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Percutaneous injuries among dental professionals in Washington State.

Authors
Shah-SM; Merchant-AT; Dosman-JA
Source
BMC Public Health 2006 Oct; 30(6):269
NIOSHTIC No.
20032031
Abstract
BACKGROUND: Percutaneous exposure incidents facilitate transmission of bloodborne pathogens such as human immunodeficiency virus (HIV), hepatitis C virus (HCV) and hepatitis B virus (HBV). This study was conducted to identify the circumstances and equipment related to percutaneous injuries among dental professionals. METHODS: We used workers' compensation claims submitted to the Department of Labor and Industries State Fund during a 7-year period (1995 through 2001) in Washington State for this study. We used the statement submitted by the injured worker on the workers' compensation claim form to determine the circumstances surrounding the injury including the type of activity and device involved. RESULTS: Of a total of 4,695 accepted State Fund percutaneous injury claims by health care workers (HCWs), 924 (20%) were submitted by dental professionals. Out of 924 percutaneous injuries reported by dental professionals 894 (97%) were among dental health care workers in non-hospital settings, including dentists (66, 7%), dental hygienists (61, 18%) and dental assistants (667, 75%). The majority of those reporting were females (638, 71%). Most (781, 87%) of the injuries involved syringes, dental instruments (77, 9%), and suture needles (23%). A large proportion (90%) of injuries occurred in offices and clinics of dentists, while remainder occurred in offices of clinics and of doctors of medicine (9%), and a few in specialty outpatient facilities (1%). Of the 894 dental health care workers with percutaneous injuries, there was evidence of HBV in 6 persons, HCV in 30 persons, HIV in 3 persons and both HBV and HVC (n = 2) exposure. CONCLUSION: Out of hospital percutaneous injuries are a substantial risk to dental health professionals in Washington State. Improved work practices and safer devices are needed to address this risk.
Keywords
Bronchial-asthma; Occupational-diseases; Diseases; Occupational-exposure; Medical-personnel; Medical-services; Dentists; Health-care-personnel; Health-hazards; Safety-education; Safety-equipment; Safety-monitoring; Safety-practices; Work-environment; Work-areas; Work-practices
Contact
Department of Community Health and Epidemiology, University of Saskatchewan, Saskatoon, Canada
CODEN
BPHMAJ
Publication Date
20061001
Document Type
Journal Article
Email Address
syed.shah@usask.ca
Funding Type
Cooperative Agreement
Fiscal Year
2007
NTIS Accession No.
NTIS Price
Identifying No.
Cooperative-Agreement-Number-U01-OH-007292
Issue of Publication
6
ISSN
1471-2458
Source Name
BMC Public Health
State
WA
Performing Organization
Washington State Department of Labor and Industries, Olympia, Washington
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