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Related Experiment Videos

Percutaneous injuries during surgical procedures.

J I Tokars1, D M Bell, D H Culver

  • 1Hospital Infections Program, National Center for Infectious Diseases, Centers for Disease Control, Atlanta, Ga 30333.

JAMA
|June 3, 1992
PubMed
Summary
This summary is machine-generated.

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Surgical personnel experience frequent percutaneous injuries, primarily from suture needles, posing infection risks to themselves and patients. Many injuries are preventable through improved surgical devices and techniques.

Area of Science:

  • Healthcare-associated infections
  • Occupational safety in surgery
  • Surgical site infections

Background:

  • Percutaneous injuries during surgery pose risks of blood-borne pathogen transmission to healthcare workers and patients.
  • Understanding the incidence and circumstances of these injuries is crucial for developing effective prevention strategies.

Purpose of the Study:

  • To quantify the frequency and identify the circumstances of percutaneous injuries occurring in surgical settings.
  • To assess the risk of patient exposure to healthcare worker blood through contaminated surgical instruments.

Main Methods:

  • Observational study design involving direct monitoring of 1382 surgical procedures across five surgical specialties in four US teaching hospitals.
  • Data collection on percutaneous injuries, including type, mechanism, and personnel involved, by on-site observers.

Related Experiment Videos

  • Logistic regression analysis to determine factors associated with injury risk.

    • Main Results:

    • 6.9% of procedures resulted in 99 percutaneous injuries, predominantly from suture needles (77%) affecting the non-dominant hand.
    • Higher injury risk was observed during vaginal hysterectomy, while lower risk was noted in certain orthopedic procedures.
    • Use of fingers for tissue handling during suturing contributed to 35% of injuries; 32% of injuries to surgeons involved re-contact with the patient's wound.

    Conclusions:

    • Percutaneous injuries are common during surgery, creating significant occupational and patient safety risks.
    • Preventive measures focusing on device modification, technique refinement, and protective equipment are essential but require rigorous evaluation for efficacy and impact on patient care.