Use of Personal Protective Equipment and Operating Room Behaviors in Four Surgical Subspecialties: Personal Protective Equipment and Behaviors in Surgery
| Autor: | Paul B. L'Ecuyer, Donna B. Jeffe, Rodney L. Parks, Deniz Akduman, Lynn E Kim, Victoria J. Fraser, Bradley A. Evanoff, Sunita Mutha |
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| Rok vydání: | 1999 |
| Předmět: |
Adult
Male Microbiology (medical) Operating Rooms medicine.medical_specialty Percutaneous Adolescent genetic structures Epidemiology media_common.quotation_subject Eye protection Protective Clothing Hygiene Health care medicine Humans Prospective Studies Personal protective equipment Aged media_common Cross Infection business.industry Middle Aged Surgical procedures Middle age Surgery Personnel Hospital Infectious Diseases General Surgery Surgical Procedures Operative Orthopedic surgery Female Guideline Adherence business |
| Zdroj: | Infection Control & Hospital Epidemiology. 20:110-114 |
| ISSN: | 1559-6834 0899-823X 0195-9417 |
| DOI: | 10.1086/501601 |
| Popis: | Objective:To evaluate Universal Precautions (UP) compliance in the operating room (OR).Design:Prospective observational cohort. Trained observers recorded information about (1) personal protective equipment used by OR staff; (2) eyewear, glove, or gown breaks; (3) the nature of sharps transfers; (4) risk-taking behaviors of the OR staff; and (5) needlestick injuries and other blood and body-fluid exposures.Setting:Barnes-Jewish Hospital, a 1,000-bed, tertiary-care hospital affiliated with Washington University School of Medicine, St Louis, Missouri.Participants:OR personnel in four surgical specialties (gynecologic, orthopedic, cardiothoracic, and general). Procedures eligible for the study were selected randomly. Hand surgery and procedures requiring no or a very small incision (eg, arthroscopy, laparoscopy) were excluded.Results:A total of 597 healthcare workers' procedures were observed in 76 surgical cases (200 hours). Of the 597 healthcare workers, 32% wore regular glasses, and 24% used no eye protection. Scrub nurses and medical students were more likely than other healthcare workers to wear goggles. Only 28% of healthcare workers double gloved, with orthopedic surgery personnel being the most compliant. Sharps passages were not announced in 91% of the surgical procedures. In 65 cases (86%), sharps were adjusted manually. Three percutaneous and 14 cutaneous exposures occurred, for a total exposure rate of 22%.Conclusion:OR personnel had poor compliance with UP. Although there was significant variation in use of personal protective equipment between groups, the total exposure rate was high (22%), indicating the need for further training and reinforcement of UP to reduce occupational exposures. |
| Databáze: | OpenAIRE |
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