Vigilância de 8 anos da exposição ocupacional causada por instrumentos cortantes e picadas de agulha no Hospital Velayat Burn Injuries durante 2008-2016
Palavras-chave:
Exposição ocupacional, treinamento, princípios de segurança, lesões por punção.Resumo
A lesão por punção com agulha é uma das causas da incidência de infecções por sangue ou fluidos corporais que podem causar doenças infecciosas, como hepatite, AIDS e até morte nas pessoas afetadas. O objetivo deste estudo foi determinar as lesões causadas por respingos, objetos pontiagudos e punções com agulha. Este estudo descritivo, transversal foi conduzido no hospital de queimadura de Rasht Velayat. A coleta de dados foi realizada com a ficha demográfica e as lesões relacionadas à exposição ocupacional e à revisão dos registros ocupacionais das pessoas lesadas que foram analisadas através do software SPSS. Os resultados das revisões mostraram um total de 129 lesões durante um período de 8 anos, dos quais 75% eram enfermeiros e 25% eram trabalhadores de serviço. A maioria das pessoas lesadas entre 30 e 40 anos e 37% delas tinham uma experiência de trabalho de 1 a 5 anos e o dedo era o órgão mais lesionado. A maioria das lesões ocorreu no turno da manhã, entre as 10h e as 12h, seguida das 12h às 14h ou 18h20. Considerando este fato, um indicador de severidade de frequência desejável (FSI) é FSI <1, as investigações mostraram que esse número foi de 1% em 2015 e a maioria das lesões foram observadas neste ano em agosto. Considerando a epidemia e a variação de acidentes no local de trabalho, parece necessária a realização de cursos judiciais e de treinamento em saúde para empregados e empregadores, quanto ao conhecimento dos princípios de segurança e proteção técnica, para reduzir as lesões e acidentes relacionados ao trabalho. a retenção de recursos humanos.
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Referências
Abdulbaghi, M., Mohammadnezhad, E., Hadizadeh, R. (2014). Epidemiologic aspects of occupational exposure among emergency room nurses: A 5-year surveillance, Iranian Journal of Infectious Diseases, 19(65): 1-5 (in Persian).
Aghabeigi, R., Haghighi, S., Asadi, M., Adarvishi, S., Haghighi Zadeh, M. H., Ghaderi, M. (2015). Investigation of damage caused by sharp instruments and needle sticks exposure in operation room’s staff in hospitals in the Ahvaz city in 2013, Iranian Journal of anesthesiology and Critical Care, 37(2): 84-91 (in Persian).
Aluko, O. O., Adebayo, A. E., Adebisi, T. F., Ewegbemi, M. K., Abidoye, A. T. and Popoola, B. F. (2016). Knowledge, attitudes and perceptions of occupational hazards and safety practices in Nigerian healthcare workers, BMC Res Notes, Vol. 9, No. 71: 1-4.
Aung, S. S., Nursalam, Dewi, Y. S. (2016). Improving Compliance with Standard Precautions among Myanmar Nurses Using Health Belief Model, The Malaysian Journal of Nursing, Vol. 8, No. 2: 28-21.
Camacho, A. Díaz, X., ,J. M., Martínez, M., Palomares, A. and Garza, E. (2013). A 5-year surveillance of occupational exposure to bloodborne pathogens in a university teaching hospital in Monterrey, Mexico, American Journal of Infection Control, Vol. 41: 85-88.
Camacho, A., Díaz, X., Hernández, R., Martínez, M., Chávez, S., Garza, E.,Valdez, R. and Díaz, I. (2015). Exposure and Knowledge of Sharps Injuries among Medical Students in Seven States of Mexico, International Journal of Medical Students, Vol. 3, Issue 1: 24-28.
Frickmann, H., Schmeja W., Reisinger, E., Mittlmeier, T. Mitzner,K. Schwarz, N. G., Warnke, P., and Podbielski, A. (2016). Risk Reduction of Needle Stick Injuries Due to Continuous Shift From Unsafe to Safe Instruments at A German University Hospital, European Journal of Microbiology and Immunology, Vol. 6, No. 3: 227–237.
Ghasemi, A. Etemad, E., Pour MAhammad Jan, N., Bashiri, J., HAbibzadeh, S. (2009). Needle stick injuries and their affecting factors among nurses and service personnel in Ardabil University of Medical Sciences’ healthcare centers, Journal of Infectious Diseases, 14(46): 27-32 (in Persian).
Hashemi, S. H., Torabian, S., Momani, M., Moazeni Dehkordi, S. (2011). Prevalence of sharp instruments and needle sticks in Hamedan health care personnel, Scientific Journal of Hamadan University of Medical Sciences and Health Services, 18(4): 41-46.
Himmelreich H, Rabenau HF, Rindermann M, Stephan C, Bickel M, Marzi I, et al. The management of needlestick injuries. Deutsches Ärzteblatt International 2013; 110(5): 61.
Ingole, K., Pawar, S. and Pathak, S. (2016). Needle Stick Injuries among Health Care Worker at Tertiary Care Hospital, Int. J. Curr. Microbiol. App. Sci., Vol. 5, No. 12: 718-725.
