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[Occupational exposure to blood in multiple trauma care]
S Wicker1, S Wutzler, A Schachtrupp
1Betriebsärztlicher Dienst, Universitätsklinikum Frankfurt, Theodor-Stern-Kai 7, 60590, Frankfurt a. M., Deutschland, Sabine.Wicker@kgu.de.
Der Anaesthesist
|January 9, 2015
Summary
Trauma care personnel in Germany show poor adherence to standard precautions and have insufficient knowledge of blood-borne pathogen risks, despite frequent needlestick injuries. Enhanced training is crucial to improve safety and compliance in prehospital settings.
Area of Science:
- Occupational health and safety
- Infectious disease transmission
- Emergency medicine
Context:
- Trauma care personnel face significant occupational exposure risks to blood-borne pathogens.
- Limited data exists on compliance with standard precautions and exposure incidents among German trauma teams.
Purpose:
- To evaluate compliance with standard precautions among trauma care personnel.
- To assess knowledge of blood-borne pathogen transmission risks and perceived risks of Hepatitis B, Hepatitis C, and HIV.
- To determine attitudes towards index patient testing after needlestick injuries.
Summary:
- Nearly half of participants reported needlestick injuries in the past year, with significant concern regarding HIV and hepatitis.
- Knowledge of blood-borne pathogen risks was insufficient, with overestimation of Hepatitis C risk and underuse of precautions like eye protection and masks.
- While glove use was high, double gloving, eye protection, and mask usage were significantly underutilized.
Impact:
- Findings highlight critical gaps in knowledge and practice regarding standard precautions among trauma care personnel.
- Periodic training and awareness programs are essential to improve knowledge and compliance, reducing occupational infection risks.
- Clarification of legal and ethical issues surrounding index patient testing post-needlestick injury is necessary in Germany.
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