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    Wyświetlanie 1-11 z 11
    Tytuł:
    To determine the prognostic accuracy of the HEART score as a predictor for major adverse cardiac events in patients presenting with chest pain to emergency department in a tertiary care hospital
    Autorzy:
    Krishna, Penagaluru Pranay
    Velavarthipati, Ravi Sankar
    Srikanth, Midde
    Krishna, B Skanda Gopala
    Sriramula, Nayan
    Goud, Dabbi Praveen Kumar
    Powiązania:
    https://bibliotekanauki.pl/articles/29432050.pdf
    Data publikacji:
    2023-03
    Wydawca:
    Towarzystwo Pomocy Doraźnej
    Tematy:
    Acute coronary syndrome
    emergency department
    chest pain
    score
    HEART
    Opis:
    INTRODUCTION: One of the main causes of sudden cardiac death in the emergency department is myocardial infarction. Although there are several scores that helped predict an identified acute coronary incident, there was no quantitative tool available to risk stratifying patients with chest pain to support more decisions. The study is aimed to determine the prognostic accuracy of the HEART score as a predictor for major adverse cardiac events in patients presenting with chest pain to the emergency medicine department (ED). MATERIAL AND METHODS: Study included 83 adult patients presenting with Acute Myocardial Infarction who had chest pain attending to the ED were studied their HEART score to predict major adverse cardiac events. RESULTS: 60.24% of males and 39.76% of females with mean age of 57.83 ± 12.85 years were presented to ED. 44.56% had hypertension, 46.99% of diabetes mellitus, 21.69% of smoking, 16.87% of alcoholism, 4.82% of obesity, and 3.61% of patients with family history of cardiac diseases. 28.92% had non-specific repolarization, and 33.73% of patients had significant ST-Depression. According to Heart score, 26.51% of patients had low risk, 39.76% of patients had moderate risk, and 33.73% of patients had high risk. More percentage of male patient’s (67.9%) were in the high risk group of heart score than females (32.1%). ST-Depression cases were more in the high risk group (85.7%), and statistical significant association seen between ECG and the heart score (P<0.0001). among risk factors, Hypertension and Diabetes mellitus patients was more in the high risk groups with 48.6%, and 53.8% (P=0.001). 100% of high risk cases had ≥3 x normal limit of troponin, and there was a statistically association seen between troponin and heart score (P<0.0001). Diagnosis of HEART score of the low risk group showed that the risk factor had significantly higher AUC value (AUC = 0.801) than the age group (AUC = 0.778), history (AUC = 0.747), Troponin (AUC = 0.738), and ECG (AUC = 0.722). Out of 22 cases of the low risk group, 6 of Unstable angina (UA), 16 of NSTEMI, 4 of Percutaneous coronary intervention (PCI), 2 CABG, and 1 cardiovascular (CV) death. For moderate risk group (n=33), 13 of UA, 17 of NSTEMI, 3 of STEMI, 20 of PCI, 14 of CABG, and 12 of CV deaths. For high risk group (n=28), 10 UA, 14 of NSTEMI, 3 of STEMI, 9 of PCI, 6 of CABG, and 4 number of CV death. CONCLUSIONS: It was concluded that the HEART score should be used as the primary clinical decision tool for the risk stratification and a good predictor of major adverse cardiac events in patients presenting with chest pain to the emergency department to promote their safe and efficient nature in a community hospital setting.
    Źródło:
    Critical Care Innovations; 2023, 6, 1; 1-16
    2545-2533
    Pojawia się w:
    Critical Care Innovations
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    The level of knowledge of, attitude toward and emphasis given to HBV and HCV infections among healthcare professionals: Data from a tertiary hospital in Turkey
    Autorzy:
    Cekin, Ayhan H.
