Parcourir par tags

Tous les tags » Secteur des services de santé (RSS)
How to carry out microbiological sampling of healthcare environment surfaces?
A review of current evidence Background: There is increasing evidence that the hospital surface environment contributes to the spread of pathogens. However, evidence on how best to sample these surfaces is patchy and there is no guidance or legislation in place on how to do this. Aim: The aim of this review was to assess current literature on surface sampling methodologies, including the devices used, processing methods, the environmental and biological factors that might influence results. Methods: Studies published prior to March 2019 were selected using relevant keywords from ScienceDirect,...
NIOSH Reviews Scientific Literature on Infectious Diseases in the Workplace
NIOSH recently published a study conducting a review of infectious disease investigations in workplaces across the United States to better understand the range of cases, the risk factors for workers, and the ways to prevent infectious disease transmission on the job. Source : https://wwwnc.cdc.gov/eid/article/25/3/18-0708_article
INSPQ/Bulletin d'information toxicologique, volume 34, numéro 2
Ce numéro porte sur la toxicologie en milieu de travail. On y trouve, entre autres : Brûlure à l'acide fluorhydrique Décès reliés à une intoxication par le monoxyde de carbone en milieu de travail Cannabinoïdes synthétiques : le danger d'une exposition accidentelle Pratiques entourant la manipulation des médicaments dangereux dans les établissements de santé du Québec Source : https://www.inspq.qc.ca/toxicologie-clinique/numero-thematique-sur-la-toxicologie-en-milieu-de-travail
Infection Rates and Risk Factors for Infection Among Health Workers During Ebola and Marburg Virus Outbreaks
A Systematic Review Infection in health workers (HWs) has characterized outbreaks of Ebola virus disease (EVD) and Marburg virus disease (MVD). We conducted a systematic review to investigate infection and mortality rates and common exposure risks in HWs in EVD and MVD outbreaks. We searched the EMBASE and PubMed databases to identify articles posted before 27 December 2017, with no language restrictions. Data on the number, frequency, and mortality of HW infection and exposure risks were extracted. Ninety-four articles related to 22 outbreaks were included. HW infections composed 2%–100...
Development of a bar code-based exposure assessment method to evaluate occupational exposure to disinfectants and cleaning products
A pilot study Objective: Healthcare workers are highly exposed to various types of disinfectants and cleaning products. Assessment of exposure to these products remains a challenge. We aimed to investigate the feasibility of a method, based on a smartphone application and bar codes, to improve occupational exposure assessment among hospital/cleaning workers in epidemiological studies. Methods: A database of disinfectants and cleaning products used in French hospitals, including their names, bar codes and composition, was developed using several sources: ProdHyBase (a database of disinfectants managed...
Surveillance biologique de l’exposition professionnelle (SBEP) aux médicaments anticancéreux au sein d’un hôpital Mauritanien
Contexte: En Mauritanie, l'activité du Centre National d'Oncologie (CNO) n'a cessé de croître, entraînant une augmentation de la manipulation de médicaments anticancéreux (MAC). Dans ce contexte, la contamination des professionnels aux MAC a été évaluée. Méthodes: L'intervention s'est déroulée en 2015, dans 2 services de soins, et a évalué des infirmiers (IDE) préparant et administrant des MAC et des agents en charge de l'hygiène (AH). Chaque participant a...
Exposures to Volatile Organic Compounds among Healthcare Workers
Modeling the Effects of Cleaning Tasks and Product Use Objectives: Use of cleaning and disinfecting products is associated with work-related asthma among healthcare workers, but the specific levels and factors that affect exposures remain unclear. The objective of this study was to evaluate the determinants of selected volatile organic compound (VOC) exposures in healthcare settings. Methods: Personal and mobile-area air measurements (n = 143) from 100 healthcare workers at four hospitals were used to model the determinants of ethanol, acetone, 2-propanol, d-limonene, α-pinene, and chloroform...
Exposition professionnelle des personnels de santé hospitaliers aux médicaments cytotoxiques
Biométrologie et mesure de la contamination des surfaces Utilisés dans le traitement des cancers, les médicaments cytotoxiques présentent une toxicité intrinsèque, du fait de leurs propriétés génotoxiques, cancérogènes et tératogènes. Une étude réalisée dans 12 établissements hospitaliers, pour évaluer les expositions à ces substances, a montré que plus de la moitié des professionnels suivis avait des niveaux quantifiables de cytotoxiques dans leurs...
Risque d'accident exposant au sang lors des prélèvements veineux dans les laboratoires de biologie médicale de ville en 2015
Dix ans après une première étude sur le risque d'accidents exposant au sang (AES) lié aux prélèvements veineux dans les laboratoires de biologie médicale (LBM) de ville, une nouvelle enquête a été réalisée, utilisant la même méthodologie. Ont été inclus 22 LBM totalisant 337 sites. L'incidence des piqûres lors des prélèvements est de 3,5/100 équivalents temps plein préleveurs/an. Tous les matériels utilisés sont des systèmes...
