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Occupational risk factors for blood and body fluid exposure among home care aides.
Amuwo-S; Sokas-RK; McPhaul-K; Lipscomb-J
Home Health Care Serv Q 2011 Apr; 30(2):96-114
This cross-sectional study of home care aides examines self-reported occupational exposure to blood and body fluids to determine if factors that place these workers at risk can be identified. Home care aides working for two agencies in the Chicagoland area were surveyed. A total of 62 (6.3%) of the home care aides reported instances of blood and body fluid exposure either via sharps or mucous membrane contact. Although few aides reported performing health care-related tasks such as colostomy care, caring for a urinary catheter, or bowel stimulation (which were outside their scope of duties), those who did were significantly more likely to experience blood and body fluid exposure (p=.01). Level of assistance needed by clients in tasks such as feeding, laundry, and transportation was also found to be significantly associated with blood and body fluid exposure (p=.01). These data highlight the importance of, and need for, home care aid training in the use of universal precautions.
Biohazards; Biological-transport; Bloodborne-pathogens; Body-fluids; Exposure-assessment; Health-care; Health-care-personnel; Health-hazards; Medical-care; Medical-personnel; Medical-services; Pathogenicity; Risk-analysis; Quantitative-analysis; Safety-research; Statistical-analysis; Work-environment; Work-performance; Work-practices; Author Keywords: bloodborne pathogen exposure; home care; sharps injuries; worker health and safety
Shakirudeen Amuwo, PhD, MPH, Illinois Public Health Research Postdoctoral Fellow, University of Illinois-Chicago, School of Public Health, Environmental and Occupational Health Science Department, 2121 West Taylor Street, M/C 922, Chicago, IL 60612, USA
Grant-Number-R01-OH-008237; Grant-Number-T42-OH-008672; B10122011
Issue of Publication
Home Health Care Services Quarterly
University of Maryland, Baltimore