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Reduced frequency of percutaneous injuries in surgeons: 1993 versus 1988
A B Lowenfels1, V Mehta, D A Levi
1Department of Surgery, New York Medical College, Valhalla 10595, USA.
Objective:
To compare the frequency of occupational injuries reported by surgeons in 1993 with similar data obtained in 1988.
Design And Setting:
Two point-prevalence studies of percutaneous injuries of surgeons practicing in tertiary and non-tertiary-care hospitals in the New York metropolitan area.
Participants:
A total of 202 surgeons and surgical residents surveyed in 1988 and 347 surveyed in 1993 (67 and 65% of the eligible groups, respectively), including 85 surgeons in 1993 (71% of the eligible group) who had participated in the 1988 survey.
Outcome Measures:
Yearly frequency of percutaneous injuries, and injury frequency per 1000 operative hours.
Results:
There was a significant decrease in the frequency of reported percutaneous injuries over the 5-year period. For all surgeons, the mean number of yearly injuries decreased from 5.5 +/- 14.4 SD to 2.1 +/- 6.0 SD (P < or = 0.001). Paired analysis of the subgroup of 85 surgeons who participated in both surveys showed a nearly identical decrease (P = 0.001). Significant decreases were observed in general surgeons, specialists and residents.
Conclusions:
During the 5 years studied, surgeons practicing in the greater New York metropolitan area reported a significant reduction in the frequency of occupationally associated percutaneous injuries. The reduced risk of percutaneous injuries should substantially lower the rate of acquired infections from blood-borne pathogens.