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Surgical Procedure Characteristics and Risk of Sharps-Related Blood and Body Fluid Exposure

Published online by Cambridge University Press:  05 October 2015

Douglas J. Myers ,
Hester J. Lipscomb ,
Carol Epling ,
Debra Hunt ,
William Richardson ,
Lynn Smith-Lovin  and
John M. Dement
Douglas J. Myers*
Affiliation:
Occupational and Environmental Medicine Division, Department of Community and Family Medicine, Duke University Medical Center, Durham, North Carolina Occupational and Environmental Health Sciences Department, West Virginia University, Morgantown, West Virginia
Hester J. Lipscomb
Affiliation:
Occupational and Environmental Medicine Division, Department of Community and Family Medicine, Duke University Medical Center, Durham, North Carolina
Carol Epling
Affiliation:
Occupational and Environmental Medicine Division, Department of Community and Family Medicine, Duke University Medical Center, Durham, North Carolina
Debra Hunt
Affiliation:
Division of Biological Safety, Duke University Medical Center, Durham, North Carolina
William Richardson
Affiliation:
Department of Orthopedic Surgery, Duke University Medical Center, Durham, North Carolina
Lynn Smith-Lovin
Affiliation:
Department of Sociology, Duke University, Durham, North Carolina
John M. Dement
Affiliation:
Occupational and Environmental Medicine Division, Department of Community and Family Medicine, Duke University Medical Center, Durham, North Carolina
*
Address correspondence to Douglas J. Myers, ScD, West Virginia University, Occupational and Environmental Health Sciences Department, 1 Medical Center Drive, PO Box 6190, Morgantown, WV 26506 ([email protected]).
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Abstract

OBJECTIVE

To use a unique multicomponent administrative data set assembled at a large academic teaching hospital to examine the risk of percutaneous blood and body fluid (BBF) exposures occurring in operating rooms.

DESIGN

A 10-year retrospective cohort design.

SETTING

A single large academic teaching hospital.

PARTICIPANTS

All surgical procedures (n=333,073) performed in 2001–2010 as well as 2,113 reported BBF exposures were analyzed.

METHODS

Crude exposure rates were calculated; Poisson regression was used to analyze risk factors and account for procedure duration. BBF exposures involving suture needles were examined separately from those involving other device types to examine possible differences in risk factors.

RESULTS

The overall rate of reported BBF exposures was 6.3 per 1,000 surgical procedures (2.9 per 1,000 surgical hours). BBF exposure rates increased with estimated patient blood loss (17.7 exposures per 1,000 procedures with 501–1,000 cc blood loss and 26.4 exposures per 1,000 procedures with >1,000 cc blood loss), number of personnel working in the surgical field during the procedure (34.4 exposures per 1,000 procedures having ≥15 personnel ever in the field), and procedure duration (14.3 exposures per 1,000 procedures lasting 4 to <6 hours, 27.1 exposures per 1,000 procedures lasting ≥6 hours). Regression results showed associations were generally stronger for suture needle–related exposures.

CONCLUSIONS

Results largely support other studies found in the literature. However, additional research should investigate differences in risk factors for BBF exposures associated with suture needles and those associated with all other device types.

Infect. Control Hosp. Epidemiol. 2015;37(1):80–87

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 37 , Issue 1 , January 2016 , pp. 80 - 87
Copyright
© 2015 by The Society for Healthcare Epidemiology of America. All rights reserved 

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