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Epidemiology and clinical consequences of occupational exposure to blood and other body fluids in a university hospital in Saudi Arabia

OBJECTIVES: To describe the epidemiological characteristics, clinical impact, and adequacy of post-exposure management of occupational exposure to blood and body fluids (BBFs). METHODS: Retrospective chart review of individuals reporting exposure to BBFs from 2007 to 2013 at King Abdulaziz Universit...

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Autores principales: Samargandy, Shireen A., Bukhari, Lujain M., Samargandy, Shaza A., Bahlas, Rawiah S., Aldigs, Eman K., Alawi, Maha M., Al-Abdullah, Nabeela A., Madani, Tariq A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Saudi Medical Journal 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5018644/
https://www.ncbi.nlm.nih.gov/pubmed/27381540
http://dx.doi.org/10.15537/smj.2016.7.14261
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author Samargandy, Shireen A.
Bukhari, Lujain M.
Samargandy, Shaza A.
Bahlas, Rawiah S.
Aldigs, Eman K.
Alawi, Maha M.
Al-Abdullah, Nabeela A.
Madani, Tariq A.
author_facet Samargandy, Shireen A.
Bukhari, Lujain M.
Samargandy, Shaza A.
Bahlas, Rawiah S.
Aldigs, Eman K.
Alawi, Maha M.
Al-Abdullah, Nabeela A.
Madani, Tariq A.
author_sort Samargandy, Shireen A.
collection PubMed
description OBJECTIVES: To describe the epidemiological characteristics, clinical impact, and adequacy of post-exposure management of occupational exposure to blood and body fluids (BBFs). METHODS: Retrospective chart review of individuals reporting exposure to BBFs from 2007 to 2013 at King Abdulaziz University Hospital, Jeddah, Kingdom of Saudi Arabia. RESULTS: The total number of exposures reported was 326 exposures, of which 302 (92.6%) exposures were percutaneous, 21 (6.5%), mucocutaneous, and 3 (0.9%), bites. Nursing staff/students had the highest rate of exposure (149, or 45.6%), followed by physicians (57, or 17.5%). Surgeons were found to have a significantly higher risk for sharp injuries compared with other physicians (26.3%, or 15 exposures, p<0.005). Most (216, or 72.5%) percutaneous injuries were caused by hollow-bore needles. Majority of exposures (124, or 42.6%) occurred after using the needle/sharp item and before disposal. Two-thirds (219, or 67%) of exposed individuals were immune to hepatitis B at the time of exposure. With appropriate post-exposure management, none of exposed individuals seroconverted to HIV, hepatitis B or C virus infections. CONCLUSION: Occupational exposure to BBFs remains a concern among healthcare workers. Educational programs targeting high-risk groups entailing reinforcement of prevention and adherence to post-exposure management guidelines are needed.
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spelling pubmed-50186442016-09-19 Epidemiology and clinical consequences of occupational exposure to blood and other body fluids in a university hospital in Saudi Arabia Samargandy, Shireen A. Bukhari, Lujain M. Samargandy, Shaza A. Bahlas, Rawiah S. Aldigs, Eman K. Alawi, Maha M. Al-Abdullah, Nabeela A. Madani, Tariq A. Saudi Med J Original Article OBJECTIVES: To describe the epidemiological characteristics, clinical impact, and adequacy of post-exposure management of occupational exposure to blood and body fluids (BBFs). METHODS: Retrospective chart review of individuals reporting exposure to BBFs from 2007 to 2013 at King Abdulaziz University Hospital, Jeddah, Kingdom of Saudi Arabia. RESULTS: The total number of exposures reported was 326 exposures, of which 302 (92.6%) exposures were percutaneous, 21 (6.5%), mucocutaneous, and 3 (0.9%), bites. Nursing staff/students had the highest rate of exposure (149, or 45.6%), followed by physicians (57, or 17.5%). Surgeons were found to have a significantly higher risk for sharp injuries compared with other physicians (26.3%, or 15 exposures, p<0.005). Most (216, or 72.5%) percutaneous injuries were caused by hollow-bore needles. Majority of exposures (124, or 42.6%) occurred after using the needle/sharp item and before disposal. Two-thirds (219, or 67%) of exposed individuals were immune to hepatitis B at the time of exposure. With appropriate post-exposure management, none of exposed individuals seroconverted to HIV, hepatitis B or C virus infections. CONCLUSION: Occupational exposure to BBFs remains a concern among healthcare workers. Educational programs targeting high-risk groups entailing reinforcement of prevention and adherence to post-exposure management guidelines are needed. Saudi Medical Journal 2016-07 /pmc/articles/PMC5018644/ /pubmed/27381540 http://dx.doi.org/10.15537/smj.2016.7.14261 Text en Copyright: © Saudi Medical Journal http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Samargandy, Shireen A.
Bukhari, Lujain M.
Samargandy, Shaza A.
Bahlas, Rawiah S.
Aldigs, Eman K.
Alawi, Maha M.
Al-Abdullah, Nabeela A.
Madani, Tariq A.
Epidemiology and clinical consequences of occupational exposure to blood and other body fluids in a university hospital in Saudi Arabia
title Epidemiology and clinical consequences of occupational exposure to blood and other body fluids in a university hospital in Saudi Arabia
title_full Epidemiology and clinical consequences of occupational exposure to blood and other body fluids in a university hospital in Saudi Arabia
title_fullStr Epidemiology and clinical consequences of occupational exposure to blood and other body fluids in a university hospital in Saudi Arabia
title_full_unstemmed Epidemiology and clinical consequences of occupational exposure to blood and other body fluids in a university hospital in Saudi Arabia
title_short Epidemiology and clinical consequences of occupational exposure to blood and other body fluids in a university hospital in Saudi Arabia
title_sort epidemiology and clinical consequences of occupational exposure to blood and other body fluids in a university hospital in saudi arabia
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5018644/
https://www.ncbi.nlm.nih.gov/pubmed/27381540
http://dx.doi.org/10.15537/smj.2016.7.14261
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