Trends in Bloodborne Pathogen Exposure and Follow-Up at an Urban Teaching Hospital: 1987 to 1997

Details

• Personal Author:
  Behrman AJ ; Green-McKenzie J ; Shofer FS
• Description:
  Health care workers (HCWs) risk occupational exposure to bloodborne pathogens. Effective postexposure treatment and testing depend on compliance with follow-up, but compliance rates are poorly understood. We examined trends in exposure and follow-up at a large teaching hospital after interventions to improve compliance. We reviewed exposures from October 1987 to September 1988 (group 1) and July 1996 to June 1997 (group 2). Data were analyzed for HCW demographics, source patient characteristics, and follow-up outcomes. We found that group 2 source patient serologic data were obtained more often. Group 1 source patients were more likely to be positive for the human immunodeficiency virus (HIV). Group 2 HCWs were more likely to be immune to hepatitis B virus, to agree to HIV testing, and to comply with follow-up. Follow-up rates remained suboptimal, even after high-risk exposures. Non-licensed HCWs were less likely to accept postexposure testing than physicians or nurses in group 2. General and targeted interventions to improve compliance and follow-up are still needed. [Description provided by NIOSH]
• Subjects:
  Blood Blood-Borne Pathogens Communicable Diseases Health Personnel Hematologic Diseases HIV Occupational Exposure Occupational Health Safety
• Keywords:
  Bloodborne Pathogens Compliance Health Care Workers Hepatitis B Human Immunodeficiency Virus Intervention Effectiveness Medical Treatment Occupational Exposure
• ISSN:
  1076-2752
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  OSHA Region 3 ; Pennsylvania
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  370-376
• Volume:
  43
• Issue:
  4
• NIOSHTIC Number:
  nn:20054349
• Citation:
  J Occup Environ Med 2001 Apr; 43(4):370-376
• Contact Point Address:
  Amy J. Behrman, MD, Division of Occupational Medicine, Department of Emergency Medicine, University of Pennsylvania Health System, One Silverstein Pavilion, 3400 Spruce Street, Philadelphia, PA 19104
• Email:
  behrman@mail.med.upenn.edu
• Federal Fiscal Year:
  2001
• Performing Organization:
  School of Medicine, University of Pennsylvania, Philadelphia
• Peer Reviewed:
  True
• Start Date:
  19980801
• Source Full Name:
  Journal of Occupational and Environmental Medicine
• End Date:
  20030630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:306f8dac4658a2cc262d774258ec6247c671dc962481ace824cc630f88f88600fb4aa328c60049be8edcdfba096d6345d915a37337d99917185824b68eec0cbd
• Download URL:
  https://stacks.cdc.gov/view/cdc/216934/cdc_216934_DS1.pdf
• File Type:
  [PDF - 143.52 KB ]