Journal ArticleDOI
Estimation of the global burden of disease attributable to contaminated sharps injuries among health‐care workers
TLDR
Occupational exposures to percutaneous injuries are substantial source of infections with bloodborne pathogens among health-care workers (HCWs).Abstract:
Background The global burden of hepatitis B (HBV), hepatitis C (HCV), and human immunodeficiency virus (HIV) infection due to percutaneous injuries among health care workers (HCWs) is estimated. Methods The incidence of infections attributable to percutaneous injuries in 14 geographical regions on the basis of the probability of injury, the prevalence of infection, the susceptibility of the worker, and the percutaneous transmission potential are modeled. The model also provides the attributable fractions of infection in HCWs. Results Overall, 16,000 HCV, 66,000 HBV, and 1,000 HIVinfections may have occurred in the year 2000 worldwide among HCWs due to their occupational exposure to percutaneous injuries. The fraction of infections with HCV, HBV, and HIV in HCWs attributabletooccupationalexposuretopercutaneousinjuriesfractionreaches39%,37%, and 4.4% respectively. Conclusions Occupational exposures to percutaneous injuries are substantial source of infections with bloodborne pathogens among health-care workers (HCWs). These infections are highly preventable and should be eliminated. Am. J. Ind. Med. 48:482–490, 2005. 2005 Wiley-Liss, Inc.read more
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Dissertation
Prevalence of accidental exposure to selected blood-borne pathogens and utilisation of post exposure prophylaxis among health workers in two Kenyan hospitals
TL;DR: The aim of the study was to determine the prevalence of occupational exposures to selected blood-borne pathogens (HIV and HBV) among health workers, in two Kenyan hospitals, one public referral and teaching hospital and the other, a private university teaching hospital.
Journal ArticleDOI
Post-Exposure Prophylaxis against HBV and HIV Infection in Health Care Workers
Azar Hadadi,Mojgan Karbakhsh,Mehrnaz Rasoolinejad,Mahboobeh Haji Abdolbaghi,Nahid Hadadi,Shirin Afhami,Negin Esmaeelpour-Bazzaz +6 more
TL;DR: Establishing a surveillance system for registering the occurrence of occupational hazardous exposures, performing prophylactic measures and following up the exposed is a necessity in hospitals so the number of exposures and occupational diseases among the HCWs can be decreased.
Journal ArticleDOI
Nadelstichverletzungen im klinischen Alltag
S. Wicker,H.F. Rabenau +1 more
TL;DR: What proportion of the reported needlestick injuries could have been prevented by using safety devices could definitely have been avoided, this being highest in pediatrics, declining through gynecology, anesthesia, and dermatology to surgery and Chirurgie 14,6%.
Journal ArticleDOI
Anxiety and perceived psychological impact associated with needle stick and sharp device injury among tertiary hospital workers, Vientiane, Lao PDR.
Chieko Matsubara,Kayako Sakisaka,Kayako Sakisaka,Vanphanome Sychareun,Alonkone Phensavanh,Moazzam Ali +5 more
TL;DR: The results encourage developing countries to adapt a comprehensive NSSI management policy including not only to take adequate precaution measures but psychological support and treatment for HCWs from immediately after NSSIs to improve safety forHCWs and patients.
References
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Journal Article
Updated U.S. Public Health Service guidelines for the management of occupational exposures to HIV and recommendations for postexposure prophylaxis.
TL;DR: In this paper, the U.S. Public Health Service (USPS) recommended HIV post-exposure prophylaxis (PEP) regimens have been changed.
Journal ArticleDOI
The role of parenteral antischistosomal therapy in the spread of hepatitis C virus in Egypt
Christina Frank,Mostafa K. Mohamed,G. Thomas Strickland,Daniel Lavanchy,Ray R. Arthur,Laurence S. Magder,Taha El Khoby,Yehia Abdel-Wahab,El Said Aly Ohn,Wagida A. Anwar,Ismail Sallam +10 more
TL;DR: The data suggest that PAT had a major role in the spread of HCV throughout Egypt, and this intensive transmission established a large reservoir of chronic HCV infection, responsible for the high prevalence ofHCV infection and current high rates of transmission.
Journal ArticleDOI
A case-control study of HIV seroconversion in health care workers after percutaneous exposure. Centers for Disease Control and Prevention Needlestick Surveillance Group.
Denise M. Cardo,David H. Culver,Carol A. Ciesielski,Pamela U. Srivastava,Ruthanne Marcus,Dominique Abiteboul,Julia Heptonstall,Giuseppe Ippolito,Florence Lot,Penny S. McKibben,David M. Bell +10 more
TL;DR: A case–control study of health care workers with occupational, percutaneous exposure to HIV-infected blood showed that significant risk factors for seroconversion were deep injury, injury with a device that was visibly contaminated with the source patient's blood, and a procedure inv...
Journal ArticleDOI
Prevention of perinatally transmitted hepatitis b virus infections with hepatitis b immune globulin and hepatitis b vaccine
R. Palmer Beasley,R. Palmer Beasley,George Chin-Yun Lee,George Chin-Yun Lee,Cheng Hsiung Roan,Cheng Hsiung Roan,Lu-Yu Hwang,Lu-Yu Hwang,Chung Chi Lan,Chung Chi Lan,Fu Yuan Huang,Fu Yuan Huang,Chiung Lin Chen,Chiung Lin Chen +13 more
TL;DR: With HBIG coverage from birth, the timing of the start of vaccination does not seem to be of importance within the first month of life, but to maximise compliance and minimise costs hepatitis B vaccination should be initiated during the confinement.