Precautionary Practices of Healthcare Workers Who Disinfect Medical and Dental Devices Using High-Level Disinfectants
Precautionary Practices of Healthcare Workers Who Disinfect Medical and Dental Devices Using High-Level Disinfectants
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DOI：
10.1017/ice.2014.37
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发表时间：
2015-02-01
影响因子：
4.5
通讯作者：
Steege, Andrea L.
中科院分区：
文献类型：
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作者：
Henn, Scott A.;Boiano, James M.;Steege, Andrea L.
背景高级消毒剂(HLDS)在整个医疗保健行业中用于对可重复使用的半临界医疗和牙科设备进行化学消毒，以控制和预防患者群体中与医疗保健相关的感染。使用HLDS的工人面临接触这些化学物质的风险，其中一些是呼吸道和皮肤刺激性和敏感物。目的评估所使用的暴露控制措施，并更好地了解医护人员在处理HLDS时使用个人防护设备的障碍。设计基于Web的调查。PARTICIPANT代表护士、技术人员/技术人员、牙科专业人员、呼吸治疗师和其他报告在前7个日历日内处理HLDS的专业实践组织成员的目标样本。参与组织通过电子邮件邀请所有或随机抽样的成员，其中包括调查的超链接。方法进行描述性分析，包括简单的频率和患病率。结果共有4657名受访者完成了调查。最常用的HLDS是戊二醛(59%)、过氧乙酸(16%)和邻苯二甲醛(15%)。可能增加接触风险的工作做法或事件的例子包括：没有穿防水长袍(44%)；没有最大限度地减少暴露的标准程序(19%)；缺乏安全操作培训(17%)；没有戴防护手套(9%)；以及在处理过程中HLD溢出/泄漏(5%)。在所有受访者中，12%的人报告与HLD有皮肤接触，33%的人报告他们并不总是戴手套。结论调查结果表明，预防措施并不总是被使用，这强调了改善雇主和工人关于HLD危害的培训和教育的重要性。
BACKGROUND High-level disinfectants (HLDs) are used throughout the healthcare industry to chemically disinfect reusable, semicritical medical and dental devices to control and prevent healthcare-associated infections among patient populations. Workers who use HLDs are at risk of exposure to these chemicals, some of which are respiratory and skin irritants and sensitizers.OBJECTIVE To evaluate exposure controls used and to better understand impediments to healthcare workers using personal protective equipment while handling HLDs.DESIGN Web-based survey.PARTICIPANTS A targeted sample of members of professional practice organizations representing nurses, technologists/technicians, dental professionals, respiratory therapists, and others who reported handling HLDs in the previous 7 calendar days. Participating organizations invited either all or a random sample of members via email, which included a hyperlink to the survey.METHODS Descriptive analyses were conducted including simple frequencies and prevalences.RESULTS A total of 4,657 respondents completed the survey. The HLDs used most often were glutaraldehyde (59%), peracetic acid (16%), and ortho-phthalaldehyde (15%). Examples of work practices or events that could increase exposure risk included failure to wear water-resistant gowns (44%); absence of standard procedures for minimizing exposure (19%); lack of safe handling training (17%); failure to wear protective gloves (9%); and a spill/leak of HLD during handling (5%). Among all respondents, 12% reported skin contact with HLDs, and 33% of these respondents reported that they did not always wear gloves.CONCLUSION Findings indicated that precautionary practices were not always used, underscoring the importance of improved employer and worker training and education regarding HLD hazards.