Dicle Üniversitesi Araþtýrma Hastanesi’nde üç aylýk periyotta, elektif cerrahi iþlemlerinde oluþan yaralanma ve kan-organ sývýsý sýçrama sýklýðý çalýþmasý

AMAÇ: Bu çalýþmada elektif cerrahi iþlemler sýrasýnda oluþan sivri cisim yaralanmalarý (SCY) ve kan ve organ sývýsý (KOS) sýçramalarýnýn sýklýðýnýn irdelenmesi amaçlandý. Bu çalýþmanýn, yaralanma ve KOS sýçramalarýný engelleme çalýþmalarýna yardýmcý olabileceði düþünüldü. GEREÇ-YÖNTEM: Dicle Üniversitesi Hastanesinde üç ay boyunca tüm elektif ameliyatlar kayýt edildi, SCY ve KOS sýçramalarý analiz edildi. SCY ya da KOS sýçramasý olarak bildirilen hastane çalýþanlarýyla daha detaylý olarak görüþüldü ve yaralanma nedenleri detaylandýrýlmaya çalýþýldý. BULGULAR: Üç aylýk sürede 1988 elektif ameliyat kayýt edildi. Bunlarýn 111’inde (%5,6) SCY ve 145’inde (%7,3) KOS sýçramasý bildirildi. Öðretim üyelerinde SCY insidansý 2,8 kiþi-yýl olarak bulunurken, bu asistanlarda 5,6, hemþirelerde 6,3 ve diðer personelde 1,5 olarak saptandý. KOS sýçramasý insidansý öðretim üyelerinde 14,5 kiþi-yýl iken bu hýz asistan ve hemþirelerde sýrasýyla 6,9 ve 8,4 bulundu. Ameliyatýn süresi, ameliyat baþlama saati ve ameliyatta çalýþan personel sayýsý SCY oluþmasýnda etkili faktörler olduðu ve KOS sýçramasýnda da yine ameliyat süresi ve çalýþan personel sayýsýnýn etkili olduðu saptandý. Çene cerrahisi ameliyatlarýnýn %14,4’ünde, genel cerrahi ameliyatlarýnýn %12,2’sinde, göðüs cerrahisinin %10,5’inde, beyin cerrahisinin %8,4’ünde SCY görüldü. Genel cerrahi ameliyatlarýnýn %14,4’ünde, ürolojinin %13,5’inde, göðüs cerrahisinin %14’ünde, kalp damar cerrahisinin %14,7’sinde KOS sýçramasý olduðu saptandý. En sýk yaralanan organ iþaret parmaðý (%33,9) ve baþ parmak (%31,4) oldu. SONUÇ: Diðer tüm týbbi uygulamalarda olduðu gibi elektif cerrahi iþlemlerde de SCY ve KOS sýçramalarý yaygýn bir sorun olduðu gösterilmiþtir.

Injury or body fluid splash incidence rate during three months period in elective surgery procedures, at Dicle University Hospital, Diyarbakýr, Turkey

BACKGROUND: In this study we aimed to determine the prevalence of sharp injuries (SI) and blood and body fluid (BBF) splashes in health care workers during elective surgery procedures (ESP). This study would help to plan the preventive measures for injuries and BBF splashes. METHODS: All ESP were recorded during three months period and SI and BBF splashes were analyzed in Hospital of Dicle University. Hospital employees who reported SI or BBF splashes were interviewed about the types of devices causing injury and the circumstances of the injury. RESULTS: During three months period, 1988 ESPs were recorded. SIs were reported in 111 procedures (5.6%) and BBF splashes were in 145 (7.3%). Incidence rate of SI was 2.8 per person year in teaching staff, 5.6 in residents, 6.3 in nurses and 1.5 for other health care workers. Incidence rate of BBF splashes was 14.5 per person year in trainers, 6.9 in residents, 8.4 in nurses, respectively. Duration of ESP, start time of ESP and number of employed personnel in the ESP were the factors that significantly influenced SI incidence. Duration of ESP and total person worked in ESP was effective on BBF splashes. SI was occurred in 14.4 of mandibulofacial, 12.2% of general surgery, 10.5% of chest surgery and 8.4% of brain surgery ESP. BBF splashes occurred in 14.4% of general surgery’s, 13.5% of urology’s, 14% of chest surgery’s, 14.7% of cardiovascular surgery’s ESP. The most frequently injured tissue was index finger (33.9%) and the pollex finger (31.4%). CONCLUSION:
SIs and BBFs are important health risks for health professionals who are involved in surgery, as it is in all other medical practices. SI and BBF splashes should be monitored and preventive measures should be planned urgently.