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Circumstances surrounding occupational blood exposure events in the national study to prevent blood exposure in paramedics.

Authors
Leiss-JK; Sousa-S; Boal-WL
Source
Ind Health 2009 Apr; 47(2):139-144
NIOSHTIC No.
20035250
Abstract
More than 20% of U.S. paramedics are exposed to blood each year. Little is known about the circumstances that lead to these exposures. The objective of this study was to describe blood exposure events among U.S. paramedics. A mail survey was conducted in 2002-2003 among a nationally representative sample of licensed paramedics. Eighty percent of needle/lancet sticks involved non-safety devices. A third of mucous membrane exposures occurred even though the paramedic was wearing eye or face protection; in half of the events, the exposures were caused by the patient vomiting, spitting, or coughing up blood; in a third of the events, the patient was being uncooperative or combative. In 83% of the non-intact skin exposures, the paramedic was wearing disposable gloves; the non-intact skin was covered before the call in a third of the events, but the cover did not prevent exposure; 40% of the events occurred when the patient was being uncooperative or combative. These results sugge! st that blood exposure among paramedics could be reduced through increased use of safety devices and personal protective equipment, improved engineering and design, and increased compliance with Universal Precautions, and that paramedics need techniques for avoiding blood exposure while treating uncooperative or combative patients.
Keywords
Health-care-personnel; Demographic-characteristics; Occupational-exposure; Occupational-health; Questionnaires; Paramedical-services; Exposure-levels; Emergency-responders; Bloodborne-pathogens; Needlestick-injuries; Epidemiology; Statistical-analysis; Workplace-monitoring; Workplace-studies; Work-environment; Work-operations; Work-practices; Risk-factors; Surveillance-programs; Author Keywords: Needlestick; Paramedic; Blood exposure; Occupational exposure; Prehospital; Survey
Contact
Jack K. Leiss, Epidemiology Research Program, Cedar Grove Institute for Sustainable Communities, 6919 Lee Street, Mebane, NC 27302, USA
CODEN
INHEAO
Publication Date
20090401
Document Type
Journal Article
Funding Type
Cooperative Agreement
Fiscal Year
2009
NTIS Accession No.
NTIS Price
Identifying No.
Cooperative-Agreement-Number-U01-OH-004266
Issue of Publication
2
ISSN
0019-8366
NIOSH Division
DSHEFS
Priority Area
Disease and Injury: Infectious Diseases
Source Name
Industrial Health
State
OH; NC
Performing Organization
Analytical Sciences, Inc., Durham, North Carolina
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