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https://www.readbyqxmd.com/read/28445222/development-of-an-hiv-postexposure-prophylaxis-pep-protocol-for-trainees-engaging-in-academic-global-health-experiences
#1
Gitanjli Arora, Risa M Hoffman
PROBLEM: Global health (GH) education programs have become increasingly common in U.S. medical schools and graduate medical education programs, with growing numbers of medical students, residents, and fellows participating in clinical experiences in settings with high HIV prevalence and limited resources. However, there are no guidelines for provision of HIV postexposure prophylaxis (PEP) to trainees engaging in these academic GH experiences. APPROACH: Faculty of the Global Health Education Programs (GHEP) at the David Geffen School of Medicine at UCLA and GH partner institutions recognized the need for PEP access for trainees engaged in GH experiences...
April 25, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28430678/laboratory-animal-bite-anaphylaxis-a-national-survey-part-1-case-series-and-review-of-the-literature
#2
Gregg M Stave, Edward H Lee, Dennis J Darcey
OBJECTIVE: This study documents previously unreported cases of laboratory animal bite anaphylaxis in animal laboratory facilities in the United States. METHODS: An online survey was e-mailed to designated institutional officials at laboratory animal facilities identified by the National Institutes of Health Office of Laboratory Animal Welfare. RESULTS: One hundred ninety eight organizations responded and 15 organizations indicated that workers had experienced anaphylaxis following an animal bite...
April 20, 2017: Journal of Occupational and Environmental Medicine
https://www.readbyqxmd.com/read/28379370/reduction-in-blood-culture-contamination-through-use-of-initial-specimen-diversion-device
#3
Mark E Rupp, R Jennifer Cavalieri, Cole Marolf, Elizabeth Lyden
Background: Blood culture contamination is a clinically significant problem that results in patient harm and excess cost. Methods: In a prospective, controlled trial at an academic center Emergency Department, a device that diverts and sequesters the initial 1.5-2mL portion of blood (which presumably carries contaminating skin cells and microbes) was tested against standard phlebotomy procedures in patients requiring blood cultures due to clinical suspicion of serious infection...
April 3, 2017: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/28314636/comparing-non-safety-with-safety-device-sharps-injury-incidence-data-from-two-different-occupational-surveillance-systems
#4
A H Mitchell, G B Parker, H Kanamori, W A Rutala, D J Weber
The United States Occupational Safety and Health Administration (OSHA) Bloodborne Pathogens Standard as amended by the Needlestick Safety and Prevention Act requiring the use of safety-engineered medical devices to prevent needlesticks and sharps injuries has been in place since 2001. Injury changes over time include differences between those from non-safety compared with safety-engineered medical devices. This research compares two US occupational incident surveillance systems to determine whether these data can be generalized to other facilities and other countries either with legislation in place or considering developing national policies for the prevention of sharps injuries among healthcare personnel...
February 27, 2017: Journal of Hospital Infection
https://www.readbyqxmd.com/read/28274607/understanding-the-magnitude-of-occupational-exposure-to-human-immunodeficiency-virus-hiv-and-uptake-of-hiv-post-exposure-prophylaxis-among-healthcare-workers-in-a-rural-district-in-tanzania
#5
P Mabwe, A T Kessy, I Semali
BACKGROUND: Occupational exposure to blood or other body fluids in healthcare settings puts healthcare workers (HCWs) at risk of acquiring human immunodeficiency virus (HIV) infection. It is estimated that between 200 and 5000 HIV infections are transmitted annually to HCWs worldwide. Use of post-exposure prophylaxis (PEP) has been documented to reduce the rate of HIV infection from workplace exposures by 81%. AIM: To investigate the extent of occupational exposure to HIV infection during the period of 12 months before the survey and to identify factors associated with uptake of PEP services among HCWs...
January 28, 2017: Journal of Hospital Infection
https://www.readbyqxmd.com/read/28221166/prevalence-of-needlestick-injuries-attitude-changes-and-prevention-practices-over-12-years-in-an-urban-academic-hospital-surgery-department
#6
Jessica M Hasak, Christine B Novak, Jennifer Megan M Patterson, Susan E Mackinnon
OBJECTIVE: Needlestick injury prevalence, protection practices, and attitudes were assessed. Current medical students were compared with 2003 data to assess any changes that occurred with engineered safety feature implementation. BACKGROUND: Risk of occupational exposure to bloodborne pathogens is elevated in the operating room particularly with surgeons in training and nurses. METHODS: A cross-sectional survey was distributed to medical students (n = 358) and Department of Surgery staff (n = 247)...
