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Blood and body fluid exposures among surgeons: a survey of attitudes and perceptions five years following Universal
Abstract:
A mail survey of surgeons at our medical center 5 years following adoption of Universal Precautions revealed that 29% estimated having > or = 1 potentially serious blood or body fluid exposures (BBEs) per month. Failure to report BBEs (usually needlesticks) to the employee health department was common, and the majority of surgeons in practice for > or = 10 years never reported such exposures. The most commonly cited reason for not reporting BBEs was perceived low risk of acquiring bloodborne infections.
Insights
Many surgeons experience frequent blood or body fluid exposures (BBEs). A significant number do not report these incidents, often due to a perceived low risk of infection, highlighting a gap in occupational safety compliance.
Area of Science:
- Occupational Health
- Infectious Disease Prevention
- Surgical Safety
Background:
- Universal Precautions aim to minimize occupational exposure to bloodborne pathogens.
- Adherence to safety protocols is crucial for healthcare worker well-being.
- Understanding exposure and reporting patterns informs safety strategies.
Purpose of the Study:
- To assess the frequency of blood or body fluid exposures (BBEs) among surgeons.
- To evaluate the reporting practices of BBEs.
- To identify reasons for non-reporting of BBEs in a surgical setting.
Main Methods:
- A mail survey was conducted among surgeons at a medical center.
- The survey focused on experiences 5 years after Universal Precautions adoption.
- Data on exposure frequency, reporting, and reasons for non-reporting were collected.
Main Results:
- 29% of surgeons reported at least one potentially serious BBE per month.
- Failure to report BBEs, particularly needlestick injuries, was common.
- Surgeons with over 10 years of practice were less likely to have ever reported exposures.
Conclusions:
- A substantial proportion of surgeons experience regular BBEs.
- Underreporting of BBEs is prevalent, influenced by perceived low infection risk.
- Reinforced education and improved reporting systems are needed to enhance surgical safety.