Santos Leila de Fátima, Gonçalves Gleisy Kelly Neves, Sanches Soraya Rodrigues de Almeida, Clemente Wanessa Trindade
Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
Faculdade Ciências Médicas de Minas Gerais, Belo Horizonte, MG, Brazil.
Rev Bras Med Trab. 2024 Feb 16;21(4):e2022994. doi: 10.47626/1679-4435-2022-994. eCollection 2023 Oct-Dec.
Accidents with biological material and cuting/piercing instruments among health professionals have led to increased rates of hospital infection and subsequent patient contamination.
To compare factors associated with accidents involving biological material among health workers.
This cross-sectional epidemiological study, conducted in 2019-2020, included 229 physicians and non-physicians.
The sample was 60.7% physicians and 39.3% non-physicians; 51.5% were women; 48.5% were aged ≥40 years; 55% lived with a partner; 57.6% had a specialist or graduate degree; and 51.5% had ≥ 1 child). he physician group had a higher education level, worked > 1 job, and had a high rate of accidents, in addition to lower rates of pre-employment examinations, specific accident training, and supervisor contact in case of accidents. There was also a positive association in the physician group between accidents, employment length, and operating room experience, while age was inversely correlated with accident risk.
Different worker categories had specific risk profiles that involved education level, employment length, a low notification level, and risk underestimation. The results showed that education level and employment length do not guarantee accidents prevention. Both the physician and non-physician groups had significant accident rates and a similar behavior profile when events occurred, including low notification rates and underestimating the risk involved in the accident.
医护人员接触生物材料以及切割/穿刺器械时发生的意外,导致医院感染率上升以及随后的患者污染。
比较医护人员中与生物材料相关意外的影响因素。
这项横断面流行病学研究于2019 - 2020年进行,纳入了229名医生和非医生人员。
样本中60.7%为医生,39.3%为非医生;51.5%为女性;48.5%年龄≥40岁;55%与伴侣同住;57.6%拥有专科或研究生学位;51.5%育有≥1个孩子。医生组教育水平较高,从事多项工作,意外发生率较高,此外岗前检查、特定意外培训以及意外发生时与上级联系的比例较低。医生组中意外、工作时长和手术室工作经验之间也存在正相关,而年龄与意外风险呈负相关。
不同类别的工作人员有特定的风险特征,涉及教育水平、工作时长、报告率低以及对风险的低估。结果表明,教育水平和工作时长并不能保证预防意外。医生组和非医生组的意外发生率都很高,事件发生时行为特征相似,包括报告率低和低估意外所涉及的风险。