    Cekin, Yesim
    Ozdemir, Aygul
    Powiązania:
    https://bibliotekanauki.pl/articles/2179797.pdf
    Data publikacji:
    2013-03-01
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    knowledge
    attitude
    HBV infection
    HCV infection
    healthcare workers
    Opis:
    Objectives: To evaluate the level of knowledge of, to investigate the attitudes toward, and to determine the emphasis given to the national prevalence of HBV/HCV infections among healthcare professionals. Materials and Methods: A total of 206 healthcare professionals (mean (SD) age: 37.0 (6.3) years; 86.9% – females) including medical laboratory technicians (N = 54) and nurses (N = 152) employed in the Antalya Training and Research Hospital, Antalya, Turkey. Laboratory (N = 53), operating room (N = 41) and in-patient clinic (N = 112) staff were included in this descriptive study. A 33-questionnaire composed of questions related to their level of knowledge and attitudes toward HBV/HCV infections, the sources of their knowledge of HBV/HCV infections and the emphasis given to the national and global importance of the diseases was administered via a face–to-face interview method with each subject; participation was volunteer based. Results: The participants working in the in-patient clinic (18.0 (3.2)) had the highest mean (SD) knowledge level compared to the laboratory (16.4 (3.1), p < 0.05) and operating room (17.0 (2.8), p < 0.05) staff. The participants from the in-patient clinic (44.6%) had a more advanced level of knowledge compared to the participants working in the laboratory (27.8%, p < 0.05) and the operating room (30.0%, p < 0.05). Most of the subjects (60.7%) had education concerning HBV/HCV infections in the past. There was no signifi cant difference between the hospital units in terms of the attitudes of healthcare workers (HCWs) toward HBV/HCV infections and the level of education concerning them. Conclusions: Our fi ndings revealed a moderate level of knowledge in most HCWs, regardless of their exposure to risk. While the highest knowledge scores and vaccination rates were noted among the in-patient clinic staff, there was no signifi cant difference between the hospital units in terms of the attitudes of HCWs towards a patient or a colleague with an HBV/HCV infection.
    Źródło:
    International Journal of Occupational Medicine and Environmental Health; 2013, 26, 1; 122-131
    1232-1087
    1896-494X
    Pojawia się w:
    International Journal of Occupational Medicine and Environmental Health
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    The incidence and pattern of non-odontogenic orofacial pain conditions at a tertiary hospital in Tanzania
    Autorzy:
    Hirani, Vanisha Aroon
    Owibingire, Sira Stanslaus
    Moshy, Jeremiah Robert
    Sohal, Karpal Singh
    Powiązania:
    https://bibliotekanauki.pl/articles/2049179.pdf
    Data publikacji:
    2022-03-30
    Wydawca:
    Uniwersytet Rzeszowski. Wydawnictwo Uniwersytetu Rzeszowskiego
    Tematy:
    incidence
    inflammation
    non-odontogenic pain
    pattern
    Tanzania
    Opis:
    Introduction and aim. Non-odontogenic orofacial pain (NOFP) is a result of pathology, or injury to the structures in the orofacial region including the muscles, temporomandibular joint, neurovascular structures, and glands. This multi-diverse aetiopathogenesis poses a challenge in the diagnosis and management of NOPF. To determine the incidence and trend of various non-odontogenic orofacial pain conditions at a tertiary hospital in Tanzania. Material and methods. This cross-sectional study was conducted at the Muhimbili National Hospital (MNH) for 6 months. The information gathered included socio-demographic characteristics of participants, characteristics of pain, and cause of pain. Pain intensity was assessed using the Visual Analogue Scale (VAS). Results. The incidence of NOFP was 3.3%. The male to female ratio was 1.7:1 and the mean age of patients was 44.2 ± 17.4 years. The mean intensity of the pain using the VAS was 47.27 ± 5.66. Most (36.7%) patients experienced sharp pain. The common causes of NOFP were trauma (43.3%) and malignant lesions (38.3%). A statistically significant association between the age and sex of the patients and the causes of non-odontogenic pain was observed (p < 0.05). Conclusion. The incidence of non-odontogenic orofacial pain is low. Trauma and malignant conditions were the leading causes of NOFP.
