Blood and body fluid exposure risks among health care workers: Results from the Duke health and safety surveillance system

American Journal of Industrial Medicine

Volumn 46, Issue 6, 2004, Pages 637-648

  Dement, John M ^a   Epling, Carol ^a   Østbye, Truls ^a   Pompeii, Lisa A ^a   Hunt, Debra L ^a  

^a DUKE UNIVERSITY MEDICAL CENTER   (United States)

Author keywords

Blood; Blood borne pathogens; Body fluids; Health care workers; Needle stick; Surveillance

Indexed keywords

ADOLESCENT; ADULT; AGED; ARTICLE; BODY FLUID; CALCULATION; CHILD; CONTROLLED STUDY; FEMALE; HEALTH CARE PERSONNEL; HISPANIC; HUMAN; MALE; MEDICAL RESEARCH; NEEDLESTICK INJURY; NURSE; OCCUPATIONAL EXPOSURE; OPERATING ROOM PERSONNEL; POISSON DISTRIBUTION; POSTMARKETING SURVEILLANCE; RISK ASSESSMENT; RISK FACTOR; SAFETY; SUTURE; TIME SERIES ANALYSIS;

ADULT; AGE DISTRIBUTION; BLOOD-BORNE PATHOGENS; BODY FLUIDS; DISEASE TRANSMISSION, PATIENT-TO-PROFESSIONAL; FEMALE; HEALTH PERSONNEL; HEALTH SURVEYS; HUMANS; INCIDENCE; MALE; MIDDLE AGED; MULTIVARIATE ANALYSIS; NEEDLESTICK INJURIES; OCCUPATIONAL EXPOSURE; OCCUPATIONAL HEALTH; PROBABILITY; QUESTIONNAIRES; RISK ASSESSMENT;

EID: 9344270490     PISSN: 02713586     EISSN: None     Source Type: Journal    
DOI: 10.1002/ajim.20106     Document Type: Article

References (38)

