Orthopedic Trauma Surgeons' Attitudes and Practices Towards Bloodborne Pathogens
- 1 August 1996
- journal article
- research article
- Published by Wolters Kluwer Health in Journal of Orthopaedic Trauma
- Vol. 10 (6) , 383-388
- https://doi.org/10.1097/00005131-199608000-00004
Abstract
Summary A survey was conducted to determine orthopedic trauma surgeons' attitudes and practices towards occupational exposures to bloodborne pathogens. The survey was distributed to orthopedic trauma surgeons either by mail or through participation at the annual 1993 OTA meeting or the 1994 update meetings. Of the 1,058 surveys distributed, 504 were successfully completed (48%). The majority of respondents were attendings (72%) who performed at least 100 orthopedic procedures annually. Of the respondents, 74% reported they were moderately to very concerned about acquiring HIV at work. Despite their concern, 42% reported not routinely wearing gloves when changing wound dressings. Of the 340 respondents who have access to maximum barrier protection, 83% reported not wearing it to nail a femur fracture and 33% reported not wearing it when operating on an HIV+ patient. At an institutional level, almost one-third of those surveyed did not believe their facility promoted safe work practices. Facilities judged by respondents to promote safe practices were significantly more likely to have resources available and infection control policies in place compared to facilities judged not to promote safe practices. Orthopedic trauma surgeons need to improve their compliance with infection control recommendations. Further efforts by individuals and their institutions are warranted.Keywords
This publication has 20 references indexed in Scilit:
- Variables influencing worker compliance with universal precautions in the emergency departmentAmerican Journal of Infection Control, 1994
- Procedure-specific infection control for preventing intraoperative blood exposuresAmerican Journal of Infection Control, 1993
- A comparison of observed and self-reported compliance with universal precautions among emergency department personnel at a minnesota public teaching hospital: Implications for assessing infection control programsAnnals of Emergency Medicine, 1992
- THE PREVALENCE OF HEPATITIS C IN A REGIONAL LEVEL I TRAUMA CENTER POPULATIONPublished by Wolters Kluwer Health ,1992
- From the Centers for Disease Control. Recommendations for preventing transmission of human immunodeficiency virus, hepatitis B virus to patients during exposure-prone invasive proceduresPublished by American Medical Association (AMA) ,1991
- PROCEDURES TO PROTECT HEALTH-CARE WORKERS FROM HIV INFECTION: CATEGORY I (HEALTH-CARE) WORKERSAihaj Journal, 1991
- Minimizing risks for occupational blood-borne infectionsJAMA, 1990
- Risk of Exposure of Surgical Personnel to Patients' Blood during Surgery at San Francisco General HospitalNew England Journal of Medicine, 1990
- Substantial increase in human immunodeficiency virus (HIV-1) infection in critically III emergency patients: 1986 and 1987 comparedAnnals of Emergency Medicine, 1989
- Unrecognized Human Immunodeficiency Virus Infection in Emergency Department PatientsNew England Journal of Medicine, 1988