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Blood and body fluid exposures during clinical training

Relation to knowledge of universal precautions

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Abstract

To investigate the relation between knowledge of universal precautions and rates of exposure to blood and body fluid during clinical training, a cohort of 155 students was surveyed following training in universal precautions and 18 months later. A total of 127 students (82%) participated; 58 (46%) experienced at least one exposure during the first clinical training year. Knowledge of universal precautions was inversely associated with the frequency of mucous membrane exposures (p=.001); an apparent “dose-response” effect was evident (one-way analysis of variance;F=5.2,p=.007). Students are frequently exposed to blood and body fluid during clinical training. Higher levels of retained knowledge about universal precautions are associated with a decreased risk of mucous membrane exposure.

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References

  1. Association of American Medical Colleges Executive Council. Recommendations regarding health services for medical students. Memorandum, June 25, 1992.

  2. Sokas RK, Simmens S, Scott J. A training program in universal precautions for second-year medical students. Acad Med. 1993;68:374–6.

    Article  PubMed  CAS  Google Scholar 

  3. Goetz A. Yu CM. Muder RR. Entering first-year residents’ experiences and knowledge of infection control of hepatitis B and HIV, at five university-affiliated hospitals. Acad Med. 1992;67:275–6.

    Article  PubMed  CAS  Google Scholar 

  4. Koenig S, Chu J. Senior medical students’ knowledge of universal precautions. Acad Med. 1993;68:372–4.

    Article  PubMed  CAS  Google Scholar 

  5. Diekema DJ, Schuldt SS, Albanese MA, Doebbeling BN. Universal precautions training of preclinical students: impact on knowledge, attitudes and compliance. Prev Med. 1995;24:580–5.

    Article  PubMed  CAS  Google Scholar 

  6. Centers for Disease Control. Update: Universal precautions for prevention of transmission of human immunodeficiency virus, hepatitis B virus, and other bloodborne pathogens in health-care settings. MMWR. 1988;37:377–88.

    Google Scholar 

  7. SPSS for Windows, version 6.1. Chicago, IL: SPSS. 1994.

  8. O’Neill TM, Abbott AV, Radecki SE. Risk of needlesticks and occupational exposures among residents and medical students. Arch Intern Med. 1992;152:1451–6

    Article  PubMed  CAS  Google Scholar 

  9. McGeer A, Simor AE. Low DE. Epidemiology of needlestick injuries in house officers. J Infect Dis. 1990;162:961–4.

    PubMed  CAS  Google Scholar 

  10. Heald AE, Ransohoff DF. Needlestick injuries among resident physicians. J Gen Intern Med. 1990;5:389–93.

    PubMed  CAS  Google Scholar 

  11. Wong ES, Stotka JL, Chinchilli VM, Williams DS, Stuart CG, Markowitz SM. Are universal precautions effective in reducing the number of occupational exposures among health care workers? A prospective study of physicians on a medical service. JAMA. 1991;265:1123–8.

    Article  PubMed  CAS  Google Scholar 

  12. Haiduven DJ, DeMaio TM, Stevens DA. A five-year study of needlestick injuries: significant reduction association with communication, education, and convenient placement of sharps containers. Infect Control Hosp Epidemiol. 1992;13:265–71.

    Article  PubMed  CAS  Google Scholar 

  13. Beekman SE, Vlahov D, Kozial DE, McShalley ED, Schmitt JM, Henderson DK. Temporal association between implementation of universal precautions and a sustained, progressive decrease in percutaneous exposures to blood. Clin Infect Dis. 1994;18:562–9.

    Google Scholar 

  14. Saghafi L, Raselli P, Francillon C. Francioli P. Exposure to blood during various procedures: results of two surveys before and after the implementation of universal precautions. Am J Infect Control. 1992;20:53–7.

    Article  PubMed  CAS  Google Scholar 

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This study was supported in part by an Educational Development Grant from the University of Iowa College of Medicine. Results of this study were presented in part at the 34th Inter-science Conference on Antimicrobial Agents and Chemotherapy (ICAAC), Orlando, FL, October 1994. Dr. Doebbeling is the recipient of a Special Emphasis Research Career Award, 1 KOI OH00131-03, from the National Institute for Occupational Safety and Health (NIOSH).

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Diekema, D.J., Albanese, M.A., Schuldt, S.S. et al. Blood and body fluid exposures during clinical training. J Gen Intern Med 11, 109–111 (1996). https://doi.org/10.1007/BF02599587

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