Kuhar, D. T., Henderson, D. K., Struble, K. A., Heneine, W., Thomas, V., Cheever, L. W., Gomaa, A. and Panlilio, A. L. (2013). Updated US Public Health Service Guidelines for the Management of Occupational Exposures to Human Immunodeficiency Virus and Recommendations for Postexposure Prophylaxis, Infection Control and Hospital Epidemiology, Vol. 34, No. 9: 875-892.
Miraki, P., Bidarpoor, F., Rostami, Sh., Khairollahi, Sh., Rahmani, Kh. (2015). Occupational Exposures and Factors Affecting Its Prevalence in Besat Hospital of Sanandaj in 2014, Journal of Rafsanjan University of Medical Sciences, 14: 535-548 (in Persian).
Muralidhar, S., Kumar Singh, P., Jain, R. K., Malhotra, M. and Bala, M. (2010). Needle stick injuries among health care workers in a tertiary care hospital of India, Indian J Med Res, Vol. 131: 405-410.
NIOSH: Improving Workers’ Health across the Globe (2016). Finnish Institute of Occupational health.
Panlilio,A. L., Cardo, D. M., Grohskopf, L. A., Heneine, W. and Ross,C. S. (2005). Updated U.S. Public Health Service Guidelines for the Management of Occupational Exposures to HIV and Recommendations for Postexposure Prophylaxis, Morbidity and Mortality Weekly Report, Recommendations and Reports, Vol. 54, No. RR-9.
Rakhshani, F., Heidari, M., Barati Bani, S. (2008). Prevalence and causes of sharp instrument injuries and performance of workers in Zahedan University of Medical Science’s healthcare centers in 2007, Iranian Journal of Epidemiology, 2(3): 87-91(in Persian).
Shahabinejad, M., Ghiasi A. R., Ghaffari, M., Barkhordar, A., Soltani Poorsheikh, S. (2017). Identify occupational hazards of each of the occupational groups in a military hospital, Nurse and Physician within War, 15(5): 31-37(in Persian).
Shahrabadi, R., Seydshohadai, M., Hosseini, F. (2012). Sharp instruments injuries in intensive and general wards, Cardiovascular Nursing Journal, 1(2), 24-29 (in Persian).
Talas, M. S. Kokaoz, S. (2015). ccupational Needlestick-Sharp Injuries during Clinical Practice Training and Status of Hepatitis B Immunization in Nursing and Midwifery Students, Hem?irelikte Ara?t?rma Geli?tirme Dergis, Vol. 17, No. 2-3: 49-63.
Uchenna, A. P., Johnbull, O. S. Chinonye, E. E., Christopher, O. T., Nonye, A. P. (2015). The Knowledge, Attitude, and Practice of Universal Precaution Among Rural Primary Health Care Workers In Enugu Southeast Nigeria, World Journal of Pharmacy And Pharmaceutical Sciences, Vol. 4, Issue 9: 109-125.
Wicker, S., Jung, J., Allwinn, R., Gottschalk, R. and Rabenau, H. F. (2008). Prevalence and prevention of needlestick injuries among healthcare workers in a German university hospital, Int. Arch. Occup. Environ. Health, DOI 10.1007/s00420-007-0219-7.
World Health Organization, Regional Office for the Eastern Mediterranean (2002). Occupational health: a manual for primary health care workers.http://www.who.int/iris/handle/10665/116326
Aghabeigi, R., Haghighi, S., Asadi, M., Adarvishi, S., Haghighi Zadeh, M. H., Ghaderi, M. (2015). Investigation of damage caused by sharp instruments and needle sticks exposure in operation room’s staff in hospitals in the Ahvaz city in 2013, Iranian Journal of anesthesiology and Critical Care, 37(2): 84-91 (in Persian).
Aluko, O. O., Adebayo, A. E., Adebisi, T. F., Ewegbemi, M. K., Abidoye, A. T. and Popoola, B. F. (2016). Knowledge, attitudes and perceptions of occupational hazards and safety practices in Nigerian healthcare workers, BMC Res Notes, Vol. 9, No. 71: 1-4.
Aung, S. S., Nursalam, Dewi, Y. S. (2016). Improving Compliance with Standard Precautions among Myanmar Nurses Using Health Belief Model, The Malaysian Journal of Nursing, Vol. 8, No. 2: 28-21.
Camacho, A. Díaz, X., ,J. M., Martínez, M., Palomares, A. and Garza, E. (2013). A 5-year surveillance of occupational exposure to bloodborne pathogens in a university teaching hospital in Monterrey, Mexico, American Journal of Infection Control, Vol. 41: 85-88.
Camacho, A., Díaz, X., Hernández, R., Martínez, M., Chávez, S., Garza, E.,Valdez, R. and Díaz, I. (2015). Exposure and Knowledge of Sharps Injuries among Medical Students in Seven States of Mexico, International Journal of Medical Students, Vol. 3, Issue 1: 24-28.
