Blood exposure risk during procedural dermatology
| Autor: | Joanne McCarthy, Victor A. Neel, Manish Gharia, Hari Nadiminti, Jennifer Jones, Carl F. Schanbacher, Michelle Liang, Ruth Dorothee Holzmann |
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| Rok vydání: | 2008 |
| Předmět: |
Face shield
Dermatologic Procedures medicine.medical_specialty Infectious Disease Transmission Patient-to-Professional business.product_category business.industry medicine.medical_treatment Dermatologic Surgical Procedures Anticoagulants Dermatology Mohs Surgery Universal Precautions Micrographic surgery Blood exposure Virus Diseases Universal precautions Blood-Borne Pathogens Mohs surgery medicine Humans Risk factor Eye Protective Devices business |
| Zdroj: | Journal of the American Academy of Dermatology. 58:817-825 |
| ISSN: | 0190-9622 |
| DOI: | 10.1016/j.jaad.2008.01.010 |
| Popis: | Background Dermatologists are at risk of body-fluid contamination during procedures. Objective We sought to determine the frequency of blood splash during procedural dermatology. Methods In all, 500 consecutive excisions were performed. Postoperatively, blood droplets on face shields and surgical gowns were counted. A survey regarding universal precautions during procedures was also conducted with members of the American College of Mohs Surgery (ACMS). Results Contamination from blood splashes during dermatologic procedures (Mohs micrographic surgery, excision, repair) occurred in 66.4%. Reconstruction type, anticoagulation use, wound location, and wound size correlated with a higher blood splash rate. Our survey showed that face shields and goggles are used inconsistently. Limitations The 4 participating dermatologists do not represent all practicing dermatologists. It may be possible to generalize the survey results directed at physicians in the ACMS. Conclusion Physician body-fluid contamination risk with procedural dermatology is clinically significant. Dermatologists and their assistants should wear preventive barriers during procedures to minimize the risk of viral transmission. |
| Databáze: | OpenAIRE |
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