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AIDS ALERT / This item is <abridged>
=========================================================================
Received: from UTORONTO.BITNET by RYERSON.CA (Mailer X1.25) with BSMTP id 3563;
Thu, 26 May 88 13:47:33 EST
Received: by UTORONTO (Mailer X1.25) id 5163; Thu, 26 May 88 13:42:13 EDT
Date: Wed, 25 May 88 22:00:00 EDT
Reply-To: AIDS/ARC News List [AIDSNEWS@RUTVM1]
Sender: AIDS/ARC News List [AIDSNEWS@RUTVM1]
From: Michael Smith [MNSMITH@UMAECS]
Subject: AIDS Alert for Health Care Workers, Vol 1, Num 1
To: Bob Jackson [LIBR8508@RYERSON]
1-----------------------------------------------------------------------
AIDS ALERT FOR HEALTH CARE WORKERS
VOLUME 1 NUMBER 1
-----------------------------------------------------------------------
AIDS Alert for Health Care Workers is an index to journal articles
and occasional papers that address the occupational health and
safety concerns of health care workers who are providing care for
patients with AIDS. The Alert is annotated and compiled by
Charlotte Broome of the Ryerson Polytechnical Institute's Education
and Life Sciences Library. Issues of the Alert will appear three
to four times per year.
For further information about the Alert, contact Bob Jackson,
Librarian for Education & Life Sciences:
LIBR8508@RYERSON
Correspondence concerning the Alert can be addressed to:
Ryerson Polytechncial Institute
Library, Education & Life Sciences
350 Victoria Street, Toronto,
Ontario, Canada M5B 2K3
The ALERT is distributed electronically by the Institute for AIDS
Information.
----------------------------------------------------------------------
----------------------------------------------------------------------
ACCIDENTAL EXPOSURE - PREVENTION
(See also PRECAUTIONS - DEVICES; PRECAUTIONS - GUIDELINES,
PROTOCOLS & RECOMMENDATIONS; PRECAUTIONS - SURFACE CLEANING)
Citation: AIDS and the nurse. Barnard, Jacqueline.
Canadian Nurse 83(6), June 1987. p. 15-17 (5 ref.)
Abstract: One nurse's experiences and fears after an accidental
needlestick injury introduce the topic of basic precautions and
recommendations for preventing HIV infection in the healthcare
setting.
Citation: Effects of changing needle disposal systems on needle
puncture injuries. Krasinski, Keith and others. Infection
Control 8(2), Feb. 1987. p. 59-62 (14 ref.)
Abstract: A hospital study of needle puncture injuries showed
that changing the needle receptacle changed the type but not the
overall number of needle-related injuries. The study pointed to
the need to develop innovative approaches to help health care
workers change the behaviours which contributed to the injuries.
Citation: Impact of a rigid, puncture-resistant container system
upon needlestick injuries. Ribner, Bruce S. and others.
1 Infection Control 8(2), Feb. 1987. p. 63-66 (10 ref.)
Abstract: A hospital study found that disposal-related
needlestick injuries decreased with a rigid container, but that
procedural injuries continued and even increased in spite of
awareness education. Further study is needed to prevent these
types of injuries.
Citation: Mouth-to mouth resuscitation - is there a safe,
effective alternative? Birdsall, Carole and Ruggio, James.
American Journal of Nursing 87(8), Aug. 1987. p. 1019
Abstract: This presents a brief discussion of bedside
resuscitation devices for use in non-critical care areas in
hospital, against the background of preventing infection of
staff by patients they resuscitate.
Citation: Needlestick injuries: an occupational health hazard
for nurses. Carter de Carteret, Janet. AAOHN Journal 35(3), Mar.
1987. p. 119-22 (26 ref.)
Abstract: AIDS is only one of several diseases which may be
transmitted by accidental needlesticks. This article examines
the need to minimize this type of injury, and eight steps to do
so.