Occupational exposure to electromagnetic fields from medical sources
High exposures to electromagnetic fields (EMF) can occur near certain medical devices in the hospital environment. A systematic assessment of medical occupational EMF exposure could help to clarify where more attention to occupational safety may be needed. This paper seeks to identify sources of high exposure for hospital workers and compare the published exposure data to occupational limits in the European Union. A systematic search for peer-reviewed publications was conducted via PubMed and Scopus databases. Relevant grey literature was collected via a web search. For each publication, the highest...
Soignants et médicaments cytotoxiques
Place de la biométrologie dans la maîtrise des risques dans le temps Les médicaments cytotoxiques utilisés dans les traitements des cancers présentent une toxicité intrinsèque, du fait de leurs propriétés génotoxiques, tératogènes et cancérigènes. Les professionnels de santé pouvant y être exposés, il est essentiel de garantir leur sécurité et de mettre en place des programmes d'évaluation des expositions pour documenter les expositions, juger de l'efficacité...
Assessment of safe antineoplastic drug handling practices in community pharmacies, veterinary settings and long-term care homes in Ontario
Antineoplastic drugs play an important role in cancer and other chronic disease treatment though a number of these drugs are known to have carcinogenic, mutagenic and teratogenic properties. Healthcare workers in hospitals and cancer treatment centres are typically identified as the largest job group known to be at risk. However, recently other job groups have also been identified as likely at risk due to direct or indirect exposure such as: community pharmacists including retail pharmacy workers, veterinarians and veterinarian technicians, nursing and other healthcare workers employed in long...
Association of hand and arm disinfection with asthma control in US nurses
Objectives: To investigate the association between occupational exposure to disinfectants/antiseptics used for hand hygiene and asthma control in nurses. Methods: In 2014, we invited female nurses with asthma drawn from the Nurses' Health Study II to complete two supplemental questionnaires on their occupation and asthma (cross-sectional study, response rate: 80%). Among 4055 nurses (mean age: 59 years) with physician-diagnosed asthma and asthma medication use in the past year, we examined asthma control, as defined by the Asthma Control Test (ACT). Nurses were asked about the daily frequency...
Self-reported occupational blood exposure among paramedics in Poland: a pilot study
Introduction. Paramedics are at risk of occupational blood exposure, increased by the immediacy of provided treatment. However, the issue has not been acknowledged to date by any research in Europe. Methods. This research aimed at assessing occupational blood exposure among paramedics in Poland. Respondents represented 21 Polish medical institutions. Their participation was voluntary and anonymous. Paramedics were provided with a self-directed job-specific questionnaire adapted to Polish conditions from an original US version. Results. 118 paramedics participated in the study from institutions...
Illicit Drug Exposure
Emergency medical services (EMS) providers, firefighters, and law enforcement personnel are among those who may encounter illicitly-manufactured drugs during their work. Given the potential for exposure to these drugs and the hazardous substances used to produce them, it is important that workers in these industries understand how to protect themselves. The Worker Training Program (WTP) has developed an awareness-level training tool on the prevention of occupational exposure to fentanyl and other opioids. Several WTP awardees have also developed training courses for workers who may be involved...
Environmental and biological measurements of isoflurane and sevoflurane in operating room personnel
Purpose: The present study aimed to compare the concentration of isoflurane and sevoflurane in the individual's breathing zone and ambient air of operating rooms (ORs), to investigate the correlation between breathing zone levels and urinary concentrations, and to evaluate the ORs pollution in the different working hours and weeks. Methods: Environmental and biological concentrations of isoflurane and sevoflurane were evaluated at 9ORs. Air samples were collected by active sampling method and urine samples were collected from each subject at the end of the work shift. All samples were analyzed...
Base de données EFICATT
La base de données EFICATT "Exposition fortuite à un agent infectieux et conduite à tenir en milieu de travail » est un outil créé à l'initiative du département Etudes et assistance médicales de l'INRS, en collaboration avec le GERES (Groupe d'étude sur le risque d'exposition des soignants aux agents infectieux). Cet outil, destiné aux professionnels de santé, en particulier aux médecins du travail, leur apporte une aide lorsqu'ils sont confrontés à une situation à...
Use of Bloodborne Pathogens Exposure Control Plans in Private Dental Practices
