Abstract:

Purpose: Health workers are at professional risk in terms of infections related to factors transmitted by blood and body fluids, such as hepatitis B virus (HBV), hepatitis C virus (HCV) and human immunodeficiency virus (HIV). This study aims to retrospective assess the injury of medical staff in a private hospital and to evaluate the measures to be taken according to the outcome results. Materials and Methods: In our hospital from January 2015 to December 2021, medical workers who were exposed to interruptor-depletion device injuries were evaluated as retrospective by examining the records in the notification forms held by the Infection Control Committee. The data is indicated as numbers and percentage values. Results: In the six-year period, a total of 143 health workers with an average age of 28.36 were exposed to cutting-edge device injuries. The occupational group that was most exposed to injuries were nurses (39.9%). In clinical services (27.9%) and in clinics (23.1%) more injuries were observed. The most frequent cause of injuries was the exposure to the end of the injection (49.7%) and the most frequently injured body part was the hand area (76.9%) Percutaneous injuries occurred most frequently (67.2%) during medical treatment. All the injuries were surface injuries. 73.4 percent of health workers used personal protection equipment during the incident. The source of 79.7% of injuries was known. In a serological study of 5.3% of the sources known in injuries, it was found that HbsAg-positive. Anti-HCV and anti-HIV positivity have not been found. At the time of the injury, no HbsAg, anti-HCV and anti-HIV positivity was found in any of the 143 employees. In the serological examinations of the injured health care workers with HBV infection, 98.6 percent of them were immune. During the six-month monitoring, the risky worker did not develop HBV, HCV and HIV infection. The result: Most of the injury or risky contact events in our study occurred in the form of injury end in nurses working in clinical services with a greater workload and quality than in other sections. The rates of vaccination against HBV are high and it is pleasant that infection with HBV, HCV and HIV does not develop at the end of six months of monitoring. To ensure the use of personal protective equipment, the support of health workers, the implementation of the regulations for the control of medical waste, the conduct of checks, the removal of deficiencies is important in terms of the prevention of infections that may result from the injury of the cutting-edge device.

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