EXPOSIÇÃO OCUPACIONAL A FLUIDOS BIOLÓGICOS EM ACIDENTES COM PERFUROCORTANTES NA EQUIPE DE ENFERMAGEM HOSPITALAR
Resumo
Objetivo: Determinar a ocorrência de exposição ocupacional a fluidos biológicos em acidentes com perfurocortantes na equipe de enfermagem hospitalar. Métodos: Avaliou-se 747 profissionais, com base em questionários para acidentes de trabalho, mediante entrevista. Resultados: Dos 747 entrevistados, 53,9% sofreram acidentes com perfurocortantes. O risco aumentado de sofrer acidentes relacionou-se com o sexo feminino, horário diurno de trabalho e profissões técnico e auxiliar de enfermagem. Grande parte dos acidentes ocorreu por reencape de agulhas e descarte inadequado dos materiais, por falta de atenção. Mais de um terço dos acidentados não comunicou o acidente. Conclusão: Os profissionais estudados mantêm posturas de risco que devem ser combatidas com políticas de educação em saúde, reforçando a importância da comunicação das ocorrências
Descritores: Agentes biológicos; Acidentes ocupacionais; Ferimentos penetrantes; Equipe de enfermagem.
OCCUPATIONAL EXPOSURE TO BIOLOGICAL FLUIDS IN ACCIDENTS WITH PROFILING ON THE HOSPITAL NURSING TEAM
Objective: To determine the occurrence of occupational exposure to biological fluids in sharps injuries in the hospital nursing team. Methods: A total of 747 professionals were interviewed, based on questionnaires for work accidents. Results: Of the 747 interviewees, 53.9% suffered accidents by sharp instruments. The increased risk of accidents was related to the female sex, daytime work hours and nursing technician and assistant professions. A large part of the accidents occurred due to needle recapping and inadequate disposal of materials, due to lack of attention. More than a third of the victims did not report the accident. Conclusion: The studied professionals have attitudes of risk that must be tackled with policies of health education, reinforcing the importance of the communication of occurrences.
Descriptors: Biological factors; Accidents, occupational; Wounds, penetrating; Nursing, team.
EXPOSICIÓN OCUPACIONAL A FLUIDOS BIOLÓGICOS EN ACCIDENTES COM PERFUROCORTANTES EN EL EQUIPO DE
ENFERMERÍA HOSPITALARIA
Objetivo: Exposición ocupacional a fluidos biológicos en accidentes con punzocortantes en el equipo de enfermería hospitalaria. Métodos: Se evaluaron 747 profesionales, con base en cuestionarios para accidentes de trabajo, mediante entrevista. Resultados: De los 747 entrevistados, 53,9% sufrieron accidentes con punzocortantes. El riesgo aumentado de sufrir accidentes se relacionó con el sexo femenino, horario diurno de trabajo y profesiones técnicas y auxiliares de enfermería. Gran parte de los accidentes ocurrió por reencape de agujas y descarte inadecuado de los materiales, por falta de atención. Más de un tercio de los accidentes no comunicó el accidente. Conclusión: Los profesionales estudiados mantienen posturas de riesgo que deben ser combatidas con políticas de educación en salud, reforzando la importancia de la comunicación de las ocurrencias.
Descritores: Factores Biológicos; Accidentes de trabajo; Heridas penetrantes; Grupo de Enfermería.
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PDFReferências
Goniewicz M, Włoszczak-Szubzda A, Niemcewicz M, Magdalena W, Marciniak-Niemcewicz A, Jarosz MJ. Injuries caused by sharp instruments among healthcare workers - international and Polish perspectives. Ann. Agric. Environ. Med. 2012; 19(3): 523-27. Available from: http://www.aaem.pl/Injuries-caused-by-sharp- instruments-among-healthcare-workers-international-and- -Polish,71814,0,2.html
Barros DX, Tipple AFV, Lima LKOL, Souza ACS, Neves ZCP, Salgado TA. Análise de 10 anos de acidentes com material biológico entre a equipe de enfermagem. Rev. Eletr. Enf. 2016; 18(e1157): 1-11. Available from: https://revistas.ufg.br/fen/article/ view/35493/21259
Amaro Junior AS, Custódio JMO, Rodrigues VPS, Nascimento JMO. Risco biológico no contexto da prática de enfermagem: uma análise de situações favorecedoras. Rev Epidemiol Control Infect. 2015;5(1):42-6. Available from: https://online.unisc.br/ seer/index.php/epidemiologia/article/view/5396
Pimenta FR, Ferreira MD, Gir E, Hayashida M, Canini SRMS. Care and specialized clinical follow-up of nursing professionals who have been victims of accidents with biological material. Rev. Esc. Enferm. USP. 2013; 47(1): 198-204. Available from: http:// www.scielo.br/pdf/reeusp/v47n1/en_a25v47n1.pdf