February 17, 2017: Annals of Surgery
https://www.readbyqxmd.com/read/28132546/needle-free-devices-keeping-the-system-closed
#7
Linda J Kelly, Tracey Jones, Stephanie Kirkham
Health professionals are under increasing pressure to reduce costs while ensuring patient safety. As the number of vascular access devices (VADs) used in health care continues to increase, there is a need to reduce the complications of infection and occlusion associated with them. Needle-free devices (NFDs), also known as needleless connectors, have been available since the early 1990s and the type and variety of these devices has continued to develop. As well as the original aim of NFDs to maintain a closed system and to reduce the risk of needlestick injuries and blood spillage, NFDs are now designed with the aim of improving clinical outcomes by reducing the common complications of infection and catheter occlusion...
January 26, 2017: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/28059635/naloxone-administration-for-suspected-opioid-overdose-an-expanded-scope-of-practice-by-a-basic-life-support-collegiate-based-emergency-medical-services-agency
#8
Ryan M Jeffery, Laura Dickinson, Nicholas D Ng, Lindsey M DeGeorge, Jose V Nable
Opioid abuse is a growing and significant public health concern in the United States. Naloxone is an opioid antagonist that can rapidly reverse the respiratory depression associated with opioid toxicity. Georgetown University's collegiate-based emergency medical services (EMS) agency recently adopted a protocol, allowing providers to administer intranasal naloxone for patients with suspected opioid overdose. While normally not within the scope of practice of basic life support prehospital agencies, the recognition of an increasing epidemic of opioid abuse has led many states, including the District of Columbia, to expand access to naloxone for prehospital providers of all levels of training...
April 2017: Journal of American College Health: J of ACH
https://www.readbyqxmd.com/read/28042212/occurrence-of-needlestick-and-injuries-among-health-care-workers-of-a-tertiary-care-teaching-hospital-in-north-india
#9
Varun Goel, Dinesh Kumar, Raghavendra Lingaiah, Sarman Singh
INTRODUCTION: Occupational hazards such as accidental exposure to sharp, cuts, and splashes are common among health-care workers (HCWs). AIMS AND OBJECTIVES: To determine the occurrence of self-reported occupational exposures to these hazards and to know the prevalent practices following the exposure. The second aim was to know the baseline antibody levels against hepatitis B virus (HBV), hepatitis C virus (HCV), and human immunodeficiency virus (HIV) immediately after these accidents...
January 2017: Journal of Laboratory Physicians
https://www.readbyqxmd.com/read/28034473/causes-of-needlestick-injuries-in-three-healthcare-settings-analysis-of-accident-notifications-registered-six-months-after-the-implementation-of-eu-directive-2010-32-eu-in-germany
#10
M Dulon, B Lisiak, D Wendeler, A Nienhaus
BACKGROUND: Needlestick injuries (NSIs) are the most common cause of sharps injuries and pose a serious risk to healthcare workers (HCWs). In 2014, 'Technical rule for biological agents in healthcare and welfare facilities' (TRBA 250) was modified in Germany in order to promote the prevention of sharps injuries. AIMS: To examine the epidemiology of NSIs among HCWs in hospitals, doctor's offices and in- and outpatient care; to collect information on the causes of the accidents when safety-engineered devices (SEDs) are used; and to compare the results with the main principles of TRBA 250...
March 2017: Journal of Hospital Infection
https://www.readbyqxmd.com/read/27973940/preliminary-evidence-supports-modification-of-retraction-technique-to-prevent-needlestick-injuries
#11
Bernadette Alvear Fa, Eve Cuny
A modified retraction technique was introduced into the DDS degree preclinical anesthesia course in 2011 with the goal of reducing needlestick exposure incidents. In numerous studies of dental exposures, injuries from dental anesthetic needles account for the highest proportion of all exposures. The purpose of this study was to assess the preliminary impact of a modified retraction technique on the incidence of blood and body fluids (BBF) exposure incidents associated with needles during injection. Data from evaluations of students from 2014 and 2015 were obtained and tracked to determine whether the modified retraction technique was "excellent," "clinically acceptable," or "clinically unacceptable...
2016: Anesthesia Progress
https://www.readbyqxmd.com/read/27972362/systematic-review-of-the-value-of-safety-engineered-devices-in-reducing-needlestick-and-sharps-injuries
#12
Y Shang, X Ren
No abstract text is available yet for this article.
November 2016: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
https://www.readbyqxmd.com/read/27971018/a-systematic-review-economic-burden-of-needlestick-injuries-on-healthcare-workers
#13
H L Huang, J Lim, A Ma, H Li
No abstract text is available yet for this article.
November 2016: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
https://www.readbyqxmd.com/read/27936348/current-prospects-and-future-challenges-for-nasal-vaccine-delivery
#14
Helmy Yusuf, Vicky Kett
Nasal delivery offers many benefits over traditional approaches to vaccine administration. These include ease of administration without needles that reduces issues associated with needlestick injuries and disposal. Additionally, this route offers easy access to a key part of the immune system that can stimulate other mucosal sites throughout the body. Increased acceptance of nasal vaccine products in both adults and children has led to a burgeoning pipeline of nasal delivery technology. Key challenges and opportunities for the future will include translating in vivo data to clinical outcomes...
