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Професионален риск свързан с употребата на остри и режещи предмети в медицинската практика

A. Kирчева, Р. Kонстантинов, Ц. Паунов, E. Иванова, M. Kоларова, С. Станева


Introduction: The daily use of sharp and cutting medical devices by certain groups of medical workers places them at high risk of exposure to blood and body fluids that are potentially dangerous and related to the transmission of blood-borne infections. By puncturing with sharp and cutting instruments, transmission of more than 20 pathogens is possible and proven. Some of them are of particular importance for human and healthcare systems due to the severe clinical course and prevalence - HIV/AIDS, VHB and VHC infections. They also include tuberculosis infection, recurring in people with increased pathogenicity and resistance of the causative agent, and lasting presence in the biological materials of the affected patients.

Aim: In this study, we set out to conduct an epidemiological analysis of the data from the supervision/ surveillance of hazardous medical activities at the St. Marina University Hospital related to the use of sharp and cutting devices by the medical staff.

Materials and Methods: Reports on the exposure of medical personnel in the hospital and data from the epidemiological survey of the injured were used. The Health Ministry regulatory framework, standards and rules of WHO, CDC and professional organizations have been used in the risk practice analysis.

Discussion: The data from all hospital units concerned were analyzed, depending on the type of exposure, the occupational group involved and the immune status of the sources and staff. On the basis of the summarized results, high-risk medical activities leading to incidents and the possible steps to reduce risk and protect them have been differentiated.


exposition; sharp and cutting instruments

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