3 Citations (Scopus)

Abstract

Background: Employees in health care settings are at varying risk for bloodborne pathogen (BBP) exposures. We compared differences in reporting rates of BBP exposures among health care personnel during 2 different time periods, assessing job category, years of experience, and sex as potential predictors for exposure. Methods: A retrospective review of the employee health department BBP database at 2 time periods (September 1, 2012-April 30, 2013, and September 1, 2013-April 30, 2014) in which 2 different reporting protocols (call center vs pager) was used. A survey was administered to assess reported and unreported exposures within a 12-month period. Results: BBP exposures were highest among residents and lowest among students. Physicians' reporting rate doubled when the call center was no longer used (relative risk, 2.40; 95% confidence interval [CI], 1.04-5.52). Percutaneous injuries were the most common (78.3%), and most occurred in the operating room or postanesthesia unit (30.8%) and patient rooms (28.9%). Of 1,105 survey respondents, 103 (9.3%) recalled some type of exposure, but only 80 (77.7%) reported these exposures. When accounting for years of experience and sex, job category was significantly associated with injury or exposure within the previous 12 months (P < .001). Risk of exposure among residents was 3 times higher (odds ratio, 3.10; 95 CI, 1.60-6.00) than nurses. Conclusions: Risk and reporting behaviors of BBP exposures vary widely across different providers. Training and education to prevent BBP exposures may need to be tailored toward different provider types.

Original languageEnglish (US)
JournalAmerican Journal of Infection Control
DOIs
StateAccepted/In press - 2017

Fingerprint

Blood-Borne Pathogens
Health Personnel
Delivery of Health Care
Occupational Health
Confidence Intervals
Patients' Rooms
Wounds and Injuries
Operating Rooms
Risk-Taking
Odds Ratio
Nurses
Databases
Students
Physicians
Education
Surveys and Questionnaires

Keywords

  • Bloodborne pathogen
  • Occupational exposures
  • Percutaneous exposures

ASJC Scopus subject areas

  • Epidemiology
  • Health Policy
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Cite this

@article{828a736275f6435383afdfecaeb2562e,
title = "Bloodborne pathogen exposures: Difference in reporting rates and individual predictors among health care personnel",
abstract = "Background: Employees in health care settings are at varying risk for bloodborne pathogen (BBP) exposures. We compared differences in reporting rates of BBP exposures among health care personnel during 2 different time periods, assessing job category, years of experience, and sex as potential predictors for exposure. Methods: A retrospective review of the employee health department BBP database at 2 time periods (September 1, 2012-April 30, 2013, and September 1, 2013-April 30, 2014) in which 2 different reporting protocols (call center vs pager) was used. A survey was administered to assess reported and unreported exposures within a 12-month period. Results: BBP exposures were highest among residents and lowest among students. Physicians' reporting rate doubled when the call center was no longer used (relative risk, 2.40; 95{\%} confidence interval [CI], 1.04-5.52). Percutaneous injuries were the most common (78.3{\%}), and most occurred in the operating room or postanesthesia unit (30.8{\%}) and patient rooms (28.9{\%}). Of 1,105 survey respondents, 103 (9.3{\%}) recalled some type of exposure, but only 80 (77.7{\%}) reported these exposures. When accounting for years of experience and sex, job category was significantly associated with injury or exposure within the previous 12 months (P < .001). Risk of exposure among residents was 3 times higher (odds ratio, 3.10; 95 CI, 1.60-6.00) than nurses. Conclusions: Risk and reporting behaviors of BBP exposures vary widely across different providers. Training and education to prevent BBP exposures may need to be tailored toward different provider types.",
keywords = "Bloodborne pathogen, Occupational exposures, Percutaneous exposures",
author = "Cynthia Bush and Schmid, {Kendra K} and Rupp, {Mark Edmund} and Shinobu Watanabe-Galloway and Barbara Wolford and Uriel Sandkovsky",
year = "2017",
doi = "10.1016/j.ajic.2016.11.028",
language = "English (US)",
journal = "American Journal of Infection Control",
issn = "0196-6553",
publisher = "Mosby Inc.",

}

TY - JOUR

T1 - Bloodborne pathogen exposures

T2 - Difference in reporting rates and individual predictors among health care personnel

AU - Bush, Cynthia

AU - Schmid, Kendra K

AU - Rupp, Mark Edmund

AU - Watanabe-Galloway, Shinobu

AU - Wolford, Barbara

AU - Sandkovsky, Uriel

PY - 2017

Y1 - 2017

N2 - Background: Employees in health care settings are at varying risk for bloodborne pathogen (BBP) exposures. We compared differences in reporting rates of BBP exposures among health care personnel during 2 different time periods, assessing job category, years of experience, and sex as potential predictors for exposure. Methods: A retrospective review of the employee health department BBP database at 2 time periods (September 1, 2012-April 30, 2013, and September 1, 2013-April 30, 2014) in which 2 different reporting protocols (call center vs pager) was used. A survey was administered to assess reported and unreported exposures within a 12-month period. Results: BBP exposures were highest among residents and lowest among students. Physicians' reporting rate doubled when the call center was no longer used (relative risk, 2.40; 95% confidence interval [CI], 1.04-5.52). Percutaneous injuries were the most common (78.3%), and most occurred in the operating room or postanesthesia unit (30.8%) and patient rooms (28.9%). Of 1,105 survey respondents, 103 (9.3%) recalled some type of exposure, but only 80 (77.7%) reported these exposures. When accounting for years of experience and sex, job category was significantly associated with injury or exposure within the previous 12 months (P < .001). Risk of exposure among residents was 3 times higher (odds ratio, 3.10; 95 CI, 1.60-6.00) than nurses. Conclusions: Risk and reporting behaviors of BBP exposures vary widely across different providers. Training and education to prevent BBP exposures may need to be tailored toward different provider types.

AB - Background: Employees in health care settings are at varying risk for bloodborne pathogen (BBP) exposures. We compared differences in reporting rates of BBP exposures among health care personnel during 2 different time periods, assessing job category, years of experience, and sex as potential predictors for exposure. Methods: A retrospective review of the employee health department BBP database at 2 time periods (September 1, 2012-April 30, 2013, and September 1, 2013-April 30, 2014) in which 2 different reporting protocols (call center vs pager) was used. A survey was administered to assess reported and unreported exposures within a 12-month period. Results: BBP exposures were highest among residents and lowest among students. Physicians' reporting rate doubled when the call center was no longer used (relative risk, 2.40; 95% confidence interval [CI], 1.04-5.52). Percutaneous injuries were the most common (78.3%), and most occurred in the operating room or postanesthesia unit (30.8%) and patient rooms (28.9%). Of 1,105 survey respondents, 103 (9.3%) recalled some type of exposure, but only 80 (77.7%) reported these exposures. When accounting for years of experience and sex, job category was significantly associated with injury or exposure within the previous 12 months (P < .001). Risk of exposure among residents was 3 times higher (odds ratio, 3.10; 95 CI, 1.60-6.00) than nurses. Conclusions: Risk and reporting behaviors of BBP exposures vary widely across different providers. Training and education to prevent BBP exposures may need to be tailored toward different provider types.

KW - Bloodborne pathogen

KW - Occupational exposures

KW - Percutaneous exposures

UR - http://www.scopus.com/inward/record.url?scp=85008517727&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85008517727&partnerID=8YFLogxK

U2 - 10.1016/j.ajic.2016.11.028

DO - 10.1016/j.ajic.2016.11.028

M3 - Article

JO - American Journal of Infection Control

JF - American Journal of Infection Control

SN - 0196-6553

ER -