    Źródło:
    European Journal of Clinical and Experimental Medicine; 2022, 1; 49-55
    2544-2406
    2544-1361
    Pojawia się w:
    European Journal of Clinical and Experimental Medicine
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Sero-Prevalence and Associated Risk Factors of Blood-Borne Viral Infection Among Healthcare Workers of a Tertiary Referral Hospital: a Single-Center Experience
    Seroprewalencja i powiązane czynniki ryzyka zakażeń wirusowych przenoszonych przez krew wśród pracowników opieki zdrowotnej w szpitalu specjalistycznym: doświadczenie jednego ośrodka
    Autorzy:
    Merza, Muayad Aghali
    Mohammed, Sabah Ahmed
    Qasim, Ayid Murad
    Abdulah, Deldar Morad
    Powiązania:
    https://bibliotekanauki.pl/articles/24987737.pdf
    Data publikacji:
    2023-12-19
    Wydawca:
    Akademia Bialska im. Jana Pawła II
    Tematy:
    tertiary healthcare
    blood-borne infections
    tertiary hospital
    viral diseases
    healthcare workers
    specjalistyczna opieka zdrowotna
    zakażenia krwiopochodne
    szpital specjalistyczny
    pracownicy służby zdrowia
    choroby wirusowe
    Opis:
    Background. Healthcare workers (HCWs) are often exposed to contaminated blood and body fluids from infected patients. There is no research on blood-borne infection in Iraqi Kurdistan; therefore, this study aimed to determine the prevalence of blood-borne infections of hepatitis B virus (HBV), hepatitis C virus (HCV), and human immunodeficiency virus (HIV) and their associated risk factors among HCWs in the hospital. Material and methods. This cross-sectional study included 800 HCWs from a major tertiary teaching hospital, who were selected using a non-random technique. Results. The mean age of the HCWs was 35.15 years (range: 18-70 years), consisting of males (56.0%) and females (44.0%) from various specialties and different departments. The seroprevalence of HBV was 0.75% (n=6) among HCWs. However, the seroprevalence of HBV was not significantly different among HCWs with different characteristics. Only one HCW had a positive result for HCV (0.13%), while no HCWs were found to have HIV. The study showed that 34.63% had experienced needlestick injuries, and 64.88% had received the HBV vaccination. Additionally, 27.20% were smokers, and 1.42% were alcohol consumers. Other characteristics included previous hospitalization (17.28%), a history of blood transfusion (6.23%), a history of surgical operations (27.48%), and a history of dental interventions (86.69%). Conclusions. The study revealed a low seroprevalence of HBV and HCV among HCWs. No active HIV infection and almost none of them had contact with HCV.
    Wprowadzenie. Pracownicy opieki zdrowotnej są często narażeni na kontakt z zakażoną krwią i płynami ustrojowymi pochodzącymi od zakażonych pacjentów. Nie ma badań dotyczących zakażeń krwiopochodnych w irackim Kurdystanie; dlatego też celem niniejszej pracy było określenie częstości występowania zakażeń krwiopochodnych wirusem zapalenia wątroby typu B (HBV), wirusem zapalenia wątroby typu C (HCV) i ludzkim wirusem niedoboru odporności (HIV) oraz związanych z nimi czynników ryzyka wśród pracowników opieki zdrowotnej w szpitalu. Materiał i metody. W badaniach przekrojowych wzięło udział 800 pracowników opieki zdrowotnej z głównego specjalistycznego szpitala klinicznego, którzy zostali wybrani techniką nielosową. Wyniki. Średni wiek pracowników opieki zdrowotnej wynosił 35,15 lat (zakres: 18-70 lat), na personel składali się mężczyźni (56,0%) i kobiety (44,0%) o różnych specjalizacjach i z różnych oddziałów. Seroprewalencja HBV wśród pracowników opieki zdrowotnej wynosiła 0,75% (n=6). Nie różniła się ona jednak istotnie wśród pracowników o różnych charakterystykach. Tylko jeden pracownik miał pozytywny wynik na obecność wirusa HCV (0,13%), podczas gdy u żadnego z nich nie wykryto wirusa HIV. Badanie wykazało, że 34,63% pracowników doświadczyło zranienia igłą, a 64,88% otrzymało szczepionkę przeciwko HBV. Dodatkowo, 27,20% było palaczami, a 1,42% spożywało alkohol. Inne cechy obejmowały wcześniejszą hospitalizację (17,28%), transfuzję krwi (6,23%), operacje chirurgiczne (27,48%) i interwencje stomatologiczne (86.69%). Wnioski. Badanie wykazało niską seroprewalencję HBV i HCV wśród pracowników opieki zdrowotnej. Nie stwierdzono aktywnego zakażenia HIV i prawie żaden z pracowników nie miał kontaktu z HCV.
