Eyal Malka1, Anca Streinu-Cercel2, Daniela Piţigoi3, Rodica Bacruban4. 1. MD, Rabin Medical Center (RMC), Hasharon Hospital, Petah Tikva, Israel. 2. MD, PhD, Lecturer, Department of Infectious Diseases, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania, National Institute for Infectious Diseases "Prof. Dr. Matei Balş", Romania. 3. MD, PhD, Lecturer, Department of Epidemiology, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania, National Institute for Infectious Diseases "Prof. Dr. Matei Balş", Romania. 4. MD, National Institute for Infectious Diseases "Prof. Dr. Matei Balş", Romania.
Abstract
INTRODUCTION: Accidental blood exposure in healthcare workers is an important issue worldwide. We present a study which analyzed the route of exposure, the source of infection and the post-exposure prophylaxis treatment administered. METHOD: We performed retrospective study of occupational exposure to HBV, HCV and HIV and the subsequent post-exposure prophylaxis among healthcare workers at the National Institute of Infectious Diseases "Prof.Dr. Matei Balş", Bucharest, Romania, from December 2002 to December 2011. RESULTS: Sixty healthcare workers with a mean age of 36 reported an occupational exposure during a period of 9 years, 54 (90%) were females and 6 (10%) were males. 48 (80%) exposed healthcare workers were nurses, 7 (11.6%) were doctors and 5 (8.3%) were medical assisting staff. In 49 (81.6%) cases the exposure was percutaneous and in 11 (18.3%) cases the exposure was mucosal/corneal. Ten (16.6%) exposed healthcare workers had insufficient levels of antibody (HBsAb) response, (below 10 mIU/mL), 6 (10%) had titers between 11 and 500 mIU/mL, 31 (51.6%) between 501-1000 mIU/mL, and 13 (21.6%) above 1000 mIU/mL). DISCUSSION: The exposure events analysis in this study yielded similar results compared to other previous parallel studies. Minimizing risks to HCWs for acquisition of blood-borne pathogens and correct and rapid post-exposure prophylaxis treatment in case of exposure should be an integral part of the infection control and occupational health programs in all healthcare facilities.
INTRODUCTION: Accidental blood exposure in healthcare workers is an important issue worldwide. We present a study which analyzed the route of exposure, the source of infection and the post-exposure prophylaxis treatment administered. METHOD: We performed retrospective study of occupational exposure to HBV, HCV and HIV and the subsequent post-exposure prophylaxis among healthcare workers at the National Institute of Infectious Diseases "Prof.Dr. Matei Balş", Bucharest, Romania, from December 2002 to December 2011. RESULTS: Sixty healthcare workers with a mean age of 36 reported an occupational exposure during a period of 9 years, 54 (90%) were females and 6 (10%) were males. 48 (80%) exposed healthcare workers were nurses, 7 (11.6%) were doctors and 5 (8.3%) were medical assisting staff. In 49 (81.6%) cases the exposure was percutaneous and in 11 (18.3%) cases the exposure was mucosal/corneal. Ten (16.6%) exposed healthcare workers had insufficient levels of antibody (HBsAb) response, (below 10 mIU/mL), 6 (10%) had titers between 11 and 500 mIU/mL, 31 (51.6%) between 501-1000 mIU/mL, and 13 (21.6%) above 1000 mIU/mL). DISCUSSION: The exposure events analysis in this study yielded similar results compared to other previous parallel studies. Minimizing risks to HCWs for acquisition of blood-borne pathogens and correct and rapid post-exposure prophylaxis treatment in case of exposure should be an integral part of the infection control and occupational health programs in all healthcare facilities.
Authors: Florin Alexandru Caruntu; Adrian Streinu-Cercel; Liliana Simona Gheorghe; Mircea Grigorescu; Ioan Sporea; Carol Stanciu; Dan Andronescu; Florea Voinea; Mircea Diculescu; Alexandru Oproiu; Radu Voiosu Journal: J Gastrointestin Liver Dis Date: 2009-12 Impact factor: 2.008
Authors: Anthony Chauvin; Alice Hutin; Thomas Leredu; Patrick Plaisance; Dominique Pateron; Youri Yordanov Journal: Intern Emerg Med Date: 2016-05-14 Impact factor: 3.397