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联邦医院中职业暴露于锐器伤的情况。

Occupational exposure to sharp instrument injuries in a federal hospital.

作者信息

Quixabeiro Elinaldo Leite, Hennington Élida Azevedo

机构信息

Divisão de Saúde do Trabalhador, Instituto Nacional de Câncer José Alencar Gomes da Silva, Rio de Janeiro, RJ, Brazil.

Escola Nacional de Saúde Pública Sergio Arouca, Rio de Janeiro, RJ, Brazil.

出版信息

Rev Bras Med Trab. 2021 Mar 3;18(4):381-389. doi: 10.47626/1679-4435-2020-515.

Abstract

INTRODUCTION

Occupational exposure to potentially contaminated sharp instruments can result in the transmission of several pathogens and diseases. It is therefore necessary to investigate the factors that lead to these events and the interventions that can be used to address them.

OBJECTIVES

To assess and describe the frequency of occupational exposure to sharps injury among employees of the Instituto Nacional de Câncer José Alencar Gomes da Silva in 2017 and 2018.

METHODS

This was a cross-sectional, exploratory and descriptive study based on the records of occupational accidents involving exposure to biological materials and the reports made to the Institute's Occupational Health Division.

RESULTS

A total of 108 incidents were reported, 87 of which involved sharp instruments. Most accidents occurred in the surgical ward, and involved medical staff. The findings revealed low adherence to clinical and laboratory follow-up protocols. There were several errors in data entry and high rates of missing data for important characteristics of the accidents and victims, which prevented a more thorough description of these incidents.

CONCLUSIONS

This study revealed several aspects of occupational accidents, victims and follow-up procedures, allowing for the discussion of strategies that could improve the reporting, prevention and management of these events.

摘要

引言

职业性接触潜在污染的锐器可导致多种病原体和疾病的传播。因此,有必要调查导致这些事件的因素以及可用于应对这些因素的干预措施。

目的

评估并描述2017年和2018年若泽·阿伦卡尔·戈麦斯·达席尔瓦国家癌症研究所员工职业性接触锐器伤的频率。

方法

这是一项横断面、探索性和描述性研究,基于涉及接触生物材料的职业事故记录以及向该研究所职业健康部门提交的报告。

结果

共报告了108起事件,其中87起涉及锐器。大多数事故发生在外科病房,涉及医务人员。研究结果显示对临床和实验室随访方案的依从性较低。事故和受害者的重要特征在数据录入方面存在若干错误且缺失数据率很高,这妨碍了对这些事件进行更全面的描述。

结论

本研究揭示了职业事故、受害者和随访程序的若干方面,有助于讨论可改善这些事件报告、预防和管理的策略。

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