       Document 0331
 DOCN  M9610331
 TI    Self-reported incidence of accidental exposures to patients' blood and
       body fluids by resident doctors in Nigeria.
 DT    9601
 AU    Olubuyide IO; Olawuyi F; Department of Medicine, University College
       Hospital, Ibadan,; Nigeria.
 SO    J R Soc Health. 1995 Aug;115(4):235-6, 241-3. Unique Identifier :
       AIDSLINE MED/96031985
 AB    An anonymous survey of 149 resident doctors was conducted to estimate
       the extent of accidental exposures to blood and body fluids of patients
       over a one-year period. There was a total of 1142 exposures.
       Ninety-three percent of respondents reported one or more exposure
       incident(s). Analysis of events and procedures leading to accidental
       exposures revealed that recapping needles was involved in 17%, suturing
       accounted for 14%, setting up intravenous lines 11%, cuts with scalpel
       9% and phlebotomy 9%. Surgical residents had a threefold greater risk of
       exposure compared with medicine residents. No trend was found for
       accidental exposures by level of residency training. Seventy-four
       percent of the residents used universal precautions 50% or less of the
       time. Only half of the doctors could recall formal instruction on
       correct course of action after exposure and 5% of them had as
       undergraduates hepatitis B vaccine prior to the commencement of
       venepuncture duties. All but one of the residents' exposures were not
       reported to the Staff Medical Services Department. The doctor who
       reported was neither tested for hepatitis B virus or human
       immunodeficiency virus nor was he properly treated. Only 5 (4.6%) of the
       contaminating patients were evaluated serologically for their status of
       these viruses. These data emphasize the need for increased efforts
       toward improved early and continuing education, prevention and correct
       management of accidental exposures to blood or body fluids of patients
       by resident doctors in Nigeria. No recent study exists that exclusively
       addresses this problem in doctors in tropical Africa.
 DE    Accidents/*STATISTICS & NUMER DATA  Blood/*VIROLOGY  Body
       Fluids/*VIROLOGY  Hospital Administration  Human  Internship and
       Residency/*STATISTICS & NUMER DATA  Nigeria  *Occupational Exposure
       Questionnaires  Self Disclosure  Universal Precautions  JOURNAL ARTICLE

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