Citation: Recapping the accidental needlestick problem. Huber,
Kathryn and Sumner, Walton. American Journal of Infection
Control 15(3), June, 1987. p. 127-30 (9 ref.)
Abstract: Suggestions to prevent "during-use" and "after-use"
needlestick accidents involving nursing and housekeeping staff
are discussed.
Citation: ResusciAnnie proves safe. Valadez, Lucila and Garcia,
Rebecca. Journal of Continuing Education in Nursing 18(5), Sept.-
Oct. 1987. p. 160-62 (5 ref.)
Abstract: After fears arose that infectious diseases such as
hepatitis B or AIDS could be transmitted by CPR-training
mannequins, a hospital study showed that the AHA (American
Hospital Association) cleansing protocol using a solution of
sodium hypochlorite is effective in preventing transmission of
these and other organisms. The researchers suggest that the
study be repeated using alcohol or other recommended cleansing
solutions.
ACCIDENTAL EXPOSURE - RISK
(See also NEEDLESTICK INJURIES - PREVENTION; PRECAUTIONS -
DEVICES; PRECAUTIONS - GUIDELINES, PROTOCOLS & RECOMMENDATIONS)
Citation: National surveillance programme on occupational
exposure to HIV among health-care workers in Canada. Update.
Canada Diseases Weekly Report 13(37), Sept. 19, 1987. p. 163-65
Abstract: After outlining six precautions to prevent
occupational exposure to bloodborne infections, the article
describes the results to date of its surveillance programme of
Canadian health care workers who have been exposed to HIV at
1 work. It also suggests ways of preventing exposures in the
majority of these incidents.
Citation: Occupational risk of HIV, HBV and HSV-2 infections in
health care personnel caring for AIDS patients. Kuhls, Thomas L.
and others. American Journal of Public Health 77(10), Oct. 1987.
p. 1306-08 (19 ref.)
Abstract: A 9-12 month experimental study of health care workers
suggests that if infection control practices are used when
workers care for AIDS patients or their biological specimens,
risk is low for occupationally acquired AIDS, hepatitis B or
herpes simplex virus.
Citation: Three caregivers become HIV-antibody positive after
blood spills {Clinical News] 87(7), American Journal
of Nursing July 1987. p. 903
Abstract: This news item gives a follow-up of previous news
reports of three health-care workers who tested HIV-positive
after long-term exposure to body fluids. It also gives
suggestions of what to do if one is exposed.
Citation: Transmission of the human immunodeficiency virus.
Friedland, Gerald H. and Klein, Robert S. New England Journal of
Medicine 317(18), Oct. 29, 1987. p. 1125-35 (122 ref)
Abstract: A review of 122 references between 1981-1987 examining
exposure risk to HIV "strongly supports the conclusion that
transmission of HIV occurs only through blood, sexual contact
and perinatal events", and that a single exposure is unlikely to
transmit the virus. Close personal contact between patients and
healthcare workers or household members itself does not increase
risk, but risk increases with unprotected exposure to body
fluids in these contacts.
Citation: Update: human immunodeficiency virus infections in
health-care workers exposed to blood of infected patients.
International Nursing Review 34(5), Sept.-Oct. 1987. p. 136-39
Abstract: This article reprints the report in MMWR [Morbidity
and Mortality Weekly Report], May 22, 1987. To that date, nine
healthcare workers in the U.S.A. had been reported to have
developed HIV infections after exposure to infected patients'
body fluids. These incidents emphasize the need for workers to
follow infection-control guidelines to minimize risk. The
article repeats HIV risk control guidelines.
ATTITUDES
(See also PSYCHOLOGICAL STRESSES & COPING)
Citation: AIDS update: how nurses feel about AIDS. Marram van
Servellen, Gwen and others. Nursing '87 17(10), Oct. 1987. p. 8
(4 ref.)
Abstract: This column summarizes results of a recent survey of
Californian nurses, which examined attitudes towards caring for
AIDS patients, counselling, and knowledge of symptoms and
1 precautions.
... <abridged>