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Provedor de dados:  55
País:  Brazil
Título:  Adherence to an occupational blood borne pathogens exposure management program among healthcare workers and other groups at risk in Argentina
Autores:  Miceli,Marisa
Herrera,Fabián
Temporiti,Elena
Li,Dong
Vila,Andrea
Bonvehí,Pablo
Data:  2005-12-01
Ano:  2005
Palavras-chave:  Healthcare workers
Postexposure prophylaxis
Resumo:  We conducted a retrospective review of 130 occupational blood borne pathogens exposure (BBP-OE) records at Centro de Estudios Médicos e Investigaciones Clínicas, a university hospital with an ongoing educational program and a postexposure management program for healthcare workers (HCWs) since 1995, in order to evaluate adherence to a hospital BBP-OE management program. We compared HCWs from our institution (Group 1) and HCWs from independent institutions that contract our postexposure management program (Group 2). Compliance with standard precautions in Group 1 was inadequate in 77%, 23%, and 16% of nurses, physicians, and others, respectively. A greater proportion of HCWs in Group 1 (74% vs. 40%) reported occupational accidents within two hours after exposure (p = 0.0001). No difference was observed regarding compliance with adherence to schedule, partial adherence, and loss at follow-up (14%, 33%, and 53%; p > 0.05). Adherence to the standard of care for BBP-OE, including postexposure prophylaxis, was low (HIV: 53% and HBV: 63%). Knowledge of the seropositive status of the source patient did not improve adherence. We conclude that postexposure programs do not guarantee appropriate behavior by HCWs. General interventions and ongoing personnel education to modify individual attitudes are needed, as are continued efforts to assess HCWs' experiences with these programs, as well as the identification of strategies to improve adherence.
Tipo:  Info:eu-repo/semantics/article
Idioma:  Inglês
Identificador:  http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702005000600002
Editor:  Brazilian Society of Infectious Diseases
Relação:  10.1590/S1413-86702005000600002
Formato:  text/html
Fonte:  Brazilian Journal of Infectious Diseases v.9 n.6 2005
Direitos:  info:eu-repo/semantics/openAccess
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