Cargando…

Occupational blood exposures in health care workers: incidence, characteristics, and transmission of bloodborne pathogens in South Korea

BACKGROUND: Health care workers (HCWs) are at high risk for occupational blood exposures (OBEs) and transmission of bloodborne pathogens. This study elucidated the incidence rate and epidemiological characteristics of OBEs among HCWs and investigated the pathogen transmission rate for hepatitis B vi...

Descripción completa

Detalles Bibliográficos
Autores principales: Lee, Ju Hyun, Cho, Junhyeon, Kim, Yung Jung, Im, Sang Hyuk, Jang, Eun Sun, Kim, Jin-Wook, Kim, Hong Bin, Jeong, Sook-Hyang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5648449/
https://www.ncbi.nlm.nih.gov/pubmed/29047340
http://dx.doi.org/10.1186/s12889-017-4844-0
_version_ 1783272396854132736
author Lee, Ju Hyun
Cho, Junhyeon
Kim, Yung Jung
Im, Sang Hyuk
Jang, Eun Sun
Kim, Jin-Wook
Kim, Hong Bin
Jeong, Sook-Hyang
author_facet Lee, Ju Hyun
Cho, Junhyeon
Kim, Yung Jung
Im, Sang Hyuk
Jang, Eun Sun
Kim, Jin-Wook
Kim, Hong Bin
Jeong, Sook-Hyang
author_sort Lee, Ju Hyun
collection PubMed
description BACKGROUND: Health care workers (HCWs) are at high risk for occupational blood exposures (OBEs) and transmission of bloodborne pathogens. This study elucidated the incidence rate and epidemiological characteristics of OBEs among HCWs and investigated the pathogen transmission rate for hepatitis B virus (HBV), hepatitis C virus (HCV), and human immunodeficiency virus (HIV). METHODS: Self-reported OBEs from January 1, 2011 to December 31, 2015 were obtained from the electronic recording system. OBE incidence densities per 100 person-years and per 100 bed-years were calculated with a 5-year trend analysis. OBE characteristics and pathogen transmission rates were evaluated. RESULTS: Among 10,452 HCWs and 1072 average yearly beds, 1076 OBEs were reported. OBE incidence rate was 5.6 cases per 100 person (full-time equivalent)-years and 20.3 per 100 bed-years. Incidence rate decreased and was significantly associated with a decrease of beds served per HCW. Housekeeping showed the highest OBE rate (14.8%) followed by doctors (8.5%) and nurses (6.2%). OBEs occurred in wards, emergency rooms, and operating rooms (38.1%, 13.3% and 12.2%, respectively) via percutaneous (86.7%) and mucocutaneous exposures (13.2%). Of OBEs associated with HBV (n = 133), HCV (n = 126), and HIV (n = 25), only one led to an infection (HCV; transmission rate of 0.8%). Neither HBV nor HIV infection occurred. CONCLUSIONS: OBE incidence rate in a Korean university hospital was 5.6 cases per 100 person-years and 20.3 per 100 bed-years and was related to HCW workload and work proficiency. Though the actual bloodborne pathogen transmission rate was low, efforts to prevent OBE should be made for hospital safety.
format Online
Article
Text
id pubmed-5648449
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-56484492017-10-26 Occupational blood exposures in health care workers: incidence, characteristics, and transmission of bloodborne pathogens in South Korea Lee, Ju Hyun Cho, Junhyeon Kim, Yung Jung Im, Sang Hyuk Jang, Eun Sun Kim, Jin-Wook Kim, Hong Bin Jeong, Sook-Hyang BMC Public Health Research Article BACKGROUND: Health care workers (HCWs) are at high risk for occupational blood exposures (OBEs) and transmission of bloodborne pathogens. This study elucidated the incidence rate and epidemiological characteristics of OBEs among HCWs and investigated the pathogen transmission rate for hepatitis B virus (HBV), hepatitis C virus (HCV), and human immunodeficiency virus (HIV). METHODS: Self-reported OBEs from January 1, 2011 to December 31, 2015 were obtained from the electronic recording system. OBE