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Exposure to Blood and Body Fluid in Operating Room Personnel in One Acute Care General Hospital

일개 종합병원 수술실 의료인의 혈액 및 체액 노출 실태조사

  • 신영란 (서울아산병원) ;
  • 박광옥 (서울아산병원 소아청소년병원 간호부) ;
  • 정재심 (울산대학교 의과대학 임상전문간호학) ;
  • 김경미 (세명대학교 간호대학)
  • Received : 2009.05.29
  • Accepted : 2009.06.22
  • Published : 2009.08.31

Abstract

Purpose: The purpose of this study was to assess the frequency and characteristics of occupational blood and body fluid exposure for operating room personnel during surgical procedures and identify risk factors. Methods: A self-report questionnaire was used to survey 519 operating room personnel who participated in 132 surgeries in an acute care hospital in Seoul between April 12 and 20, 2006. Results: The response rate was 82% (530/646) and analyzed total 519 except for improper 11 questionnaires. Exposure rate was 45.5% (60/132) during operations and 20.4% (106/519) for operating room personnel. By job categories, the exposure rate was as follows; anesthesiologists and nurses 31.2% (44/141), operators and assistants 22.1% (32/145), circulating nurses 12.0% (11/92), scrub nurses 11.4% (14/123). The mucous membrane-eye exposure with a high risk of transmitting infection was 6.6% (7/106) and the most frequent route of exposure was blood and body fluid touching unprotected skin. In multivariate analysis, the risk factors of exposure were services, duration of operation, a patient who had a peripheral arterial catheter line, and job category. Conclusion: Educational programs and appropriate use of personal protective equipment are necessary to prevent operating room personnel from being exposed to blood and body fluid.

Keywords

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