    Źródło:
    Health Problems of Civilization; 2023, 17, 4; 328-338
    2353-6942
    2354-0265
    Pojawia się w:
    Health Problems of Civilization
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Review and characteristics of 585 salivary gland neoplasms from a tertiary hospital registered in the Polish National Major Salivary Gland Benign Tumors Registry over a period of 5 years: a prospective study
    Autorzy:
    Piwowarczyk, Krzysztof
    Bartkowiak, Ewelina
    Klimza, Hanna
    Greczka, Grażyna
    Wierzbicka, Małgorzata
    Powiązania:
    https://bibliotekanauki.pl/articles/1397308.pdf
    Data publikacji:
    2020
    Wydawca:
    Index Copernicus International
    Tematy:
    benign neoplasms
    characteristics
    pleomorphic adenoma
    registry
    salivary gland
    surgery
    Opis:
    Introduction: A Polish National Major Salivary Gland Benign Tumors Registry (SGR) is a report of benign salivary gland neoplasms (SGNs) from 26 different centres in Poland, introduced in 2014. The aim of this study is to analyze demographic characteristics and clinico-pathological factors of benign SGNs treated in large tertiary institutions and to determine possible correlations between selected variables. Material and method: Analysis of 585 patients recorded in SGR and operated on for SGNs in the Department of Otolaryngology and Laryngological Surgery, University of Medical Sciences, Poznań, Poland, over a 5-year period. Patient age, sex, occupation, place of residence, tumor location, size, histology, recurrence, facial nerve function after surgery, wound healing, surgery procedure, availability of pre-operative imaging examinations, fine-needle aspiration cytology (FNAC) results were analyzed. Results: 338 females and 247 males with a mean age of 53 years were operated on. In total, 96.2% of tumors originated from the parotid and 3.8% from the submandibular gland. The most frequent primary tumor diameter was 2–4 cm (59.5%) followed by <2 cm (29.2%) and >4 cm (8.4%). Tumors of over 4 cm were frequently removed by partial superficial parotidectomy, while those under 2 cm – by extracapsullar dissection (ECD). Pleomorphic adenomas (PA) were predominant (58.8%), followed by Warthin’s tumor (WT) – 37.1%. Patients with WT were on average 13.3 years older than patients with PA. Discussion: This research can be helpful to better understand the clinico-pathological features of SGNs. Long-termin hospital-based analysis is important for subsequent metaanalyses and comparisons with other centers. The reasons why not all patients’ data are reported to the national SGR should be further precisely analyzed.
    Źródło:
    Polish Journal of Otolaryngology; 2020, 74, 5; 1-6
    0030-6657
    2300-8423
    Pojawia się w:
    Polish Journal of Otolaryngology
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Prevalence of tuberculosis and drug-resistant tuberculosis in tertiary care rural hospital in Gujarat, India: a retrospective study
    Autorzy:
    Ughreja, Reena
    Bhatt, Vaibhav
    Shah, Sunny
    Boxa, Devang
    Powiązania:
    https://bibliotekanauki.pl/articles/24987708.pdf
    Data publikacji:
    2023-12-11
    Wydawca:
    Gdański Uniwersytet Medyczny
    Tematy:
    Prevalence
    Tuberculosis
    Drug Resistance
    Retrospective studies
    Opis:
    Background: A low prevalence of TB and MDR-TB was indicated from the retrospective study conducted at Pandit Dindayal Upadhyay Government Medical Hospital (PDUGMH) in Gujarat between 2018 and 2022. Mycobacterium tuberculosis causes tuberculosis (TB), the most lethal infectious disease in the world that affects people of all ages. Material and methods: From its TB & Chest Department, a total of 5,624 TB notification records were reviewed for the study, of which 5207 were TB positive, with 3586 (68.87%) males and 1621 (31.13%) females. Results: Amongst positive patients, 215 were diabetic, and 454 were HIV positive. Of 5207 TB-positive patients, 2982 (57.27%) had pulmonary TB. Extra Pulmonary TB showed the maximum number of patients with an infected lymph node. Age between 15 to 29 years was the leading affected age group, with a high peak in 2019. Drug resistance of Shorter Multidrug Resistance (RR-TB) was observed with a maximum of 0.8% (n = 42) patients and of Oral longer MDR/FQ with a minimum of 0.1% (n = 3) patients. Conclusions: Findings indicate that in these five years, patients treated at PDUGMH exhibited a tuberculosis prevalence of 92.59%, with a corresponding rate of multidrug-resistant TB standing at 1.48%. A comprehensive assessment is required to depict the burden and guide initiatives for eradication.
    Źródło:
    European Journal of Translational and Clinical Medicine; 2023, 6, 2; 36-44
    2657-3148
    2657-3156
    Pojawia się w:
    European Journal of Translational and Clinical Medicine
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Prevalence and outcome of infections in intensive care units of a tertiary care hospital in north India.
