       Document 0034
 DOCN  M9610034
 TI    [Risks of accidental exposure to blood in the operating room. Results of
       a multicenter prospective study. Groupe d'Etude sur les Risques
       d'Exposition au Sang]
 DT    9601
 AU    Johanet H; Antona D; Bouvet E; Service de Chirurgie Generale et
       Digestive, Hopital; Bichat-Claude-Bernard, Paris.
 SO    Ann Chir. 1995;49(5):403-10. Unique Identifier : AIDSLINE MED/96010635
 AB    A multicentric prospective trial was conducted to evaluate the frequency
       and kind of blood exposure in operating room. From march to june 1992,
       3554 procedures were observed in 22 surgical units (visceral,
       orthopaedic and vascular), with 129 surgeons, 133 residents and 216
       nurses. Statistic analysis was done on Epi Info 5 (CDC Atlanta) and
       EGRET (Statistic and Epidemiology Research Corporation, Seattle). 11.7%
       of procedures were the case for an incidental blood exposure: 4.2% for
       percutaneous exposure; 8.4% for cutaneous or mucosal exposure. Rates
       change with the surgical specialty. Surgeons were involved in 50.7% of
       percutaneous exposure and 58.7% of the cutaneous or mucosal exposures,
       especially when they were operators (respectively 2 and 5.6%
       person-act). A significative rate was founded between incidental blood
       exposure and the length of procedure, the sepsis character of the
       procedure, but not with emergency or number of globular units
       transfused. To diminish the incidental blood exposure and its risks,
       this data suggests three kinds of practice: a better work for
       vaccination; in our study 59% of surgeons declare an adequate
       vaccination against hepatitis B; a best operative hygiene, with knowing
       of risks factor of blood exposure, depending of the kind of procedure,
       changing between different units; the use of protections: non coated
       dressing, double gloving, ocular protection.
 DE    Acquired Immunodeficiency Syndrome/TRANSMISSION/*VIROLOGY  Disease
       Transmission, Patient-to-Professional/*METHODS/PREVENTION  & CONTROL
       English Abstract  Hand Injuries/*COMPLICATIONS  Hepatitis
       B/IMMUNOLOGY/TRANSMISSION/VIROLOGY  Hepatitis B Vaccines/THERAPEUTIC USE
       Hepatitis C/IMMUNOLOGY/TRANSMISSION/VIROLOGY  Human  Needlestick
       Injuries/*COMPLICATIONS  Operating Rooms  Prospective Studies  Risk
       Factors  Viral Vaccines  Virus Diseases/TRANSMISSION/*VIROLOGY  CLINICAL
       TRIAL  JOURNAL ARTICLE  MULTICENTER STUDY

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