Results and Clinical Implications of a National Survey Dental healthcare workers (DHWs) are at risk for occupational exposure to bloodborne pathogens (BBPs). The Occupational Safety and Health Administration Bloodborne Pathogens Standard requires employers to have a written exposure control plan (ECP) detailing methods and means to reduce and manage occupational BBP exposures. Because little information is available on whether ECPs are created and used, the National Institute for Occupational Safety and Health and the Organization for Safety, Asepsis and Prevention conducted an online survey to...
Fentanyl Exposure Risks for Law Enforcement and Emergency Response Workers
Fentanyl is a powerful synthetic drug that is similar to morphine and heroin, but is 50 to 100 times more potent. Fentanyl and its analogs, such as carfentanil, can pose a potential hazard to law enforcement, emergency medical personnel, and firefighters who could come into contact with these drugs through the course of their work day. While there are important questions about the risks of different types of exposures (and resultant health effects) that might occur during law enforcement and emergency response activities, workers involved in these types of activities leading to potential exposures...
Exposure control practices for administering nitrous oxide
A survey of dentists, dental hygienists, and dental assistants Engineering, administrative, and work practice controls have been recommended for many years to minimize exposure to nitrous oxide during dental procedures. To better understand the extent to which these exposure controls are used, the NIOSH Health and Safety Practices Survey of Healthcare Workers was conducted among members of professional practice organizations representing dentists, dental hygienists and dental assistants. The anonymous, modular, web-based survey was completed by 284 dental professionals in private practice who administered...
Reasons why nurses decline influenza
A qualitative study Background: To explore reasons of non-vaccinated nursing staff for declining seasonal influenza vaccination. The annual influenza vaccination of healthcare workers reduces morbidity and mortality among vulnerable patients. Still, vaccination rates remain very low, particularly in nursing staff. While several studies have explored barriers for healthcare workers to get vaccinated, most have used a quantitative approach. Methods: Data were collected by in-depth individual semi-structured interviews with 18 nurses from a range of fields, positions in organizational hierarchy, work...
Health problems and disinfectant product exposure among staff at a large multispecialty hospital
Background: Hospital staff expressed health concerns after a surface disinfectant product containing hydrogen peroxide, peracetic acid, and acetic acid was introduced. We sought to determine if this product posed a health hazard. Methods: An interviewer-administered questionnaire on work and health characteristics was completed by 163 current staff. Symptoms that improved away from work were considered work-related. Forty-nine air samples were taken for hydrogen peroxide, peracetic acid, and acetic acid. Prevalence ratios (PRs) were calculated using Poisson regression, and standardized morbidity...
Recommandations du SERTIH concernant l’évaluation et le suivi des soignants infectés par le VIH
Ce document fait état des recommandations québécoises concernant l'évaluation et le suivi des soignants infectés par le virus de l'immunodéficience humaine (VIH). Il servira de référence aux experts des comités d'évaluation du Service d'évaluation des risques de transmission d'infections hématogènes (SERTIH). Ces recommandations établies par le Comité scientifique SERTIH-VIH permettent d'encadrer la pratique d'actes à risque de transmission (ART) chez des soignants...
Exposition des professionnels médicaux aux rayonnements ionisants et risque de cancer
Les expositions aux rayonnements ionisants (RI) à forte dose ont été reconnues comme facteur de risque de cancers (1). Les effets à long terme des rayonnements ionisants à faibles et moyennes doses restent débattus. De nombreuses études épidémiologiques portant sur le suivi des survivants des bombardements d’Hiroshima et de Nagasaki et sur le suivi des travailleurs exposés aux RI ont montré des augmentations de risque de cancer et de pathologies cardiovasculaires (2). Les professionnels de santé, notamment...
Chromosomal aberrations, sister chromatid exchanges, and micronuclei in lymphocytes of oncology department personnel handling anti-neoplastic drugs
Objective: Concern exists regarding the possible hazards to the personnel handling anti-neoplastic drugs. The purpose of the present study was to assess the genotoxicity induced by anti-neoplastic agents in oncology department personnel. Materials and methods: To do this, the frequency of chromosomal aberrations (CAs) induced in peripheral blood lymphocytes was assessed at G0 phase of the cell cycle using metaphase analysis, cytokinesis block-micronucleus (MN) assay and sister chromatid exchange (SCE) assay. These cytogenetic end points were measured among 71 nurses in oncology department and 10...
Plus de Messages Page suivante »

Abonnement courriel

Messages récents

Catégories

Mots-Clés (Tags)

Blogoliste

Archives