Cargando…

Danger in the streets: exposures to bloodborne pathogens after community sharp injuries in Rio de Janeiro, Brazil

OBJECTIVE: Exposures to sharps injuries occurring in the community are relatively frequent. We describe characteristics of community sharp exposures reported in the city of Rio de Janeiro from 1997 to 2010. METHODS: A cross-sectional analysis of exposure reports to sharps in the community reported t...

Descripción completa

Detalles Bibliográficos
Autores principales: Costa, Marcellus Dias, Rapparini, Cristiane, Schmaltz, Carolina Arana Stanis, Tuyama, Mari, Lauria, Lilian de Mello, Saraceni, Valeria, Barroso, Paulo Feijó
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9427963/
https://www.ncbi.nlm.nih.gov/pubmed/28365193
http://dx.doi.org/10.1016/j.bjid.2017.03.003
_version_ 1784779012215668736
author Costa, Marcellus Dias
Rapparini, Cristiane
Schmaltz, Carolina Arana Stanis
Tuyama, Mari
Lauria, Lilian de Mello
Saraceni, Valeria
Barroso, Paulo Feijó
author_facet Costa, Marcellus Dias
Rapparini, Cristiane
Schmaltz, Carolina Arana Stanis
Tuyama, Mari
Lauria, Lilian de Mello
Saraceni, Valeria
Barroso, Paulo Feijó
author_sort Costa, Marcellus Dias
collection PubMed
description OBJECTIVE: Exposures to sharps injuries occurring in the community are relatively frequent. We describe characteristics of community sharp exposures reported in the city of Rio de Janeiro from 1997 to 2010. METHODS: A cross-sectional analysis of exposure reports to sharps in the community reported to a surveillance system, designed for health care workers, of the Municipal Health Department of Rio de Janeiro. The characteristics of exposed individuals analyzed included types of exposure, the circumstances of the accident, and the prophylaxis offered. RESULTS: 582 exposures were studied. Median age was 30 years and 83 (14%) involved children with less than 10 years of age. Two hundred and seventeen (37%) occurred with sharps found in the streets. The exposure was percutaneous in 515 (89%) and needles where involved in 406 (70%) of them. The sharps were present in the trash in 227 (39%) or in the environment in 167 (29%) of the reports. Professionals who work with frequent contact with domestic or urban waste were 196 (38%). The source was known in 112 (19%) of the exposures and blood was involved in 269 (46%). Only 101 (19%) of the injured subjects reported a complete course of vaccination for hepatitis B. Antiretroviral prophylaxis was prescribed for 392 (68%) of the exposed subjects. CONCLUSIONS: Sharps injuries occurring in the community are an important health problem. A great proportion would be avoided if practices on how to dispose needles and sharps used outside health units were implemented.
format Online
Article
Text
id pubmed-9427963
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-94279632022-09-01 Danger in the streets: exposures to bloodborne pathogens after community sharp injuries in Rio de Janeiro, Brazil Costa, Marcellus Dias Rapparini, Cristiane Schmaltz, Carolina Arana Stanis Tuyama, Mari Lauria, Lilian de Mello Saraceni, Valeria Barroso, Paulo Feijó Braz J Infect Dis Original Article OBJECTIVE: Exposures to sharps injuries occurring in the community are relatively frequent. We describe characteristics of community sharp exposures reported in the city of Rio de Janeiro from 1997 to 2010. METHODS: A cross-sectional analysis of exposure reports to sharps in the community reported to a surveillance system, designed for health care workers, of the Municipal Health Department of Rio de Janeiro. The characteristics of exposed individuals analyzed included types of exposure, the circumstances of the accident, and the prophylaxis offered. RESULTS: 582 exposures were studied. Median age was 30 years and 83 (14%) involved children with less than 10 years of age. Two hundred and seventeen (37%) occurred with sharps found in the streets. The exposure was percutaneous in 515 (89%) and needles where involved in 406 (70%) of them. The sharps were present in the trash in 227 (39%) or in the environment in 167 (29%) of the reports. Professionals who work with frequent contact with domestic or urban waste were 196 (38%). The source was known in 112 (19%) of the exposures and blood was involved in 269 (46%). Only 101 (19%) of the injured subjects reported a complete course of vaccination for hepatitis B. Antiretroviral prophylaxis was prescribed for 392 (68%) of the exposed subjects. CONCLUSIONS: Sharps injuries occurring in the community are an important health problem. A great proportion would be avoided if practices on how to dispose needles and sharps used outside health units were implemented. Elsevier 2017-03-29 /pmc/articles/PMC9427963/ /pubmed/28365193 http://dx.doi.org/10.1016/j.bjid.2017.03.003 Text en © 2017 Sociedade Brasileira de Infectologia. Published by Elsevier Editora Ltda. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Costa, Marcellus Dias
Rapparini, Cristiane
Schmaltz, Carolina Arana Stanis
Tuyama, Mari
Lauria, Lilian de Mello
Saraceni, Valeria
Barroso, Paulo Feijó
Danger in the streets: exposures to bloodborne pathogens after community sharp injuries in Rio de Janeiro, Brazil
title Danger in the streets: exposures to bloodborne pathogens after community sharp injuries in Rio de Janeiro, Brazil
title_full Danger in the streets: exposures to bloodborne pathogens after community sharp injuries in Rio de Janeiro, Brazil
title_fullStr Danger in the streets: exposures to bloodborne pathogens after community sharp injuries in Rio de Janeiro, Brazil
title_full_unstemmed Danger in the streets: exposures to bloodborne pathogens after community sharp injuries in Rio de Janeiro, Brazil
title_short Danger in the streets: exposures to bloodborne pathogens after community sharp injuries in Rio de Janeiro, Brazil
title_sort danger in the streets: exposures to bloodborne pathogens after community sharp injuries in rio de janeiro, brazil
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9427963/
https://www.ncbi.nlm.nih.gov/pubmed/28365193
http://dx.doi.org/10.1016/j.bjid.2017.03.003
work_keys_str_mv AT costamarcellusdias dangerinthestreetsexposurestobloodbornepathogensaftercommunitysharpinjuriesinriodejaneirobrazil
AT rapparinicristiane dangerinthestreetsexposurestobloodbornepathogensaftercommunitysharpinjuriesinriodejaneirobrazil
AT schmaltzcarolinaaranastanis dangerinthestreetsexposurestobloodbornepathogensaftercommunitysharpinjuriesinriodejaneirobrazil
AT tuyamamari dangerinthestreetsexposurestobloodbornepathogensaftercommunitysharpinjuriesinriodejaneirobrazil
AT laurialiliandemello dangerinthestreetsexposurestobloodbornepathogensaftercommunitysharpinjuriesinriodejaneirobrazil
AT saracenivaleria dangerinthestreetsexposurestobloodbornepathogensaftercommunitysharpinjuriesinriodejaneirobrazil
AT barrosopaulofeijo dangerinthestreetsexposurestobloodbornepathogensaftercommunitysharpinjuriesinriodejaneirobrazil