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

Publication ,  Journal Article
Myers, DJ; Lipscomb, HJ; Epling, C; Hunt, D; Richardson, W; Smith-Lovin, L; Dement, JM
Published in: Infect Control Hosp Epidemiol
January 2016

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.

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Published In

Infect Control Hosp Epidemiol

DOI

EISSN

1559-6834

Publication Date

January 2016

Volume

37

Issue

1

Start / End Page

80 / 87

Location

United States

Related Subject Headings

  • Surgical Equipment
  • Risk Factors
  • Retrospective Studies
  • Personnel, Hospital
  • Orthopedics
  • Operative Time
  • Operating Rooms
  • Occupational Injuries
  • Occupational Exposure
  • North Carolina
 

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ICMJE
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Myers, D. J., Lipscomb, H. J., Epling, C., Hunt, D., Richardson, W., Smith-Lovin, L., & Dement, J. M. (2016). Surgical Procedure Characteristics and Risk of Sharps-Related Blood and Body Fluid Exposure. Infect Control Hosp Epidemiol, 37(1), 80–87. https://doi.org/10.1017/ice.2015.233
Myers, Douglas J., Hester J. Lipscomb, Carol Epling, Debra Hunt, William Richardson, Lynn Smith-Lovin, and John M. Dement. “Surgical Procedure Characteristics and Risk of Sharps-Related Blood and Body Fluid Exposure.Infect Control Hosp Epidemiol 37, no. 1 (January 2016): 80–87. https://doi.org/10.1017/ice.2015.233.
Myers DJ, Lipscomb HJ, Epling C, Hunt D, Richardson W, Smith-Lovin L, et al. Surgical Procedure Characteristics and Risk of Sharps-Related Blood and Body Fluid Exposure. Infect Control Hosp Epidemiol. 2016 Jan;37(1):80–7.
Myers, Douglas J., et al. “Surgical Procedure Characteristics and Risk of Sharps-Related Blood and Body Fluid Exposure.Infect Control Hosp Epidemiol, vol. 37, no. 1, Jan. 2016, pp. 80–87. Pubmed, doi:10.1017/ice.2015.233.
Myers DJ, Lipscomb HJ, Epling C, Hunt D, Richardson W, Smith-Lovin L, Dement JM. Surgical Procedure Characteristics and Risk of Sharps-Related Blood and Body Fluid Exposure. Infect Control Hosp Epidemiol. 2016 Jan;37(1):80–87.
Journal cover image

Published In

Infect Control Hosp Epidemiol

DOI

EISSN

1559-6834

Publication Date

January 2016

Volume

37

Issue

1

Start / End Page

80 / 87

Location

United States

Related Subject Headings

  • Surgical Equipment
  • Risk Factors
  • Retrospective Studies
  • Personnel, Hospital
  • Orthopedics
  • Operative Time
  • Operating Rooms
  • Occupational Injuries
  • Occupational Exposure
  • North Carolina