incidence densities per 100 person-years and per 100 bed-years were calculated with a 5-year trend analysis. OBE characteristics and pathogen transmission rates were evaluated. RESULTS: Among 10,452 HCWs and 1072 average yearly beds, 1076 OBEs were reported. OBE incidence rate was 5.6 cases per 100 person (full-time equivalent)-years and 20.3 per 100 bed-years. Incidence rate decreased and was significantly associated with a decrease of beds served per HCW. Housekeeping showed the highest OBE rate (14.8%) followed by doctors (8.5%) and nurses (6.2%). OBEs occurred in wards, emergency rooms, and operating rooms (38.1%, 13.3% and 12.2%, respectively) via percutaneous (86.7%) and mucocutaneous exposures (13.2%). Of OBEs associated with HBV (n = 133), HCV (n = 126), and HIV (n = 25), only one led to an infection (HCV; transmission rate of 0.8%). Neither HBV nor HIV infection occurred. CONCLUSIONS: OBE incidence rate in a Korean university hospital was 5.6 cases per 100 person-years and 20.3 per 100 bed-years and was related to HCW workload and work proficiency. Though the actual bloodborne pathogen transmission rate was low, efforts to prevent OBE should be made for hospital safety. BioMed Central 2017-10-18 /pmc/articles/PMC5648449/ /pubmed/29047340 http://dx.doi.org/10.1186/s12889-017-4844-0 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Lee, Ju Hyun
Cho, Junhyeon
Kim, Yung Jung
Im, Sang Hyuk
Jang, Eun Sun
Kim, Jin-Wook
Kim, Hong Bin
Jeong, Sook-Hyang
Occupational blood exposures in health care workers: incidence, characteristics, and transmission of bloodborne pathogens in South Korea
title Occupational blood exposures in health care workers: incidence, characteristics, and transmission of bloodborne pathogens in South Korea
title_full Occupational blood exposures in health care workers: incidence, characteristics, and transmission of bloodborne pathogens in South Korea
title_fullStr Occupational blood exposures in health care workers: incidence, characteristics, and transmission of bloodborne pathogens in South Korea
title_full_unstemmed Occupational blood exposures in health care workers: incidence, characteristics, and transmission of bloodborne pathogens in South Korea
title_short Occupational blood exposures in health care workers: incidence, characteristics, and transmission of bloodborne pathogens in South Korea
title_sort occupational blood exposures in health care workers: incidence, characteristics, and transmission of bloodborne pathogens in south korea
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5648449/
https://www.ncbi.nlm.nih.gov/pubmed/29047340
http://dx.doi.org/10.1186/s12889-017-4844-0
work_keys_str_mv AT leejuhyun occupationalbloodexposuresinhealthcareworkersincidencecharacteristicsandtransmissionofbloodbornepathogensinsouthkorea
AT chojunhyeon occupationalbloodexposuresinhealthcareworkersincidencecharacteristicsandtransmissionofbloodbornepathogensinsouthkorea
AT kimyungjung occupationalbloodexposuresinhealthcareworkersincidencecharacteristicsandtransmissionofbloodbornepathogensinsouthkorea
AT imsanghyuk occupationalbloodexposuresinhealthcareworkersincidencecharacteristicsandtransmissionofbloodbornepathogensinsouthkorea
AT jangeunsun occupationalbloodexposuresinhealthcareworkersincidencecharacteristicsandtransmissionofbloodbornepathogensinsouthkorea
AT kimjinwook occupationalbloodexposuresinhealthcareworkersincidencecharacteristicsandtransmissionofbloodbornepathogensinsouthkorea
AT kimhongbin occupationalbloodexposuresinhealthcareworkersincidencecharacteristicsandtransmissionofbloodbornepathogensinsouthkorea
AT jeongsookhyang occupationalbloodexposuresinhealthcareworkersincidencecharacteristicsandtransmissionofbloodbornepathogensinsouthkorea