Acidentes com material biológico entre trabalhadores da área da saúde da região metropolitana de Goiânia-GO: uma análise de 25 anos de registros
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2016-03-30
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Universidade Federal de Goiás
Resumo
Accidents with biological material are reportable events, health care workers (TAS), victims of
these accidents may be exposed to the hepatitis B and C and HIV, among others. The aims of
this study were: to analyze the epidemiology of occupational accidents with biological material
among health care workers of the metropolitan area of Goiania-GO (general); describe the
socio-demographic and occupational profile of health care workers, victims of occupational
accidents with biological material; describe the profile of accidents with biological material
among health care workers; characterize the adoption of pre-exposure behaviours related to
the latest accident; identify the serological status related to hepatitis B, C and HIV in victims
of occupational accidents involving biological material and source patients, and establish the
demographic and employment factors associated with the occurrence of multiple accidents
among health care workers of the metropolitan area of Goiania-GO. Epidemiological Cross and
analytical study which included all registration records of accidents involving biological
material of HCW from two sources: A - records of injured HCW in a reference hospital for
notification in Goiania, from the first record in 1989 to 2010, and B - records of Sinan,
including the first record in 2006 until those available at 31/12/2014. Linkage of databases
was performed and data analyzed using the Statistical Package for Social Sciences (SPSS).
Socio-demographic and employment variables were the predictor variables and have suffered
more than one accident, the outcome. Univariate analysis was performed and variables with
P<0.10 were included in a logistic regression model. Ethical precepts were followed (Approval
Ethics Committees: 033/2010 and 414.258/2013). A total of 11,536 accidents were recorded
from 1989 to December 2014. Of these, 9,575 (83.0%) occurred among HCW and the
majority was female. It was found that 665 (7.5%) of the HCW experienced more than one
accident, while 70 (0.8%) experienced three or more accidents, totaling 8,825 victims.
Nursing staff, auxiliary cleaning, physician, and dental and laboratory teams were the ones
who were more frequently hurted, respectively. Most of the victims had completed high school
(3,719 (48.0%). Blood/serum/plasma were the biological materials found to be the most
involved (6,480/67.7%), at the time of administering medications/vascular access puncture
occurring in 2.759 (28.9%), and involving needles with and without lumen in 6,097 (63.7%).
A total of 6,653 (75.4%) HCW were vaccinated for hepatitis B. Incomplete information on
Sinan records such as, use of PPE (gloves, masks, boots and safety glasses) and serological
markers (HBsAg; Anti-HBs, Anti-HCV and Anti-HIV) was found to be the major factor that
hampered data analysis. Age, type of material, and organic fluid were predictors risk factor for
multiple accidents involving biological material among health care workers.
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Palavras-chave
Exposição ocupacional , Exposição a agentes biológicos , Notificação de acidentes de trabalho , Ferimentos penetrantes produzidos por agulha , Patógenos transmitidos pelo sangue , Occupational exposure , Exposure to biological agents , Occupational accidents registry , Needlestick injuries , Blood-borne pathogens
Citação
NEVES, Z.C. P. das. Acidentes com material biológico entre trabalhadores da área da saúde da região metropolitana de Goiânia-GO: uma análise de 25 anos de registros. 2016. 174 f. Tese (Doutorado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2016.