Accidentes con riesgo biológico producidos por residuos punzantes en el Hospital MeixoeiroAños 2001 - 2010

  1. Carmen Lameiro Vilariño
  2. José Cuevas Raposo
  3. Ana Besteiro Eguía
  4. Alejandro Cuevas Raposo
  5. Alberto Pérez Alvarellos
  6. Carlos Gómez Zunzunegui
  7. Víctor M. del Campo Pérez
Journal:
Revista Enfermería del Trabajo

ISSN: 2174-2510

Year of publication: 2011

Volume: 1

Issue: 2

Pages: 65-72

Type: Article

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Abstract

Objective: Determine the incidence and circumstances of accidents caused by clinical sharps waste, which cause accidents not only in health care workers, but also other employees of those centers. Material and methods: Descriptive study of biological waste-sharps accidents in the last 10 years. The data are extracted from the base EPINETAC. For epidemiological analysis and statistical significance tests it has been used the program EPIDAT 3.1 (OPS-Xunta de Galicia) Results: We detected 162 accidents. The cleaning staff 33%, followed by nurses 31% and 15% nursing assistants were the most affected categories. The most frequent places were hospitalization 38%, followed by Emergency service 11% and Intensive care Unit. Hollow needles have been causing 46% of accidents, syringes 19% and lancets 14%. 45% have been caused by neglect of the material, and 25% of material discarded in trash bags. Workers cleaning, laundry and nursing group showed significant increases in risk (RR = 30.5, 9.1 and 6.9, p <0.0001) compared to other professional groups. Discussion: Despite the knowledge of standard precautions and proper segregation of sharps, biological accidents still occur caused by sharp waste. It is vital to raise awareness and training of health personnel that handles this material in order to protect both their safety and that of other workers.

Bibliographic References

  • Decreto 460/97, do 2 Novembro, polo que se establece a normativa para a xestión dos residuos dos establecementos sanitarios na comunidade Autónoma de Galicia. DOG, venres 19 de Decembro do 1997, Nº 245
  • NTP 853 Recogida, transporte y almacenamiento de Residuos Sanitarios. Instituto Nacional de Seguridad e Higiene en el Trabajo. Disponible en: http://www.insht.es/portal/site/Insht
  • Blenkharn, J Ian. Sharps management and the disposal of clinical waste. Br J Nurs. 2009 Jul 23-Aug 12;18(14):860, 862-4.
  • Blenkharn J I, Odd C, Sharps injuries in healthcare waste handlers. Ann Occup Hyg (2008) 52 (4): 281- 286.
  • NIOSH Alert: Preventing Needlestick Injuries in Health Care Settings. DHHS (NIOSH) Publication Nº 2000-108. November 1999 [accedido 30 Mar 2000]. Disponible en: http://www.cdc.gov/niosh/2000-108.html
  • Tarantola A, Abiteboul D , Rachline A. Infection risks following accidental exposure to blood or body fluids in health care workers: A review of pathogens transmitted in published cases. American Journal of Infection Control (2006) 34(6): 367-375.
  • Erdem Y, Talas MS. Blunt and penetrating object injuries in housekeepers working in a Turkish University Hospital. Am. J. Infect. Control. 2006 May;34(4):208-14.
  • Centers for Diseases Control. Workbook for designing, implementing, and evaluating a sharps injury prevention program. Disponible en: http://www.cdc.gov/sharpssafety/resources.html
  • Cutter Jayne, Gammon John. Review of standard precautions and sharps management in the community. Br J Community Nurs. (2007) 12 (2): 54-60.
  • Campins Martí M, Hernández Navarrete MJ, Arribas Llorente JL. Estudio y Seguimiento del Riesgo Biológico en el Personal Sanitario. Proyecto EPINETAC 1996-2002. Madrid: Grupo de Trabajo EPINETAC; 2005.
  • Elder A, Paterson C. Sharps injuries in UK health care: a review of injury rates, viral transmission and potential efficacy of safety devices. Occup Med (Lond) (2006) 56 (8): 566-574.
  • Orden 15 Septiembre del 2008 por la que se establecen e implantan procedimientos de seguridad y el sistema de vigilancia frente al accidente con riesgo biológico en el ámbito de las instituciones sanitarias del Servicio Gallego de Saúde, Diario Oficial e Galicia, martes 30 septiembre 2008, Nº 189
  • REAL DECRETO 664/1997, de 12 de mayo, sobre la protección de los trabajadores contra los riesgos relacionados con la exposición a agentes biológicos durante el trabajo. BOE nº 124 24/05/1997
  • DIRECTIVA 2010/32/UE DEL CONSEJO de 10 de mayo de 2010 que aplica el Acuerdo marco para la prevención de las lesiones causadas por instrumentos cortantes y punzantes en el sector hospitalario y sanitario celebrado por HOSPEEM y EPSU. Diario oficial de la unión Europea 01/06/2010.
  • Vaughn TE, McCoy KD, Beckmann SE, Woolson RF, Torner JC, Doebbeling BN. Factors promoting consistent adherence to safe needle precauctions among hospital workers. Infect Control Hosp Epidemiol. 2004;25 (7): 548-55.
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