Bir Devlet Hastanesi Çalışanlarında Kanla Bulaşan Enfeksiyon Riski

Amaç: Eğitim hastanesi olmayan ikinci basamak bir kamu hastanesinde sağlık çalışanlarınınperkütanöz yaralanma ve mukozal maruziyet (PMM) sıklığı ve maruziyeti etkileyen faktörlerinaraştırılması hedeflendi.Yöntem: Analitik, kesitsel, tüm hastaneyi kapsayan bir anket kullanılarak sağlık çalışanlarıarasında son bir yıl içinde PMM’nin sıklığını ve eşlik eden faktörleri araştırıldı.Sonuç: Toplam 118 hastane çalışanı çalışmaya katıldı ve katılanlar tüm çalışanların % 43.7 idi.Çalışmaya katılanlardan 66’sı hemşire/ebe (% 55,9), 12’si doktor (% 10,2), 22’si laboratuarçalışanı (% 18,6) ve 18’i hasta bakıcı/temizlikçi (% 15,3) idi. Araştırmaya katılanların yaşortalaması 31,8 yıl (SD ± 8,0 yıl), meslekte ortalama çalışma süreleri 9,0 yıl (SD ± 6,6 yıl) idi.Katılımcıların 26’sı (% 22,0) son bir yılda en az bir PMM yaşadığını bildirdi ve PMM sıklığı0,46/kişi-yıl idi. Maruziyet oranı hastabakıcı/temizlik personeli arasında anlamlı şekilde yüksekti(8 kişi, % 38,9, p=0,19) ve yaralanma sıklığı 0,94/kişi-yıl idi. Çok değişkenli analizde sadecemeslekte daha kısa süre çalışma maruziyet için anlamlı eşlik eden faktör olarak bulundu(p=0,040).Tartışma: İkinci basamak küçük bir devlet hastanesinde sağlık çalışanları arasında meslekimaruziyet sıklığında daha önce bilinen etkin faktörlerin yanında meslekte daha kısa süreceçalışma eşlik eden bir faktör olarak bulundu

Anahtar Kelimeler:

Perkütanöz yaralanma, mukozal maruziyet

Associated Factor For Occupational Bloodborne Exposures At A Small General Hospital

Objective: To evaluate epidemiology of percutaneous injury or mucous exposures (PMEs) withblood or body fluids that leads serious risks for health care workers (HCWs) at a secondary carenon-teaching general hospital.Methods: An analytic, cross-sectional, hospital-wide survey study was conducted to describethe extent and associated factors of PMEs among HCWs at the hospital.Results: The total of 118 HCWs was the participants that were represented 43.7% of totalhospital workers. The participants were 66 nurses/midwives (55.9%), 12 doctors (29.0%), 22laboratory workers (9.3%), and 18 paramedics/cleaners (20.3%). The mean age of participantswas 31.8 year (SD ± 8.0 year), and mean of working time of occupation was 9.0 year (SD ± 6.6year). The study concluded that 26 of the participants (22.0%) were reported at least oneoccupational PME in the last year. The exposure rate was reported significantly higher amongthe paramedics/cleaners (8 persons, 38.9%, p=0.19) according to the others and the mean numberof exposures was 0.94/person-year. In the multivariate analysis; short time working at theoccupation was found significant factor for high occupational exposures (p=0.040).Conclusion: Beside the other well-known associated factors, short time working at theoccupation was found as predictive factor for occupational exposures among HCWs at asecondary care non-teaching general hospital

Keywords:

Percutaneous injury, mucous exposures,

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