Surgical procedure characteristics and risk of sharps-related blood and body fluid exposure

Details

• Personal Author:
  Dement, John M. ; Epling C ; Hunt D ; Lipscomb HJ ; Myers DJ ; Richardson W ; Smith-Lovin L
• Description:
  OBJECTIVE To use a unique multicomponent administrative data set assembled at a large academic teaching hospital to examine the risk of percutaneous blood and body fluid (BBF) exposures occurring in operating rooms. DESIGN A 10-year retrospective cohort design. SETTING A single large academic teaching hospital. PARTICIPANTS All surgical procedures (n=333,073) performed in 2001-2010 as well as 2,113 reported BBF exposures were analyzed. METHODS Crude exposure rates were calculated; Poisson regression was used to analyze risk factors and account for procedure duration. BBF exposures involving suture needles were examined separately from those involving other device types to examine possible differences in risk factors. RESULTS The overall rate of reported BBF exposures was 6.3 per 1,000 surgical procedures (2.9 per 1,000 surgical hours). BBF exposure rates increased with estimated patient blood loss (17.7 exposures per 1,000 procedures with 501-1,000 cc blood loss and 26.4 exposures per 1,000 procedures with >1,000 cc blood loss), number of personnel working in the surgical field during the procedure (34.4 exposures per 1,000 procedures having =15 personnel ever in the field), and procedure duration (14.3 exposures per 1,000 procedures lasting 4 to <6 hours, 27.1 exposures per 1,000 procedures lasting =6 hours). Regression results showed associations were generally stronger for suture needle-related exposures. CONCLUSIONS Results largely support other studies found in the literature. However, additional research should investigate differences in risk factors for BBF exposures associated with suture needles and those associated with all other device types. [Description provided by NIOSH]
• Subjects:
  Blood Body Fluids Environmental Exposure Epidemiology Needlestick Injuries Occupational Health Risk Assessment Risk Factors Safety
• Keywords:
  Blood Cells Body Fluids Exposure Levels Needlestick Injuries Operating Rooms Risk Factors Sharps Statistical Analysis Surgery
• ISSN:
  0899-823X
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  North Carolina ; OSHA Region 3 ; OSHA Region 4 ; West Virginia
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  80-87
• Volume:
  37
• Issue:
  1
• NIOSHTIC Number:
  nn:20048729
• Citation:
  Infect Control Hosp Epidemiol 2016 Jan; 37(1):80-87
• Contact Point Address:
  Douglas J. Myers, ScD, West Virginia University, Occupational and Environmental Health Sciences Department, 1 Medical Center Drive, PO Box 6190, Morgantown, WV 26506
• Email:
  djmyers@hsc.wvu.edu
• Federal Fiscal Year:
  2016
• Performing Organization:
  Duke University
• Peer Reviewed:
  True
• Start Date:
  20090901
• Source Full Name:
  Infection Control and Hospital Epidemiology
• End Date:
  20140831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:a8cd2afeb383dd829be821a68173e8d2ea5ff525287b4ca1f5b64074e6fd3b4516802ae165e2ebce6ae751503b49a1ccd537492eefa689460fd6335787e5042a
• Download URL:
  https://stacks.cdc.gov/view/cdc/203410/cdc_203410_DS1.pdf
• File Type:
  [PDF - 205.21 KB ]