A Study to Estimate the Prevalence of Occupational Exposure to Blood and Body Fluids among the Health Care Workers in a Teaching Hospital Attached to Bangalore Medical College and Research Institute (BMCRI)
Keywords:
blood and body fluids, health care workers, occupational exposure, hepatitis B virus, Human immunodeficiency virusAbstract
Background: Health care workers (HCWs) are at a high risk of sharp injuries and contact with blood and body fluids, exposing them to over 20 different blood borne pathogens, the most common being hepatitis B virus (HBV), hepatitis C virus (HCV) and Human immunodeficiency virus (HIV).This study was carried out to esti- mate prevalence of accidental exposure to blood & body fluids dur- ing preceding 12 months among HCWs in a tertiary hospital in Ban- galore.
Methods: A semi-structured questionnaire was used to study 240 HCWs during a 3 months period (September-November) in a teach- ing hospital in Bangalore.
Results: Occupational exposure to blood & body fluids in the pre- ceding 12 months was reported by 54.5% of the respondents. Needle
stick injuries (NSI) was the most common mode of such exposures (87%). Only 40.4% of the affected individuals had reported the inci- dent.
Conclusion: Occupational exposure to blood & body fluids was a common occurrence in study sample. There was gross under-re- porting of such incidents leading to a lack of proper post exposure prophylaxis (PEP).
References
Centers for Disease Control and Prevention. Guidelines for infection control in health care personnel. Infect Control Hos- pEpidemiol 1998;19:445.
International Health Care Worker Safety Center. Estimated Annual Number of U.S. Occupational Percutaneous Injuries and Mucocutaneous Exposures to Blood or Potentially Infec- tive Biological Substances. Adv Exposure Prevent 1998;4:3.
World Health Report. Reducing Risks, promoting healthy life. WHO: Geneva; 2002.
Pruss-Ustun A, Rapiti E, Hutin Y. Sharps injuries: global burden of disease from sharps injuries to health care work- ers. Geneva, World Health Organization, 2003. (WHO Envi- ronmental Burden of Disease Series, No 3).
Landovitz RJ, Currier JS. Post-exposure prophylaxis for HIV infection. NEJM. 2009;361:168-175.
Chogle NL, Chogle MN, Divatia, Dasgupta D. Awareness of post-exposure prophylaxis guidelines against occupational exposure to HIV in a Mumbai hospital. Natl Med J India 2002;15:69-72.
Rele M, Methur M, Turbadkar D. Risk of needle stick injuries in health care workers: A report. Indian J Med Micro- biol 2002; 20:206-7.
Tetali S, Choudhury PL. Occupational exposure to sharps and splash: Risk among health care providers in three ter- tiary care hospitals in South India. Indian J Occup Environ Med 2006; 10:35-40.
Mehta A, Rodrigues C, Ghag S, Bavi P, Shenai S, Dastur F. Needle-stick injuries in a tertiary carecentre in Mumbai, In- dia. J Hosp Infect 2005; 60:368-73
Baker JL, Kelen GD, Siverston KT, Quinn TC. Unsuspected Human Immunodeficiency Virus in critically ill emergency patients. JAMA 1987;257:2609-11
Wilburn SQ. Needle and sharps injury prevention. Online J Issues in Nursing [Cited on 2004 Sep 30], Vol 89:3: Manu- script 4. Available from:http://nursing- world.org/ojin/topic25/tpc25
Clarke SP, Rockett JL, Sloane DM, Aiken LH. Organiza- tional climate, staffing and safety equipment as predictors of needlestick injuries and near misses in hospital nurses. Am J Infect Control 2002;30:207-16
Varma M, Mehta G. Needle stick injuries among medical students. J Indian Med Assoc 2000;98:436-8.
Jayanth ST, Kirupakaran H, Brahmadathan KN, Gnanaraj L, Kang G. Needle stick injuries in a tertiary care hospital 2009;27:44-7
Varghese GM, Abraham OC, Mathai D. Post-exposure prophylaxis for blood borne viral infections in healthcare workers. Postgrad Med J 2003;79:324-8.
Karstaedt AS, Pantanowitz L. Occupational exposure of in- terns to blood in an area of high HIV seroprevalence. S Afr Med 2001;91:57-61
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
The authors retain the copyright of their article, with first publication rights granted to Medsci Publications.