Gomes AGM, Sabino TC, Negreiros RV. Acidentes de trabalho com materiais biológicos entre profissionais de enfermagem: uma revisão integrativa. Revista UninCor. 2016;14(2): 1119-27. Available from: http://periodicos.unincor.br/index.php/revistaunincor/ article/view/2697/pdf_601
Machado MRM, Machado FA. Work-related accidents with biological material among nursing staff from General Hospital in Palmas, state of Tocantins, Brazil. Rev. bras. saúde ocup. 2011; 36(124): 274-81. Available from: http://www.scielo.br/pdf/rbso/ v36n124/a11v36n124.pdf
Honda M, Chompikul J, Rattanapan C, Wood G, Klungboonkrong S. Sharps Injuries among Nurses in a Thai Regional Hospital: Prevalence and Risk Factors. Int. J. Occup. Environ. Med. 2011; 2(4): 215-23. Available from: http://www.theijoem.com/ijoem/index. php/ijoem/article/view/109/215
Janjua NZ, Khan MI, Mahmood B. Sharp injuries and their determinants among health care workers at first-level care facilities in Sindh Province, Pakistan. Trop. Med. Int. Health. 2010; 15(10): 244-51. Available from: https://onlinelibrary.wiley.com/ doi/epdf/10.1111/j.1365-3156.2010.02610.x
Mbaisi EM, Ng’ang’a Z, Wanzala P, Omolo J. Prevalence and factors associated with percutaneous injuries and splash exposures among health-care workers in a provincial hospital, Kenya, 2010. Pan African Medical Journal. 2013; 14:10. Available from: https:// www.ncbi.nlm.nih.gov/pmc/articles/PMC3597860/pdf/PAMJ- 14-10.pdf
Voidea C, Darling KEA, Kenfak-Foguena A, Erarda V, Cavassinia M, Lazor-Blanchet C. Underreporting of needlestick and sharps injuries among healthcare workers in a Swiss University Hospital. Swiss Med. Wkly. 2012; 142: 1-7. Available from: https:// smw.ch/article/doi/smw.2012.13523
Galon T, Robazzi MLCC, Marziale MHP. Occupational accidents with biological material at a university hospital in São Paulo. Rev. Eletr. Enf. 2008; 10(3): 673-85. Available from: http://www.scielo. br/pdf/rlae/v15n4/v15n4a17.pdf
Magagnini MAM, Rocha SA, Ayres JA. The meaning of accidents with biological material to nursing professionals. Rev. Gaúcha Enferm. 2011; 32(2):302-8. Available from: http://www.scielo. br/pdf/rgenf/v32n2/a13v32n2.pdf
Valim M, Marziale M. Notification of work accidents with exposure to biological material: cross study. Online Brazilian Journal of Nursing. 2012; 11(1): 51-64. Available from: http://www.redalyc. org/pdf/3614/361441676006.pdf
Julio RS, Filardi MBS, Marziale MHP. Acidentes de trabalho com material biológico ocorridos em municípios de Minas Gerais. Rev. bras. enferm. 2014;67(1): 119-26. Available from: http://www. scielo.br/pdf/reben/v67n1/0034-7167-reben-67-01-0119.pdf
Noronha DD, Vieira MRM, Vieira MM, Magalhães TA, Leite MTS. Occupational accidents occurred between the professionals of the health of the University Hospital Clemente de Faria (UHCF). Motricidade. 2012; 8(2): 67-77. Available from: http://www.redalyc. org/html/2730/273023568009/index.html
Chaiwarith R, Ngamsrikam T, Fupinwong S, Sirisanthana T. Occupational Exposure to Blood and Body Fluids among Healthcare Workers in a Teaching Hospital: an Experience from Northern Thailand. 2013; Jpn. J. Infect. Dis. 66: 121-5. Available from: https://www.jstage.jst.go.jp/article/yoken/66/2/66_121/_pdf/- -char/en
Frijstein G, Hortensius J, Zaaijer HL. Needlestick injuries and infectious patients in a major academic medical centre from 2003 to 2010. Neth. J. Med. 2011; 69(10): 465-8. Available from: http://www.njmonline.nl/getpdf.php?id=1115
Butsashvili M, Kamkamidze G, Kajaia M, Morse DL, Triner W, DeHovitz J et al. Occupational exposure to body fluids among health care workers in Georgia. Occupational Medicine. 2012; 62: 620–6. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/ PMC3612004/pdf/kqs121.pdf
Jayanth ST, Kirupakaran H, Brahmadathan KN, Gnanaraj L, Kang G. Needle stick injuries in a tertiary care hospital. 2009; Indian J Med Microbiol. 27(1): 44-7. Available from: http://www. ijmm.org/article.asp?issn=2009;volume=27;issue=1;spage=44;epage= 47;aulast=Jayanth
Jacob A, Newson-Smith M, Murphy E, Steiner M, Dick F. Sharps injuries among health care workers in the United Arab Emirates. Occupational Medicine 2010; 60: 395–7. Available from: https:// www.ncbi.nlm.nih.gov/pubmed/20407045
DOI: https://doi.org/10.21675/2357-707X.2019.v10.n1.1341
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Eletrônico ISSN: 2357-707X
Impresso ISSN: 2177-4285
Este trabalho está licenciado com uma Licença Creative Commons - Atribuição 4.0 Internacional.