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Compliance with CDC guidelines to prevent occupational transmission of HIV and hepatitis B: evaluation findings from a national survey of health care workers.

Authors
Hersey-JC; Mowrey-P; Wheaton-K; Ward-J
Source
Cincinnati, OH: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control, National Institute for Occupational Safety and Health, Contract 200-88-0642, 1992 Jul; :1-438
Link
NIOSHTIC No.
00213097
Abstract
A survey was conducted of health care workers to evaluate the degree of compliance with the guidelines issued by the Centers for Disease Control for the prevention of the occupational transmission of human immunodeficiency virus (HIV) and hepatitis-B virus. These guidelines included immunization for hepatitis-B virus, care in the use and disposal of needles and sharp instruments, wearing of gloves and protective equipment, changing gloves between patients and washing of hands. A national survey was begun in 1991 of 3094 health care workers in 34 hospitals in the United States. Almost all of the sampled hospitals reported the existence of policies to incorporate the guidelines. One area of significant variability among hospital policies was that about two thirds of the sampled hospitals applied these guidelines to all body substances, while the remaining hospitals just applied them to blood and designated body fluids. Compliance by staff varied for different precautions. Improved compliance was associated with training in precautions, reinforcement of training, and inclusion of compliance with precautions in staff performance reviews.
Keywords
NIOSH-Contract; Contract-200-88-0642; Health-care-personnel; Infection-control; Disease-vectors; Disease-transmission; Laboratory-workers; AIDS-virus; Viral-diseases; Hand-protection; Needlestick-injuries; Personal-protective-equipment
Publication Date
19920701
Document Type
Final Contract Report
Funding Type
Contract
Fiscal Year
1992
NTIS Accession No.
PB93-188498
NTIS Price
A20
Identifying No.
Contract-200-88-0642
Source Name
National Institute for Occupational Safety and Health
State
MD; VA
Performing Organization
Battelle, Arlington, Virginia, and Westat, Rockville, Maryland
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