borne infections among ambulance personnel in a provincial hospital network in Thailand. Southeast Asian J Trop Med Public Health. 2014;45(4):940-8.
Harris SA, Nicolai LA. Occupational exposures in emergency medical service providers and knowledge of and compliance with universal precautions. American journal of infection control. 2010;38(2):86-94.
Reed E, Daya MR, Jui J, Grellman K, Gerber L, Loveless MO. Occupational infectious disease exposures in EMS personnel. The Journal of emergency medicine. 1993;11(1):9-16.
Abu-Gad HA, Al-Turki KA. Some epidemiological aspects of needle stick injuries among the hospital health care workers: Eastern Province, Saudi Arabia. European journal of epidemiology. 2001;17(5):401-7.
Moser MA, CRSP C. Engineering out needle stick injuries (safety devices). The Safe Angle Summer. 2004:5-7.
Haiduven DJ, DeMaio TM, Stevens DA. A five-year study of needlestick injuries: significant reduction associated with communication, education, and convenient placement of sharps containers. Infection Control & Hospital Epidemiology. 1992;13(05):265-71.
Panlilio AL, Orelien JG, Srivastava PU, Jagger J, Cohn RD, Cardo DM. Estimate of the annual number of percutaneous injuries among hospital-based healthcare workers in the United States, 1997–1998. Infection Control. 2004;25(07):556-62.
Knight VM, Bodsworth NJ. Perceptions and practice of universal blood and body fluid precautions by registered nurses at a major Sydney teaching hospital. Journal of Advanced Nursing. 1998;27(4):746-51.
Nazmieh H, Najaf-Yarandi A, Janmohammadi S, Hosseini F. ASSESMENT OF THE INJURIES CAUSED BY SHARP INSTRUMENTS IN THE HEALTH WORKERS OF UNIVERSITY HOSPITALS, IN YAZD. Iran Journal of Nursing. 2005;18(43):49-59.
Au E, Gossage J, Bailey S. The reporting of needlestick injuries sustained in theatre by surgeons: are we under-reporting? Journal of Hospital Infection. 2008;70(1):66-70.
Dement JM, Epling C, Østbye T, Pompeii LA, Hunt DL. Blood and body fluid exposure risks among health care workers: results from the Duke Health and Safety Surveillance System. American journal of industrial medicine. 2004;46(6):637-48.
Nsubuga FM, Jaakkola MS. Needle stick injuries among nurses in sub‐Saharan Africa. Tropical medicine & international health. 2005;10(8):773-81.
Hofranipour F, Asadpour M, Ardebili H, Niknami S, Hajizadeh E. Needle stick/sharp injuries and determinants in nursing care. European Journal of Social Sciences. 2009;2(2):191-7.
Hignett S, Crumpton E, Coleman R. Designing emergency ambulances for the 21st century. Emergency Medicine Journal. 2009;26(2):135-40.
Luksamijarulkul P, Watagulsin P, Sujirarat D. Hepatitis B virus seroprevalence and risk assessment among personnel of a governmental hospital in Bangkok. Southeast Asian journal of tropical medicine and public health. 2001;32(3):459-65.
Physicians ACoE, Physicians NAoE. Alternate ambulance transportation and destination. Annals of emergency medicine. 2008;52(5):594.
Sepkowitz K. Nosocomial hepatitis and other infections transmitted by blood and blood products. Mandell GL, Bennett JE, Dolin R (eds) Principles and Practice of Infectious Diseases 5th ed New York: Churchill Livingstone. 2000:3039-52.
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