    Autorzy:
    Malik, Samiullah Sami
    Maqbool, Muzaffar
    Rafi, Asma
    Kokab, Najma
    Powiązania:
    https://bibliotekanauki.pl/articles/2054909.pdf
    Data publikacji:
    2022-06-30
    Wydawca:
    Towarzystwo Pomocy Doraźnej
    Tematy:
    Intensive Care Units
    mortality
    nosocomial infections
    Sequential Organ Failure Assessment (SOFA)
    Opis:
    INTRODUCTION: Infection is a major cause of morbidity and mortality in Intensive Care Units (ICUs), more so in resource limited ICUs of low and lower-middle income countries. However relatively little information is available about epidemiology and outcome of such infections in our part of the world. The point was to provide information about the prevalence and outcome of primary and secondary (nosocomial) infections in ICUs. MATERIAL AND METHODS: 257 adult patients admitted in medical and surgical ICUs over a period of 9 months were enrolled in the study. Patients fulfilling sepsis 3 criteria were categorized under “prevalence of the infections” and patients who developed infections after 48 hours of admission in ICUs were categorized under “secondary (nosocomial) infections”. Sequential Organ Failure Assessment score (SOFA score) was calculated at admission and after 72 hours of ICU stay. The patients were followed for 30 days. RESULTS: Patients were distributed in two groups: 153 (59.5%) medical ICU and 104 surgical ICU patients. Prevalence of primary infection was significantly higher in medical ICU patients (p value < 0.05). A total of 93(60.8%) patients in medical ICU and 50(48.1%) patients in surgical ICU were admitted as primary infections (p value < 0.001). Secondary (nosocomial) infections occurred in 30 (19.6%) patients in medical ICU and 15 (14.4%) patients in surgical ICU (p-value 0.283). The average length of stay was 14 days in patients with nosocomial infections and 3.5 days for patients without secondary infections (p-value < 0.001). Out of total of 188 infected patients, 80 (42.5%) died whereas 17 (24.6%) of the 69 patients without infection expired (p-value 0.008). 112 patients with mean SOFA score of 11.35 ± 2.71 expired while as 145 patients with mean SOFA score of 5.84 ± 1.92 survived (p value < 0.001). CONCLUSIONS: The prevalence of infections was more in medical ICU than in surgical ICU. The nosocomial infections significantly increase the average length of stay in ICUs. Mortality was significantly more in patients admitted with infection in Intensive Care Units. The higher the SOFA score, greater the mortality.
    Źródło:
    Critical Care Innovations; 2022, 5, 2; 20-28
    2545-2533
    Pojawia się w:
    Critical Care Innovations
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Evaluation of patients with candida infections in a tertiary care hospital’s general intensive care unit in Turkey.
    Autorzy:
    Ceylan, İlkay
    Korkmaz, Hamide Ayben
    Karakoç, Ebru
    Powiązania:
    https://bibliotekanauki.pl/articles/2054911.pdf
    Data publikacji:
    2022-06-30
    Wydawca:
    Towarzystwo Pomocy Doraźnej
    Tematy:
    Candidemia
    sepsis
    non-albicans
    intensive care unit
    candida species
    Opis:
    INTRODUCTION: : Studies indicate that approximately 90% of the patients followed in the ICU have Candida spp colonization. In this study we aimed to elucidate the epidemiology, characteristics, management and outcomes of patients with candidemia in the intensive care unit of a training and research hospital. MATERIAL AND METHODS: All patients over the age of 18 who were hospitalized in general intensive care unit more than 24 hours between 2013 and 2019 were included in the this retrospective study. RESULTS: A total of 43 critically ill patients with blood cultures positive for Candida spp. have been enrolled in this retrospective analysis. The duration of stay in the intensive care unit of the survivors was approximately 53 days, while the average length of stay in the intensive care unit of the non survivors was 16 days, and this difference was statistically significant (p<0.05), 89.7% of septic patients with candidemia died the intensive care unit. There was a statistically significant difference between the two groups in terms of platelets, urea and systolic blood pressure (p<0.05), the mean platelet and systolic blood pressure values of the surviving patients were higher than the deceased individuals, while the urea value was lower. The average fungal growth time of the surviving individuals was 17 days, while this period was 1 day in the non-survivor patients. CONCLUSIONS: The mortality rate was higher in patients with sepsis and concomittant candida infection at very soon days of ICU hospitalization. Early administration of empirical antifungal therapy with coverage of non-albicans should be considered for septic patients.
