Injury or body fluid splash incidence rate during three months period in elective surgery procedures, at Dicle University Hospital, Diyarbakır, Turkey

ERTEM, Melikşah; DALAR, Yasemin; ÇEVİK, UĞUR; ŞAHİN, Hayrettin

Injury or body fluid splash incidence rate during three months period in elective surgery procedures, at Dicle University Hospital, Diyarbakır, Turkey

Melikşah ERTEM, (Dicle Üniversitesi, Tıp Fakültesi, Halk Sağlığı Anabilim Dalı, Diyarbakır, Türkiye)

Yasemin DALAR, (Dicle Üniversitesi, Tıp Fakültesi, Ameliyathane Bölümü, Diyarbakır, Türkiye)

Uğur ÇEVİK, (Dicle Üniversitesi, Tıp Fakültesi, Ameliyathane Bölümü, Diyarbakır, Türkiye)

Hayrettin ŞAHİN (Dicle Üniversitesi, Tıp Fakültesi, Ameliyathane Bölümü, Diyarbakır, Türkiye)

Ulusal Travma ve Acil Cerrahi Dergisi

7 0

Yıl: 2008 Cilt: 14 Sayı: 1 Sayfa Aralığı: 40 - 45 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Injury or body fluid splash incidence rate during three months period in elective surgery procedures, at Dicle University Hospital, Diyarbakır, Turkey

Öz:

Bu çal›flmada elektif cerrahi ifllemler s›ras›nda oluflan sivri cisim yaralanmalar› (SCY) ve kan ve organ s›v›s› (KOS) s›çramalar› n›n s›kl›¤›n›n irdelenmesi amaçland›. Bu çal›flman›n, yaralanma ve KOS s›çramalar›n› engelleme çal›flmalar›na yard› mc› olabilece¤i düflünüldü. GEREÇ VE YÖNTEM Dicle Üniversitesi Hastanesinde üç ay boyunca tüm elektif ameliyatlar kay›t edildi, SCY ve KOS s›çramalar› analiz edildi. SCY ya da KOS s›çramas› olarak bildirilen hastane çal›flanlar›yla daha detayl› olarak görüflüldü ve yaralanma nedenleri detayland› r›lmaya çal›fl›ld›. BULGULAR Üç ayl›k sürede 1988 elektif ameliyat kay›t edildi. Bunlar›n 111’inde (%5,6) SCY ve 145’inde (%7,3) KOS s›çramas› bildirildi. Ö¤retim üyelerinde SCY insidans› 2,8 kifli-y›l olarak bulunurken, bu asistanlarda 5,6, hemflirelerde 6,3 ve di¤er personelde 1,5 olarak saptand›. KOS s›çramas› insidans› ö¤retim üyelerinde 14,5 kifli-y›l iken bu h›z asistan ve hemflirelerde s›- ras›yla 6,9 ve 8,4 bulundu. Ameliyat›n süresi, ameliyat bafllama saati ve ameliyatta çal›flan personel say›s› SCY oluflmas›nda etkili faktörler oldu¤u ve KOS s›çramas›nda da yine ameliyat süresi ve çal›flan personel say›s›n›n etkili oldu¤u saptand›. Çene cerrahisi ameliyatlar›n›n %14,4’ünde, genel cerrahi ameliyatlar› n›n %12,2’sinde, gö¤üs cerrahis inin %10,5’inde, beyin cerrahisinin %8,4’ünde SCY g ö r ü l dü. Genel cerrahi ameliyatlar›n›n %14,4’ünde, ürolojinin %13,5’inde, gö¤üs cerrahis in i n %14’ünde, kalp damar cerrahisinin %14,7’sinde KOS s›çramas› oldu¤u saptand›. En s›k yaralanan organ iflaret parma¤› (%33,9) ve bafl parmak (%31,4) oldu. SONUÇ Di¤er tüm t›bbi uygulamalarda oldu¤u gibi elektif cerrahi ifllemlerde de SCY ve KOS s›çramalar› yayg›n bir sorun oldu¤u gösterilmifltir.

Anahtar Kelime: Hastaneler Cerrahi işlemler, elektif Kan yoluyla geçen patojenler Kazalar, mesleki Enfeksiyöz hastalık bulaşması, hastadan profesyonele Vücut sıvıları Mesleki sağlık Sivri cisim yaralanmaları Enfeksiyon kontrolü Görülme sıklığı

Konular: Cerrahi

Dicle Üniversitesi araştırma hastanesi'nde üç aylık periyotta, elektif cerrahi işlemlerinde oluşan yaralanma ve kan-organ sıvısı sıçrama sıklığı çalışması

Öz:

