Koné M C, Mallé K K
Hôpital Nianankoro Fomba de Ségou, Bamako, Mali.
Bull Soc Pathol Exot. 2015 Dec;108(5):369-72. doi: 10.1007/s13149-015-0451-4. Epub 2015 Sep 29.
This is a prospective study conducted in December 2012 among 128 at the Nianankoro Fomba Hospital in Segou in order to assess their knowledge and practices on Blood Exposure Accidents (BEA). The average age of caregivers was 35.4 ± 9 years (range: 22-59 years). The nurses were predominant with 37.5%. The definition of BEA was mastered by 43.8%. The main transmissible infectious agents (HIV, HBV and HCV) were ignored by 76.6%. Questioning revealed that during the treatment, 78.9% wore gloves and 36.0% recapped needles after use. The concept of washing and disinfection after BEA was known by 68.8%. The disinfectant applied was correct for 21.9% of the cases, the time of application for 69.5%. Consulting a referring physician after BEA was mandatory for 32% of them. The time limit of 48 hours delay for the declaration of BEA was experienced by 51.3%. Among staff interviewed 82 caregivers (64.1%) experienced at least one BEA. Students and nursing students were most at risk. Needle pricks were the most frequent (73.2%). BEA is a major problem in the Segou Nianankoro Fomba Hospital. Compliance with standard precautions is not of common practice. Post-exposure care is not widely known. The experienced cases show poor management of BEA in the structure.
这是一项于2012年12月在塞古的尼亚南科罗丰巴医院对128人进行的前瞻性研究，旨在评估他们对血液暴露事故（BEA）的认知和实践情况。护理人员的平均年龄为35.4±9岁（范围：22 - 59岁）。护士占比最高，为37.5%。43.8%的人掌握了BEA的定义。76.6%的人对主要的可传播感染源（艾滋病毒、乙肝病毒和丙肝病毒）一无所知。调查发现，在治疗过程中，78.9%的人戴手套，36.0%的人在使用后重新盖帽针头。68.8%的人知道BEA后清洗和消毒的概念。21.9%的病例使用的消毒剂正确，69.5%的病例消毒时间正确。32%的人认为BEA后必须咨询转诊医生。51.3%的人经历过BEA报告延迟48小时的情况。在接受采访的工作人员中，82名护理人员（64.1%）至少经历过一次BEA。学生和护理专业学生风险最高。针刺是最常见的情况（73.2%）。BEA是塞古尼亚南科罗丰巴医院的一个主要问题。遵守标准预防措施并非普遍做法。暴露后护理并未广为人知。实际案例表明该机构对BEA的管理不善。