January 2, 2017: Human Vaccines & Immunotherapeutics
https://www.readbyqxmd.com/read/27917449/study-of-blood-exposure-related-mental-health-illness-among-clinical-nurses
#15
Xiaojia Xiong, Min Li, Yongliang Jiang, Xindeng Tong, Yanzhong Peng
Nurses are subjected to high amount of stress in the medical setting, and work-related stress often leads to mental problems. This study aims to investigate the mental health status of nurses exposed to blood through needlestick injuries. A total of 302 nurses working in the hospital of Guangdong, China, participated in this study. Out of the 302 nurses, 140 did not experience any needlestick injuries during the previous week, whereas 162 nurses experienced needlestick injuries. The General Health Questionnaire (GHQ)-28 Standardized Questionnaire, which uses physical, anxiety, social function, and depression subscales, was used in this study...
December 5, 2016: Frontiers of Medicine
https://www.readbyqxmd.com/read/27887756/needlestick-injuries-among-healthcare-professionals-in-training-using-the-surgical-time-out-and-hand-off-protocols-to-deter-high-risk-needlesticks
#16
EDITORIAL
G A Katsevman, J A Braca, C L Sedney, L Hatchett
No abstract text is available yet for this article.
January 2017: Journal of Hospital Infection
https://www.readbyqxmd.com/read/27885240/incidence-and-characteristics-of-needlestick-injuries-among-medical-trainees-at-a-community-teaching-hospital-a-cross-sectional-study
#17
Ben Ouyang, Lucy Dx Li, Joanne Mount, Alainna J Jamal, Lauren Berry, Carmine Simone, Marcus Law, Rw Melissa Tai
OBJECTIVES: This field study aimed to determine the incidence and distribution of needlestick injuries among medical trainees at a community teaching hospital in Toronto, Canada. METHODS: The study was performed during the 2013-2015 academic years at Toronto East General Hospital (TEGH), a University of Toronto-affiliated community-teaching hospital during the 2013-2015 academic years. Eight-hundred and forty trainees, including medical students, residents, and post-graduate fellows, were identified and invited via email to participate in an anonymous online fluidsurveys...
January 24, 2017: Journal of Occupational Health
https://www.readbyqxmd.com/read/27847548/needlestick-and-sharps-injuries-in-dermatologic-surgery-a-review-of-preventative-techniques-and-post-exposure-protocols
#18
REVIEW
Christopher Rizk, Holly Monroe, Ida Orengo, Theodore Rosen
Background: Needlestickand sharps injuries are the leading causes of morbidity in the dermatologicfield. Among medical specialties, surgeons and dermatologists have the highest rates of needlestickand sharps injuries.The high rates of needlestickand sharps injuries in dermatology not only apply to physicians, but also to nurses, physician assistants, and technicians in the demnatologic field. Needlestickand sharps injuries are of great concern due to the monetary, opportunity, social, and emotional costs associated with their occurrence...
October 2016: Journal of Clinical and Aesthetic Dermatology
https://www.readbyqxmd.com/read/27830104/prevalence-of-needlestick-injury-and-its-potential-risk-among-veterinarians-in-nigeria
#19
Philip Paul Mshelbwala, J Scott Weese, Jibrin Manu Idris
A cross sectional study using multistage sampling method by means of structured interviewer administered questionnaire was designed to estimate the rate of occurrence of needlestick injuries among veterinarians involved in clinical practice and to evaluate needle handling practices and risk factors. The study was carried out during the months of August-November 2015. Out of the 215 veterinarians that participated in the survey, 171 (79.5%) reported to have suffered needlestick injuries (NSIs). In the multivariable model, only male sex (OR 2...
2016: Veterinary Medicine International
https://www.readbyqxmd.com/read/27794224/long-work-hours-and-chronic-insomnia-are-associated-with-needlestick-and-sharps-injuries-among-hospital-nurses-in-taiwan-a-national-survey
#20
Wen-Yen Lo, Shu-Ti Chiou, Nicole Huang, Li-Yin Chien
BACKGROUND: Needlestick and sharps injuries are prevalent work-related injuries among nurses. Safety devices prevent only one-quarter of related injuries. More studies of modifiable risk factors are needed. OBJECTIVES: To examine whether long work hours and chronic insomnia are associated with needlestick and sharps injuries among hospital nurses in Taiwan. DESIGN: Cross-sectional survey. SETTINGS/PARTICIPANTS: This analysis included 19,386 full-time bedside nurses working in 104 hospitals across Taiwan...
December 2016: International Journal of Nursing Studies
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