Hostname: page-component-8448b6f56d-m8qmq Total loading time: 0 Render date: 2024-04-19T08:53:51.375Z Has data issue: false hasContentIssue false
  • English
  • Français

Sharp Decrease of Reported Occupational Blood and Body Fluid Exposures in French Hospitals, 2003–2012: Results of the French National Network Survey, AES-RAISIN

Published online by Cambridge University Press:  21 April 2015

N. Floret ,
O. Ali-Brandmeyer ,
F. L’Hériteau ,
C. Bervas ,
S. Barquins-Guichard ,
G. Pelissier ,
D. Abiteboul ,
P. Parneix ,
E. Bouvet  and
C. Rabaud
...Show all authors
N. Floret*
Affiliation:
Est France Infection Control Coordinating Center, Nancy, France
O. Ali-Brandmeyer
Affiliation:
Est France Infection Control Coordinating Center, Nancy, France
F. L’Hériteau
Affiliation:
Paris–Northern France Infection Control Coordinating Center, Paris, France
C. Bervas
Affiliation:
Southwestern France Infection Control Coordinating Center, Bordeaux, France
S. Barquins-Guichard
Affiliation:
National Institute for Health Surveillance, Saint‐Maurice, France
G. Pelissier
Affiliation:
Group for the Prevention of Occupational Infections in Healthcare Workers, Paris, France
D. Abiteboul
Affiliation:
Group for the Prevention of Occupational Infections in Healthcare Workers, Paris, France
P. Parneix
Affiliation:
Southwestern France Infection Control Coordinating Center, Bordeaux, France
E. Bouvet
Affiliation:
Paris–Northern France Infection Control Coordinating Center, Paris, France Group for the Prevention of Occupational Infections in Healthcare Workers, Paris, France
C. Rabaud
Affiliation:
Est France Infection Control Coordinating Center, Nancy, France
*
Address correspondence to Nathalie Floret, MD, PhD, Réseau Franc-Comtois de Lutte contre les Infections Nosocomiales, Hôpital Saint-Jacques, 2 Place Saint-Jacques, 25030 Besançon, France (n1floretbassissi@chu-besancon.fr).
Get access Rights & Permissions [Opens in a new window]

Abstract

OBJECTIVE

To assess the temporal trend of reported occupational blood and body fluid exposures (BBFE) in French healthcare facilities.

METHOD

Retrospective follow-up of reported BBFE in French healthcare facilities on a voluntary basis from 2003 to 2012 with a focus on those enrolled every year from 2008 to 2012 (stable cohort 2008–12).

FINDINGS

Reported BBFE incidence rate per 100 beds decreased from 7.5% in 2003 to 6.3% in 2012 (minus 16%). Percutaneous injuries were the most frequent reported BBFE (84.0% in 2003 and 79.1% in 2012). Compliance with glove use (59.1% in 2003 to 67.0% in 2012) and sharps-disposal container accessibility (68.1% in 2003 to 73.4% in 2012) have both increased. A significant drop in preventable BBFE was observed (48.3% in 2003 to 30.9% in 2012). Finally, the use of safety-engineered devices increased from 2008 to 2012.

CONCLUSION

Of the 415,209 hospital beds in France, 26,158 BBFE could have occurred in France in 2012, compared with 35,364 BBFE in 2003. Healthcare personnel safety has been sharply improved during the past 10 years in France.

Infect. Control Hosp. Epidemiol. 2015;36(8):963–968

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 36 , Issue 8 , August 2015 , pp. 963 - 968
Copyright
© 2015 by The Society for Healthcare Epidemiology of America. All rights reserved 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Centers for Disease Control and Prevention. Recommendations for prevention of HIV transmission in health care settings. MMWR Morb Mortal Wkly Rep 1987;36:1S–18S.Google Scholar
2. Tarantola, A, Abiteboul, D, Rachline, A. Infection risks following accidental exposure to blood or body fluids in health care workers: a review of pathogens transmitted in published cases. Am J Infect Control 2006;34:367–375.Google Scholar
3. Decker, J, Deitchman, S, Buchta, T. Health Hazard Evaluation Report No. 91-342. 1993. Available at: http://www.cdc.gov/niosh/hhe/reports/pdfs/1991-0342-2271.pdf.Google Scholar
4. Venier, AG, Vincent, A, L’hériteau, F, et al. Surveillance of occupational blood and body fluid exposures among French healthcare workers in 2004. Infect Control Hosp Epidemiol 2007;28:1196–1201.Google Scholar
5. Shen, C, Jagger, J, Pearson, R. Risk of needle stick and sharp object injuries among medical students. Am J Infect Control 1999;27:435–437.Google Scholar
6. Lamontagne, F, Abiteboul, D, Lolom, I, et al. Role of safety-engineered devices in preventing needlestick injuries in 32 French hospitals. Infect Control Hosp Epidemiol 2007;28:18–23.CrossRefGoogle ScholarPubMed
7. Floret, N, Abiteboul, D, Ayzac, L, et al. Suivi des AES dans les établissements de santé: place et intérêt des matériels de sécurité. Feuillets de Biologie 2012;309:1–7.Google Scholar
8. Phillips, EK, Conaway, M, Parker, G, Perry, J, Jagger, J. Issues in understanding the impact of the Needlestick Safety and Prevention Act on sharps injuries. Infect Control Hosp Epidemiol 2013;34:935–939.Google Scholar
9. Lot, F, Abiteboul, D. Surveillance des contaminations professionnelles par le VIH, le VHC et le VHB chez le personnel de santé. Situation au 30 juin 2012. Personal communication.Google Scholar
10. Baudu, A, Lot, F, Abiteboul, D. Suivi des accidents exposant au sang chez les professionnels de santé non immunisés et exposés au VHB, 2005–2007 (France). Bull Epidemiol Hebdo 2011;35–36:388–391.Google Scholar
11. van Wijk, PT, Pelk-Jongen, M, Wijkmans, C, Voss, A, Schneeberger, PM. Quality control for handling of accidental blood exposures. J Hosp Infect 2006;63:268–274.CrossRefGoogle ScholarPubMed
12. Guthmann, JP, Fonteneau, L, Ciotti, C, et al. Vaccination coverage of health care personnel working in health care facilities in France: results of a national survey, 2009. Vaccine 2012;30:4648–4654.Google Scholar
13. Lu, PJ, Euler, G. Influenza, hepatitis B, and tetanus vaccination coverage among health care personnel in the United States. Am J Infect Control 2011;39:488–494.Google Scholar
14. Au, E, Gossage, JA, Bailey, SR. The reporting of needlestick injuries sustained in theatre by surgeons: are we under-reporting? J Hosp Infect 2008;70:66–70.CrossRefGoogle ScholarPubMed
15. Winchester, SA, Tomkins, S, Cliffe, S, et al. Healthcare workers’ perceptions of occupational exposure to blood-borne viruses and reporting barriers: a questionnaire-based study. J Hosp Infect 2012;82:36–39.Google Scholar
16. Nagao, M, Iinuma, Y, Igawa, J, et al. Accidental exposures to blood and body fluid in the operation room and the issue of underreporting. Am J Infect Control 2009;37:541–544.Google Scholar