1. Aiken LH, Sloane DM, Klocinski JL. 1997. Hospital nurses' occupational exposure to blood: Prospective, retrospective, and institutional reports. Am J Pub Health 87(1):103-107.
2. Alter MJ. 1997. The epidemiology of acute and chronic hepatitis C. Clin Liver Dis 1:559-569.
3. Beekmann SE, Vlahov D, Koziol DE, McShalley ED, Schmidtt JM, Henderson DK. 1994. Temporal association between implementation of universal precautions and a sustained, progressive decrease in percutaneous exposure to blood. Clin Infect Dis 18:562-569.
4. Beekmann SE, Vaughn TE, McCoy KD, Ferguson KJ, Torner JC, Woolson RF, Doebbeling BN. 2001. Hospital blood-borne pathogens programs: Program characteristics and blood and body fluid exposure rates. Infect Control Hosp Epidemiol 22:73-82.
5. BLS. 2002. Healthcare Worker Facts 2002. Washington, DC: US Department of Labor, Bureau of Labor Statistics.
6. Campbell SRP, Srivastava I, Williams AM, Cardo D. 2000. Hepatitis C virus infection after occupational exposure. Infect Control Hosp Epidemiol 21:107.
7. Centers for Disease Control. 1987. Recommendations for prevention of HIV transmission in health-care settings. MMWR 36(Suppl 2S): S1-S11.
8. Centers for Disease Control and Prevention. 1995. Case-control study of HIV seroconversion in health-care workers after percutaneous exposure to HIV-infected blood. MMWR 44:929-933.
9. Dement JM, Pompeii LA, Østbye T, Epling C, Lipscomb HJ, James T, Jacobs MJ, Jackson G, Thomann W. 2004. An integrated comprehensive occupational surveillance system for health care workers. Am J Ind Med 45:528-538.
10. Denis MA, Ecochard R, Bernadet A, Forissier MF, Porst JM, Robert O, Volckman CI, Bergeret A. 2003. Risk of occupational blood exposure in a cohort of 24,000 hospital healthcare workers: Position and environment analysis over three years. J Occup Environ Med 45(3):283-288.
11. Do AN, Ciesielski CA, Metler RP, Hammett TA, Li J, Fleming PL. 2003. Occupationally acquired human immunodeficiency virus (HIV) infection: National case surveillance data during 20 years of the HIV epidemic in the United States. Infect Control Hosp Epidemiol 24(2):86-96.
12. Eisenstein HC, Smith DA. 1992. Epidemiology of reported sharps injuries in a tertiary care hospital. J Hosp Infect 20:271-280.
13. Henderson DK, Fahey BJ, Willy M, Schmitt JM, Carey K, Koziol DE, Lane HC, Fedio J, Saah AJ. 1990. Risk for occupational transmission of human immunodeficiency virus type 1 (HFV-1) associated with clinical exposures: A prospective evaluation. Ann Intern Med 113:740-746.
14. Hosomer DW, Lemeshow S. 1989. Applied Logistic Regression. New York, NY: John Wiley & Sons.
15. Jagger J, Pearson RD. 1991. Universal precautions: Still missing the point on needlesticks. Infect Control Hosp Epidemiol 12(4):211-213.
16. Jagger J, Hunt EH, Brand-Elnaggar J, Pearson RD. 1988. Rates of needlestick injury caused by various devices in a university hospital. NEJM 319:284-288.
17. Linnemann CC, Cannon C, DeRonde M, Lanphear B. 1991. Effect of educational programs, rigid sharps containers, and universal precautions on reported needlestick injuries in healthcare workers. Infect Control Hosp Epidemiol 12:214-219.
18. McCormick RD, Maki DG. 1981. Epidemiology of needle-stick injuries in hospital personnel. Am J Med 70:928-932.
19. McCormick RD, Meisch MG, Ircink FG. 1991. Epidemiology of hospital sharps injuries: A 14-year prospective study in the pre-AIDS and AIDS eras. Am J Med 91(Suppl 3B):301S-307S.
20. Montz FJ, Fowler JM, Farias-Eisner R, Nash TJ. 1991. Blunt needles in fascial closure. Surg Gynecol Obstet 173:147-148.
21. NIOSH. 1999. NIOSH Alert: Preventing needlestick injuries in health care settings, November 1999, DHHS (NIOSH) Publication No. 2000-108.
22. OSHA. 1991. 29 CFR Part 1910.1030, Occupational Exposure to Bloodborne Pathogens; Final Rule, Federal Register/Vol.56, No.235/December 6, 1991.
23. OSHA. 1999. Record Summary of The Request for Information on Occupational Exposure To Bloodborne Pathogens Due to Percutaneous Injury on September 9, 1998, March 1999. Available at on the World Wide Wed at http://www.osha.gov/ html/ndlreport052099.html Accessed March 3, 2004.
24. OSHA. 2001. 29 CFR Part 1910.1030, Occupational Exposure to Bloodborne Pathogens; Needlesticks and Other Sharps Injuries; Final Rule, Federal Register/Vol.66, No. 12/January 18, 2001.
25. Panlilio AL, Cardo DM, Campbell S, Srivastava PU, Jagger J, Orelien JG, Cohn RD. 2000. Estimate of the annual number of percutaneous injuries in U.S. healthcare workers. Infect Control Hosp Epidemiol 21:157.
26. Perry J, Jagger J. 2003. Healthcare worker blood exposure risks: Correcting some outdated statistics. Advances in Exposure Prevention 6(3):28-31.
27. Perry J, Parker G, Jagger J. 2003. EPINet Report: 2001 percutaneous injury rates. Advances in Exposure Prevention 6(3):32-36.
28. Porta C, Handelman E, McGovern P. 1999. Needlestick injuries among health care workers. AAOHN 47(6):237-244.
29. Puro V, Petrosillo N, Ippolito G. 1995. Risk of hepatitis C seroconversion after occupational exposure in healthcare workers. Am J Infect Control 23:273-277.
30. Ruben FL, Norden CW, Rockwell K, Hruska E. 1983. Epidemiology of accidental needle-puncture wounds in hospital workers. Am J Med Sci 286:26-30.
31. SAS Institute, Inc. 1999. The SAS system, Version 8.0. Cary, NC: SAS Institute, Inc.
32. Sepkowitz KA. 1996a. Occupationally acquired infections in health care workers, Part I. Ann Intern Med 125:826-834.
33. Sepkowitz KA. 1996b. Occupationally acquired infections in health care workers, Part II. Ann Intern Med 125:917-928.
34. Snydman DR, Munoz a, Werner BG, Polk BF, Craven DE, Platt R, Crumpacker C, Ouellet-Hellstrom R, Nash B, Grady GF. 1984. A multivariate analysis of risk factors for hepatitis B virus infection among hospital employees screened for vaccination. Am J Epidemiol 120:684-693.
35. Sohn S, Eagan J, Sepkowitz KA, Zuccotti G. 2004. Effect of implementing safety-engineered devices on percutaneous injury epidemiology. Infect Control Hosp Epidmiol 25:536-542.
36. Tan L, Hausk JC, Sterling ML. 2001. Report of the Council of Scientific Affairs. Preventing needlestick injuries in health care settings. Arch Int Med 161:929-936.
37. Tokars JI, Bell DM, Culver DH, Marcus R, Mendelson MH, Sloan EP, Farber BF, Gligner D, Chamberland ME, McKibben PS, Martone WJ. 1992. Percutaneous injuries during surgical procedures. JAMA 267(21):2899-2904.
38. Trim JC, Elliott TS. 2002. A review of sharps injuries and preventative strategies. J Hosp Infect 53:237-242.