Abstract
We prospectively recorded the frequency with which ICU personnel came in contact with body fluids in order to provide an empirical basis for the recommendation of relevant protective precautions. ICU personnel completed a questionnaire when performing a range of 29 standardized procedures. The rate of contact with body fluid was: manual ventilation (55%); catheterization of peripheral vein (36%); insertion of central venous catheter (69%); arterial puncture (18%); tracheal intubation (76%); tracheal extubation (87%); suction from mouth, pharynx or trachea (82%); drawing of blood sample (52%); establishing or discontinuing blood transfusion (50%); establishing or discontinuing infusion (20%); changing of wound dressing (52%). We suggest that the contact rates observed should be used in combination with a universal precautions policy, in order to identify procedures that are likely to involve contact with body fluid. By using gloves 95% of contacts to body fluid would have been prevented.
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Rogen PL, Clifford Lane H, Henderson DK, Parillo J, Masur H (1989) Admission of AIDS patients to a medical intensive care unit: causes and outcome. Crit Care Med 17:113–117
Centers for Disease Control (1988) Update: acquired immunodeficiency syndrome and human immunodeficiency virus infection among health-care workers. Morbidity and Mortality Weekly Report 37:229–234, 239
Ciesielski CA, Bell DM, Chamberland ME, Marcus R, Berkelman RL, Curran JW (1990) When a house officer gets AIDS (Letter). N Engl J Med 322:1156–1157
Beekmann SE, Fahey BJ, Gerberding JL, Henderson DK (1990) Risky business: using necessarily imprecise casualty counts to estimate occupational risks for HIV-1 infection. Infect Control Hosp Epidemiol 11:371–379
Stock SR, Gafni A, Bloch RF (1990) Universal precautions to prevent HIV transmission to health care workers: an economic analysis. Can Med Assoc J 142:937–946
Centers for Disease Control (1987) Recommendations for prevention of HIV transmission in health-care settings. Mrbidity and Mortality Weekly Report 36 (Suppl no 2s): 3s-18s
Ho DD, Byington RE, Shooley RT, Flynn T, Rota TR, Hirsch MS (1985) Infrequency of isolation of HTLV-III virus from saliva in AIDS (Letter). N Engl J Med 13:1606
Lifson AR (1988) Do alternate modes for transmission of human immucodeficiency virus exist? JAMA 259:1353–1356
Centers for Disease Control (1988) Update: universal precautions for prevention of transmission of human immunodeficiency virus, hepatitis B Virus, and other bloodborne pathogens in health-care settings. Morbidity and Mortality Weekly Report 37:377–399
Kristensen MS, Sloth E, Jensen TK (1990) Relationship between anesthetic procedure and contact of aesthesia personnel with patient body fluid. Anesthesiology 73:619–624
Hollander H, Levy JA (1987) Neurologic abnormalities and recovery of human immunodeficiency virus from cerebrospinal fluid. Ann Intern Med 106:692–695
Jagger J, Hunt EH, Brand-Elnaggar J, Pearson RD (1988) Rates of needlestick injury caused by various devices in a university hospital. N Engl J Med 319:284–288
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Kristensen, M.S., Sloth, E. & Jensen, T.K. Procedure-related rate of contact of intensive care unit personnel with patient body fluids. Intensive Care Med 17, 276–280 (1991). https://doi.org/10.1007/BF01713937
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DOI: https://doi.org/10.1007/BF01713937