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Practice pattern of cataract surgeons when operating on seropositive patients.
Parveen Rewri1, Madhavi Sharma1, Aprajita Lohan1
1Department of Ophthalmology, Maharaja Agrasen Medical College, Agroha, Hisar, Haryana, India.
Indian Journal of Ophthalmology
|February 20, 2019
Summary
Cataract surgeons experience frequent sharps injuries, with many not reporting them. While aware of universal precautions, adherence to post-exposure prophylaxis is low, highlighting a gap in occupational safety for eye surgeons.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Occupational Health
Background:
- Blood-borne viral infections (BBVIs) pose risks during surgical procedures.
- Cataract surgery involves potential exposure to sharps, necessitating adherence to safety protocols.
Purpose of the Study:
- To investigate the practice patterns of cataract surgeons operating on patients with BBVIs.
- To assess surgeons' awareness, knowledge, and attitudes regarding universal precautions and guidelines.
- To identify the prevalence of occupational sharps injuries among ophthalmologists.
Main Methods:
- A telephonic survey using an open-ended questionnaire was conducted with practicing cataract surgeons.
- Statistical analysis, including Chi-square and z-tests, was employed to determine the significance of injury frequencies and proportions.
- Data from 479 ophthalmologists were analyzed to understand their practices and injury experiences.
Main Results:
- A high prevalence of occupational sharps injuries (65%) was reported by participating ophthalmologists.
- A significant proportion of injured surgeons (65%) did not report their injuries.
- Wearing double gloves was the most common protective measure adopted, but adherence to post-exposure prophylaxis was lacking.
Conclusions:
- Occupational sharps injuries are prevalent among ophthalmologists performing cataract surgery.
- Awareness of universal precautions is high, but consistent adherence, particularly to post-exposure prophylaxis, is insufficient.
- Improved safety practices and reporting mechanisms are crucial to mitigate BBVI transmission risks in ophthalmic surgery.
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