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Chauvin A, Hutin A, Leredu T, Plaisance P, Pateron D, Yordanov Y. Accidental blood exposures among emergency medicine residents and young physicians in France: a national survey. Intern Emerg Med 2017; 12:221-227. [PMID: 27179649 DOI: 10.1007/s11739-016-1458-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/15/2015] [Accepted: 04/28/2016] [Indexed: 10/21/2022]
Abstract
The aim of the present study was to investigate the epidemiological characteristics of blood or fluid exposure (BFE) and occupational infection risk among emergency medicine (EM) residents and young physicians (<35 years old) in France. We led a cross-sectional, anonymous, online survey. 1779 participants were contacted with a response rate of 36 % (n = 633). Among the respondents, 459 (72 %) reported at least one BFE. Among participants with at least one BFE, 35 % (n = 163) never reported the exposure to the relevant medical authorities or support. Among participants who reported exposure, 63 % (n = 232) did it immediately. Among participants who never or not systematically reported their BFE, most of them (62 %, n = 181/289) did not do so because the procedure was too long, and 28 % (n = 82/289) estimated the risk as low even if only one-third (n = 166/458) checked their HIV status even though the BFE was at a transmission risk. Circumstances in which the participants had the most BFE were: suturing 57 % (n = 262/457) and when making precipitated gestures 24 % (n = 111/457). The latest exposures were caused by a solid needle in 42 % (n = 191/455) or hollow-bore needle in 27 % (n = 123/455). Post-exposure reporting rates were low. Reporting procedure itself and self-management were the main reasons for BFE underreporting. Simplifying procedures might increase BFE reporting, and allow appropriate post-exposure counseling and/or prophylaxis.
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Affiliation(s)
- Anthony Chauvin
- Emergency Département, Hôpital Lariboisière, Assistance Publique-Hôpitaux de Paris, Paris, France.
- Faculté de Médecine, Université Diderot, Paris, France.
- AJMU, Association des Jeunes Médecins Urgentistes, Paris, France.
- Hospital Lariboisière, Service d'Accueil des Urgences, 2, rue Ambroise Pare, 75010, Paris, France.
| | - Alice Hutin
- AJMU, Association des Jeunes Médecins Urgentistes, Paris, France
- Emergency Département, Hôpital Cochin, Assistance Publique-Hôpitaux de Paris, Paris, France
- Faculté de Médecine, Université Descartes, Paris, France
| | - Thomas Leredu
- AJMU, Association des Jeunes Médecins Urgentistes, Paris, France
- Emergency Département, Hôpital Mignot, Versailles, France
| | - Patrick Plaisance
- Emergency Département, Hôpital Lariboisière, Assistance Publique-Hôpitaux de Paris, Paris, France
- Faculté de Médecine, Université Diderot, Paris, France
| | - Dominique Pateron
- Emergency Département, Hôpital Saint-Antoine, Assistance Publique-Hôpitaux de Paris, Paris, France
- Faculté de Médecine, Université Pierre et Marie Curie, Paris, France
| | - Youri Yordanov
- Emergency Département, Hôpital Saint-Antoine, Assistance Publique-Hôpitaux de Paris, Paris, France
- Faculté de Médecine, Université Pierre et Marie Curie, Paris, France
- AJMU, Association des Jeunes Médecins Urgentistes, Paris, France
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