Occupational exposure to blood and bodily fluids among healthcare workers in Serbian general hospitals

Author:

Mandić Bojana1,Mandić-Rajčević Stefan2,Marković-Denić Ljiljana3,Bulat Petar34

Affiliation:

1. Clinic of Hematology, Clinical Center Serbia, Dr. Koste Todorovića 2, Belgrade , Serbia

2. Innovation Centre of the Faculty of Technology and Metallurgy, University of Belgrade, Belgrade , Serbia

3. Institute of Epidemiology, Faculty of Medicine, University of Belgrade, Belgrade , Serbia

4. Serbian Institute of Occupational Health “Dr Dragomir Karajović”, Belgrade , Serbia

Abstract

Abstract The risk of occupational bloodborne infections (HBV, HCV, and HIV) among healthcare workers remains a serious issue in developing countries. The aim of this study was to estimate occupational exposure to bloodborne infections among general hospital workers in Serbia. This cross-sectional study was conducted in the spring of 2013 and included 5,247 healthcare workers from 17 general hospitals. The questionnaire was anonymous, self-completed, and included sociodemographic information with details of blood and bodily fluid exposure over the career and in the previous year (2012). Significant predictors of sharps injuries were determined with multiple logistic regressions. The distribution of accidents in 2012 was equal between the genders (39 %), but in entire career it was more prevalent in women (67 %). The most vulnerable group were nurses. Most medical doctors, nurses, and laboratory technicians reported stabs or skin contact with patients’ blood/other bodily fluid/tissue as their last accident. Healthcare workers from the north/west part of the country reported a significantly lower number of accidents over the entire career than the rest of the country (p<0.001). The south of Serbia stood out as the most accident-prone in 2012 (p=0.042).

Publisher

Walter de Gruyter GmbH

Subject

Public Health, Environmental and Occupational Health,Toxicology

Reference18 articles.

1. 1. World Health Organization (WHO). Occupational health. Health workers [displayed 28 May 2017]. Available at http://www.who.int/occupational_health/topics/hcworkers/en/

2. 2. Institute of Public Health of Serbia “Dr. Milan Jovanović Batut”. Health statistical yearbook of Republic of Serbia [displayed 21 Jul 2017]. Available at http://www.batut.org.rs/index.php?category_id=132&month=10&year=2017

3. 3. Rapiti E, Prüss-Üstün A, Hutlin Y. Sharps injuries: Assessing the burden of disease from sharps injuries to health-care workers at national and local levels. WHO Environmental burden of disease series No. 11, 2005 [displayed 28 May 2017]. Available at http://www.who.int/quantifying_ehimpacts/publications/ebd11.pdf

4. 4. Council Directive 2010/32/EU of 10 May 2010 implementing the Framework Agreement on prevention from sharp injuries in the hospital and healthcare sector concluded by HOSPEEM and EPSU [displayed 23 November 2017]. Available at http://eur-lex.europa.eu/LexU-riServ/LexUriServ.do?uri=OJ:L:2010:134:0066:0072:EN:PDF

5. 5. Jovic-Vranes A, Jankovic S, Vranes B. Safety practice and professional exposure to blood and blood-containing materials in Serbian health care workers. J Occup Health 2006;48:377-82. doi: 10.1539/joh.48.377

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