In this study we aimed to determine the prevalence of sharp injuries (SI) and blood and body fluid (BBF) splashes in health care workers during elective surgery procedures (ESP). This study would help to plan the preventive measures for injuries and BBF splashes. METHODS All ESP were recorded during three months period and SI and BBF splashes were analyzed in Hospital of Dicle University. Hospital employees who reported SI or BBF splashes were interviewed about the types of devices causing injury and the circumstances of the injury. RESULTS During three months period, 1988 ESPs were recorded. SIs were reported in 111 procedures (5.6%) and BBF splashes were in 145 (7.3%). Incidence rate of SI was 2.8 per person year in teaching staff, 5.6 in residents, 6.3 in nurses and 1.5 for other health care workers. Incidence rate of BBF splashes was 14.5 per person year in trainers, 6.9 in residents, 8.4 in nurses, respectively. Duration of ESP, start time of ESP and number of employed personnel in the ESPwere the factors that significantly influenced SI incidence. Duration of ESP and total person worked in ESP was effective on BBF splashes. SI was occurred in 14.4 of mandibulofacial, 12.2% of general surgery, 10.5% of chest surgery and 8.4% of brain surgery ESP. BBF splashes occurred in 14.4% of general surgery’s, 13.5% of urology’s, 14% of chest surgery’s, 14.7% of cardiovascular surg e r y’s ESP. The most frequently injured tissue was index finger (33.9%) and the pollex finger (31.4%). CONCLUSION SIs and BBFs are important health risks for health professionals who are involved in surgery, as it is in all other medical practices. SI and BBF splashes should be monitored and preventive measures should be planned urgently.

Anahtar Kelime: Occupational Health Needlestick Injuries Infection Control Incidence Hospitals Surgical Procedures, Elective Blood-Borne Pathogens Accidents, Occupational Infectious Disease Transmission, Patient-to-Professional Body Fluids

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	ERTEM M, DALAR Y, ÇEVİK U, ŞAHİN H (2008). Injury or body fluid splash incidence rate during three months period in elective surgery procedures, at Dicle University Hospital, Diyarbakır, Turkey. , 40 - 45.
Chicago	ERTEM Melikşah,DALAR Yasemin,ÇEVİK UĞUR,ŞAHİN Hayrettin Injury or body fluid splash incidence rate during three months period in elective surgery procedures, at Dicle University Hospital, Diyarbakır, Turkey. (2008): 40 - 45.
MLA	ERTEM Melikşah,DALAR Yasemin,ÇEVİK UĞUR,ŞAHİN Hayrettin Injury or body fluid splash incidence rate during three months period in elective surgery procedures, at Dicle University Hospital, Diyarbakır, Turkey. , 2008, ss.40 - 45.
AMA	ERTEM M,DALAR Y,ÇEVİK U,ŞAHİN H Injury or body fluid splash incidence rate during three months period in elective surgery procedures, at Dicle University Hospital, Diyarbakır, Turkey. . 2008; 40 - 45.
Vancouver	ERTEM M,DALAR Y,ÇEVİK U,ŞAHİN H Injury or body fluid splash incidence rate during three months period in elective surgery procedures, at Dicle University Hospital, Diyarbakır, Turkey. . 2008; 40 - 45.
IEEE	ERTEM M,DALAR Y,ÇEVİK U,ŞAHİN H "Injury or body fluid splash incidence rate during three months period in elective surgery procedures, at Dicle University Hospital, Diyarbakır, Turkey." , ss.40 - 45, 2008.
ISNAD	ERTEM, Melikşah vd. "Injury or body fluid splash incidence rate during three months period in elective surgery procedures, at Dicle University Hospital, Diyarbakır, Turkey". (2008), 40-45.

APA	ERTEM M, DALAR Y, ÇEVİK U, ŞAHİN H (2008). Injury or body fluid splash incidence rate during three months period in elective surgery procedures, at Dicle University Hospital, Diyarbakır, Turkey. Ulusal Travma ve Acil Cerrahi Dergisi, 14(1), 40 - 45.
Chicago	ERTEM Melikşah,DALAR Yasemin,ÇEVİK UĞUR,ŞAHİN Hayrettin Injury or body fluid splash incidence rate during three months period in elective surgery procedures, at Dicle University Hospital, Diyarbakır, Turkey. Ulusal Travma ve Acil Cerrahi Dergisi 14, no.1 (2008): 40 - 45.
MLA	ERTEM Melikşah,DALAR Yasemin,ÇEVİK UĞUR,ŞAHİN Hayrettin Injury or body fluid splash incidence rate during three months period in elective surgery procedures, at Dicle University Hospital, Diyarbakır, Turkey. Ulusal Travma ve Acil Cerrahi Dergisi, vol.14, no.1, 2008, ss.40 - 45.
AMA	ERTEM M,DALAR Y,ÇEVİK U,ŞAHİN H Injury or body fluid splash incidence rate during three months period in elective surgery procedures, at Dicle University Hospital, Diyarbakır, Turkey. Ulusal Travma ve Acil Cerrahi Dergisi. 2008; 14(1): 40 - 45.
Vancouver	ERTEM M,DALAR Y,ÇEVİK U,ŞAHİN H Injury or body fluid splash incidence rate during three months period in elective surgery procedures, at Dicle University Hospital, Diyarbakır, Turkey. Ulusal Travma ve Acil Cerrahi Dergisi. 2008; 14(1): 40 - 45.
IEEE	ERTEM M,DALAR Y,ÇEVİK U,ŞAHİN H "Injury or body fluid splash incidence rate during three months period in elective surgery procedures, at Dicle University Hospital, Diyarbakır, Turkey." Ulusal Travma ve Acil Cerrahi Dergisi, 14, ss.40 - 45, 2008.
ISNAD	ERTEM, Melikşah vd. "Injury or body fluid splash incidence rate during three months period in elective surgery procedures, at Dicle University Hospital, Diyarbakır, Turkey". Ulusal Travma ve Acil Cerrahi Dergisi 14/1 (2008), 40-45.