Occupational exposure to blood and body fluids among health care workers in Ankara, Turkey

Am J Infect Control. 2005 Feb;33(1):48-52. doi: 10.1016/j.ajic.2004.08.004.

Abstract

Background: The risk of occupational acquisition of bloodborne pathogens via exposure to blood and body fluids is a serious problem for health care workers in Turkey. Because there are no systematic recording programs in Turkey, national data concerning frequency of exposures are not readily available.

Objective: To determine the risk factors of exposure to blood and body fluids among health care workers (HCWs).

Methods: This study was conducted in the hospitals of Ankara University School of Medicine. A structured survey form was administered by person-to-person interview.

Results: The study included 988 HCWs: 500 nurses (51%), 212 residents (21%), 152 nurse assistants (15%), and others (13%). Six hundred thirty-four (64%) of the HCWs had been exposed to blood and body fluids at least once in their professional life (0.85 exposure per person-year). The most frequent cause of the sharps injuries was recapping the needle (45%). Of the injured HCWs, 60 (28%) were not using any personal protective equipment, and 144 (67%) did not seek any medical advice for injury.

Conclusions: Systematic control measures, including an effective and goal-oriented education program targeting HCWs, prospective record keeping, and instillation of a special unit for the health of HCWs should be implemented in the hospital setting.

MeSH terms

  • Adult
  • Blood-Borne Pathogens
  • Data Collection
  • Female
  • Hepatitis B / prevention & control
  • Hepatitis B Vaccines
  • Humans
  • Male
  • Middle Aged
  • Needlestick Injuries / epidemiology*
  • Occupational Exposure / statistics & numerical data*
  • Personnel, Hospital*
  • Risk Factors
  • Turkey / epidemiology

Substances

  • Hepatitis B Vaccines