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M9610034.TXT
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1996-01-30
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Document 0034
DOCN M9610034
TI [Risks of accidental exposure to blood in the operating room. Results of
a multicenter prospective study. Groupe d'Etude sur les Risques
d'Exposition au Sang]
DT 9601
AU Johanet H; Antona D; Bouvet E; Service de Chirurgie Generale et
Digestive, Hopital; Bichat-Claude-Bernard, Paris.
SO Ann Chir. 1995;49(5):403-10. Unique Identifier : AIDSLINE MED/96010635
AB A multicentric prospective trial was conducted to evaluate the frequency
and kind of blood exposure in operating room. From march to june 1992,
3554 procedures were observed in 22 surgical units (visceral,
orthopaedic and vascular), with 129 surgeons, 133 residents and 216
nurses. Statistic analysis was done on Epi Info 5 (CDC Atlanta) and
EGRET (Statistic and Epidemiology Research Corporation, Seattle). 11.7%
of procedures were the case for an incidental blood exposure: 4.2% for
percutaneous exposure; 8.4% for cutaneous or mucosal exposure. Rates
change with the surgical specialty. Surgeons were involved in 50.7% of
percutaneous exposure and 58.7% of the cutaneous or mucosal exposures,
especially when they were operators (respectively 2 and 5.6%
person-act). A significative rate was founded between incidental blood
exposure and the length of procedure, the sepsis character of the
procedure, but not with emergency or number of globular units
transfused. To diminish the incidental blood exposure and its risks,
this data suggests three kinds of practice: a better work for
vaccination; in our study 59% of surgeons declare an adequate
vaccination against hepatitis B; a best operative hygiene, with knowing
of risks factor of blood exposure, depending of the kind of procedure,
changing between different units; the use of protections: non coated
dressing, double gloving, ocular protection.
DE Acquired Immunodeficiency Syndrome/TRANSMISSION/*VIROLOGY Disease
Transmission, Patient-to-Professional/*METHODS/PREVENTION & CONTROL
English Abstract Hand Injuries/*COMPLICATIONS Hepatitis
B/IMMUNOLOGY/TRANSMISSION/VIROLOGY Hepatitis B Vaccines/THERAPEUTIC USE
Hepatitis C/IMMUNOLOGY/TRANSMISSION/VIROLOGY Human Needlestick
Injuries/*COMPLICATIONS Operating Rooms Prospective Studies Risk
Factors Viral Vaccines Virus Diseases/TRANSMISSION/*VIROLOGY CLINICAL
TRIAL JOURNAL ARTICLE MULTICENTER STUDY
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).