    Źródło:
    Critical Care Innovations; 2022, 5, 2; 1-10
    2545-2533
    Pojawia się w:
    Critical Care Innovations
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Discharge against medical advice at the adult accident and emergency department in a tertiary hospital of a developing nation
    Autorzy:
    Chinedum Ekwedigwe, Henry
    Jude Edeh, Anthony
    Chigozie Nevo, Anthony
    Tochukwu Ekwunife, Remigius
    Powiązania:
    https://bibliotekanauki.pl/articles/2037503.pdf
    Data publikacji:
    2020-06-30
    Wydawca:
    Uniwersytet Rzeszowski. Wydawnictwo Uniwersytetu Rzeszowskiego
    Tematy:
    accident and emergency
    alternative medical treatment discharge against medical advice financial constraint
    National Health Insurance Scheme (NHIS)
    Opis:
    Introduction. The goals of health care provision include that it be accessible, acceptable, affordable and adequate. Discharge against medical advice (DAMA) is a failure of proper health care provision as there is disagreement arising from dissatisfaction with provided health care. DAMA is common in our sub-region because of many reasons; these includes ignorance, financial constraint of the patient, beliefs in unorthodox care and patients feeling that they are well when their caregivers do not think so. Aim. The objectives of this study are to determine the incidence, method of documentation of DAMA in the case notes and patients reasons for DAMA in our tertiary health institution. The A&E of any hospital in our environment attracts public criticism when there is dissatisfaction with services and DAMA when not handled well can lead to justifiable criticisms and/or litigations. Material and methods. This is a retrospective study. It was carried out at the adult accident and emergency department of Enugu state university of technology teaching hospital Enugu. Duration of the study was from January 2017 to December 2018. Results. A total of 8,152 patients were seen in the accident and emergency during this period. One hundred and seventy one (171) case notes were retrieved and reviewed for the study, DAMA rate of 2.1% was obtained. Fifty one folders (29.8%) did not have reason for the DAMA documented in them. The commonest reason for the DAMA was to seek traditional medical care with frequency of 17.5%. This was closely followed by financial constraint with 15.8%. Documentation for DAMA was done directly in the case notes. Conclusion. The incidence of DAMA from this study is similar to what is obtainable from other local studies, financial constraint on the patients and seeking alternative medical treatment were the commonest reasons for DAMA in our sub-region. Also, the documentation for the DAMA in this study was poorly done.
    Źródło:
    European Journal of Clinical and Experimental Medicine; 2020, 2; 88-92
    2544-2406
    2544-1361
    Pojawia się w:
    European Journal of Clinical and Experimental Medicine
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Did safety-engineered device implementation contribute to reducing the risk of needlestick and sharps injuries? Retrospective investigation of 20 years of observation in a specialist tertiary referral hospital
    Autorzy:
    Szczypta, Anna
    Różańska, Anna
    Siewierska, Małgorzata
    Drożdż, Kamil
    Szura, Mirosław
    Talaga-Ćwiertnia, Katarzyna
    Powiązania:
    https://bibliotekanauki.pl/articles/31341055.pdf
    Data publikacji:
    2024-05-20
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    occupational exposure
    needlestick and sharps injuries
    safety-engineered device
    healthcare workers
    implementation of European Union Council Directive
    2010/32/EU
    Opis:
    Objectives In Poland, there are numerous cases of injuries caused by sharp instruments annually, still significantly more than in other European Union countries. The aim of this study was to analyze work-related injuries among healthcare workers in a selected hospital before and after the implementation of safety-engineered devices (SED). Material and Methods Retrospective analysis of medical documentation regarding occupational needlestick and sharps injuries (NSSI) in a tertiary referral surgical hospital in 1998–2018. The study group consisted of nurses and doctors who had been injured and reported the incident. The frequency of injury reports, injury rate, and characterization of circumstances surrounding NSSI are presented. Results Over the period of 20 years, a total of 257 NSSI incidents were reported. The average injury rate was statistically significant for nurses (p = 0.004) and was higher before the introduction of SED. Moreover, the number of injuries among nurses showed a downward trend during the study period. However, for doctors, there was no statistically significant difference in the median puncture rate (p = 0.099), and the number of injuries showed an increasing trend. Conclusions In this study, the authors’ have demonstrated not only the occurrence of injuries and punctures in the daily work of medical personnel but also the potential for their reduction through the use of safety equipment at every workstation where healthcare services are provided using sharp medical instruments.
    Źródło:
    International Journal of Occupational Medicine and Environmental Health; 2024, 37, 2; 234-243
    1232-1087
    1896-494X
    Pojawia się w:
    International Journal of Occupational Medicine and Environmental Health
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
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