Surgical Procedure Characteristics and Risk of Sharps-Related Blood and Body Fluid Exposure.
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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.
SubjectBlood Loss, Surgical
Published Version (Please cite this version)10.1017/ice.2015.233
Publication InfoDement, John M; Epling, C; Hunt, Debra; Lipscomb, HJ; Myers, DJ; Richardson, William J; & Smith-Lovin, L (2016). Surgical Procedure Characteristics and Risk of Sharps-Related Blood and Body Fluid Exposure. Infect Control Hosp Epidemiol, 37(1). pp. 80-87. 10.1017/ice.2015.233. Retrieved from http://hdl.handle.net/10161/12789.
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Assistant Professor of Community and Family Medicine
Assistant Professor in Community and Family Medicine
Reduction of Blood Exposures to Healthcare Workers, Prevention of Bloodborne Pathogen Exposures; TB Control; Select Agents Program; Research and Clinical Laboratory Biosafety.
Professor of Orthopaedic Surgery
1. Current research includes investigation of biomechanical aspects of cervical injury with head impact. This involves cadaveric work with high-speed photography and load cells to ascertain the mechanism for spinal fractures. 2. An animal model is being used to evaluate the biomechanics of cervical laminectomy versus laminoplasty compared to the normal spine. A portion of the animals are developing myelopathy secondary to instability after the surgical procedure and this is bei
Robert L. Wilson Professor of Sociology in Trinity College of Arts and Sciences
I study emotion, identity, and action. I’m interested in the basic question of how identities affect social interaction. I use experimental, observational, survey and simulation methods to describe how identities, actions and emotions are interrelated. The experiments I do usually involve creating social situations where unusual things happen to people, then seeing how they respond behaviorally or emotionally. I observe small task group interactions to see how identities influence conversat
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