Frickmann, H., Schmeja W., Reisinger, E., Mittlmeier, T. Mitzner,K. Schwarz, N. G., Warnke, P., and Podbielski, A. (2016). Risk Reduction of Needle Stick Injuries Due to Continuous Shift From Unsafe to Safe Instruments at A German University Hospital, European Journal of Microbiology and Immunology, Vol. 6, No. 3: 227–237.
Ghasemi, A. Etemad, E., Pour MAhammad Jan, N., Bashiri, J., HAbibzadeh, S. (2009). Needle stick injuries and their affecting factors among nurses and service personnel in Ardabil University of Medical Sciences’ healthcare centers, Journal of Infectious Diseases, 14(46): 27-32 (in Persian).
Hashemi, S. H., Torabian, S., Momani, M., Moazeni Dehkordi, S. (2011). Prevalence of sharp instruments and needle sticks in Hamedan health care personnel, Scientific Journal of Hamadan University of Medical Sciences and Health Services, 18(4): 41-46.
Himmelreich H, Rabenau HF, Rindermann M, Stephan C, Bickel M, Marzi I, et al. The management of needlestick injuries. Deutsches Ärzteblatt International 2013; 110(5): 61.
Ingole, K., Pawar, S. and Pathak, S. (2016). Needle Stick Injuries among Health Care Worker at Tertiary Care Hospital, Int. J. Curr. Microbiol. App. Sci., Vol. 5, No. 12: 718-725.
Kuhar, D. T., Henderson, D. K., Struble, K. A., Heneine, W., Thomas, V., Cheever, L. W., Gomaa, A. and Panlilio, A. L. (2013). Updated US Public Health Service Guidelines for the Management of Occupational Exposures to Human Immunodeficiency Virus and Recommendations for Postexposure Prophylaxis, Infection Control and Hospital Epidemiology, Vol. 34, No. 9: 875-892.
Miraki, P., Bidarpoor, F., Rostami, Sh., Khairollahi, Sh., Rahmani, Kh. (2015). Occupational Exposures and Factors Affecting Its Prevalence in Besat Hospital of Sanandaj in 2014, Journal of Rafsanjan University of Medical Sciences, 14: 535-548 (in Persian).
Muralidhar, S., Kumar Singh, P., Jain, R. K., Malhotra, M. and Bala, M. (2010). Needle stick injuries among health care workers in a tertiary care hospital of India, Indian J Med Res, Vol. 131: 405-410.
NIOSH: Improving Workers’ Health across the Globe (2016). Finnish Institute of Occupational health.
Panlilio,A. L., Cardo, D. M., Grohskopf, L. A., Heneine, W. and Ross,C. S. (2005). Updated U.S. Public Health Service Guidelines for the Management of Occupational Exposures to HIV and Recommendations for Postexposure Prophylaxis, Morbidity and Mortality Weekly Report, Recommendations and Reports, Vol. 54, No. RR-9.
Rakhshani, F., Heidari, M., Barati Bani, S. (2008). Prevalence and causes of sharp instrument injuries and performance of workers in Zahedan University of Medical Science’s healthcare centers in 2007, Iranian Journal of Epidemiology, 2(3): 87-91(in Persian).
Shahabinejad, M., Ghiasi A. R., Ghaffari, M., Barkhordar, A., Soltani Poorsheikh, S. (2017). Identify occupational hazards of each of the occupational groups in a military hospital, Nurse and Physician within War, 15(5): 31-37(in Persian).
Shahrabadi, R., Seydshohadai, M., Hosseini, F. (2012). Sharp instruments injuries in intensive and general wards, Cardiovascular Nursing Journal, 1(2), 24-29 (in Persian).
Talas, M. S. Kokaoz, S. (2015). ccupational Needlestick-Sharp Injuries during Clinical Practice Training and Status of Hepatitis B Immunization in Nursing and Midwifery Students, Hem?irelikte Ara?t?rma Geli?tirme Dergis, Vol. 17, No. 2-3: 49-63.
Uchenna, A. P., Johnbull, O. S. Chinonye, E. E., Christopher, O. T., Nonye, A. P. (2015). The Knowledge, Attitude, and Practice of Universal Precaution Among Rural Primary Health Care Workers In Enugu Southeast Nigeria, World Journal of Pharmacy And Pharmaceutical Sciences, Vol. 4, Issue 9: 109-125.
Wicker, S., Jung, J., Allwinn, R., Gottschalk, R. and Rabenau, H. F. (2008). Prevalence and prevention of needlestick injuries among healthcare workers in a German university hospital, Int. Arch. Occup. Environ. Health, DOI 10.1007/s00420-007-0219-7.
World Health Organization, Regional Office for the Eastern Mediterranean (2002). Occupational health: a manual for primary health care workers.http://www.who.int/iris/handle/10665/116326
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2018-10-30
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Ramyar, F., Ava, F., Avishan, F., Masoomeh, M., & Roghayeh, A. (2018). Vigilância de 8 anos da exposição ocupacional causada por instrumentos cortantes e picadas de agulha no Hospital Velayat Burn Injuries durante 2008-2016. Amazonia Investiga, 7(16), 5–16. Recuperado de https://amazoniainvestiga.info/index.php/amazonia/article/view/366
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