Occurrence and consequences of occupational exposure to biological material at a Brazilian hospital

Marziale, Maria Helena

Thursday, March 22, 2012

Ground Floor (Cancun Center)

Maria Helena Marziale, General and Specialized Nursing Department, University Of São Paulo, Ribeirão Preto, Brazil

Fernanda Rocha, Department of General and Specialized Nursing, University Of São Paulo At Ribeirão Preto College Of Nursing, Who Collaborating Centre For Nursing Research Development,, Ribeirão Preto, Brazil

Camila Cenzi, Department of General and Specialized Nursing, University Of São Paulo At Ribeirão Preto College Of Nursing, Who Collaborating Centre For Nursing Research Development,, Ribeirão Preto, Brazil

Flávio Cassiolato, Department of General and Specialized Nursing, University Of São Paulo At Ribeirão Preto College Of Nursing, Who Collaborating Centre For Nursing Research Development, Ribeirão Preto, Brazil

Vanda Felli, São Paulo College of Nursing, University of São Paulo, São Paulo, Brazil

Marina Anabuki, University Hospital, University of São Paulo, São Paulo, Brazil

Everaldo Silva, University Hospital, University of Brazilia, Distrito Federal, Brazil

Rosemiro Ximenes, Nursing, Universidade Estadual Vale do Acaraú, Aracajú, Brazil

Regina Da Silva, Hospital, Santa Casa de Misericórdia de Sobral, Sobral, Brazil

Introduction
The occurence of work accidents with exposure to biological material between workers in Brazilian hospitals is still a great problem. Meaning to intercede in this matter, it was created a Working Accidents Prevention Network – REPAT/USP, which intents to exchange informations and perform researches seeking strategies in order to prevent these kind of accidents. The researches are focused on worker's health promotion. Objectives: analising the occurence and the profile of the accidents with exposure to biological material in four different hospitals, in diverse brazilian regions, and that took place between 2007 and 2010.

Methods
The method used was the exploratory research, with qualitative analysis of data, which were collected through the electronic form available at http://repat.eerp.usp.br.

Results
Currently, the network has more than 300.000 on-line accesses and the register of 851 working accidents with exposure to biological material, of which 80% show percutaneous injuries, most of them between nursing professionals. Eight of the analised pacients detain the HIV virus. In 60% of the cases this particular information is unknown. Between the workers who suffered accidents, 27.0% of them received medicamentous preventive treatment. However, in 47.7% of the cases this information wasn't registered. In 14.3% of them, no strategies were embraced after the occurance of the accident and, when measueres were taken, they consisted in the evaluation of the spot were the activities took place and the personal orientation of the worker.

Discussion
The data showed that the record, the preventive actions and the post occupational exposure are not suited, what requires the improvement of working conditions, security material offer and the proper education. These results contribute to the advance of the knowledge concerning the determinant factors in work accidents, offer indicators on the elaboration of preventive strategies and may subsidize the systematization of the occupational health accidents registers.

A1533 Occurrence and consequences of occupational exposure to biological material at a Brazilian hospital