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Results for “Needlestick Injuries”

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At least 1,279 records · Page 71Linked to original sources
PubMed2005

Occupational hazards.

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Acquired Immunodeficiency Syndrome↗
PubMed2000

Bone-screw mandible fixation: an intraoperative alternative to arch bars.

OBJECTIVES: Bone-screw mandible fixation (BSMF) is evaluated as an alternative to intraoperative arch-bar maxillomandibular fixation before plating of mandibular fractures. BSMF is achieved by wire ligation of opposing bone-screws placed in the maxilla and mandible. METHODS: A retrospective evaluation of 23 patients with 40 mandibular fractures who underwent mandibular fracture repairs. BSMF was used instead of arch bars to ensure proper dental occlusion. All fractures were then plated, after which BSMF was removed before termination of anesthesia. RESULTS: Normal occlusion was observed in 21 patients (91.3%), Class II malocclusion was noted in 1 patient (4. 3%), and 1 patient was edentulous. No complications related to the use of BSMF were observed. CONCLUSION: BSMF can serve as a viable alternative to arch-bar maxillomandibular fixation for obtaining temporary intraoperative occlusion. BSMF produces acceptable malocclusion rates and offers the advantages of decreased intraoperative time, lower risk for percutaneous and mucosal wire punctures, and ease of use.

Accidents, Occupational↗
PubMed2000

Health care workers' experience with postexposure management of bloodborne pathogen exposures: a pilot study.

PURPOSE: This descriptive study of health care workers enrolled in a postexposure bloodborne pathogen management program had 3 goals: (1) to characterize their exposure incidents, (2) to assess health care workers' experience with the program, and (3) to identify strategies to improve the management of exposure incidents. METHODS: A confidential, self-administered, 5-page survey was mailed to 150 hospital employees who were recently evaluated in the employee health clinic for a blood/body fluid exposure. RESULTS: Sixty-five usable surveys were returned to the study office, representing a 43% response rate. Although the majority of the employees enrolled in the postexposure management program were generally satisfied with the overall quality of care they received, many respondents perceived a lack of social support during the lengthy follow-up period. Long-term distress related to the exposure was not uncommon. The respondents' suggestions for improvement focused on the need for department managers to become more personally involved when their staff members have an exposure incident. CONCLUSION: These qualitative data suggest that additional studies are needed to assess both the short-term and long-term impact of exposure incidents on the health and well being of affected health care workers. In addition, because of a paucity of information in this area, studies are needed to assess both the effectiveness of the United States Public Health Service recommendations for postexposure management and the degree to which they have been implemented by health care facilities.

Adult↗
PubMed2001

Superior oblique overaction from local anesthesia for cataract surgery.

Traumatic superior oblique dysfunction from cataract surgery appears to be rare, with only 3 reported cases of postoperative Brown syndrome and 1 reported case of postoperative superior oblique weakness. We are not aware of any prior reports of superior oblique overaction occurring after cataract surgery. We describe a patient with acquired superior oblique overaction as a cause of vertical strabismus after cataract surgery. Ocular torsion analysis was essential in localizing the malfunction to the superior oblique muscle. The most likely etiology is myotoxicity from inadvertent intramuscular injection of local anesthetic before cataract surgery.

Anesthesia, Local↗
PubMed1995

An ergonomic evaluation of dexterity and tactility with increase in examination/surgical glove thickness.

Latex gloves of five different thicknesses (0.21 mm, 0.51 mm, 0.65 mm, 0.76 mm, and 0.83 mm) were manufactured in-house and tested for dexterity and tactility; dexterity and tactility measures with the bare hand were used as control values. Fifteen adult males (mean age = 22.8 years, mean stature = 179 cm, mean body weight = 75.4 kg, mean palm width = 9.9 cm, mean palm depth = 10.9 cm, and mean middle finger length = 9 cm) and five adult females (mean age = 21.2 years, mean stature = 168 cm, mean body weight = 53.6 kg, mean palm width = 8 cm, mean palm depth = 8 cm, and mean middle finger length = 8.3 cm) voluntarily participated. The gloves also were tested for punctures resulting from impact forces encountered during routine hand movements. The results indicated that the latex glove with 0.83 mm thickness successfully resisted routine impact forces and at the same time provided dexterity and tactility comparable to the bare hand. Thinner gloves failed the impact test and punctured. This indicates that it is possible to greatly reduce the incidence of exposure to contaminated body fluids through accidental needlesticks without compromising the preferred hand's capabilities.

Blood-Borne Pathogens↗
PubMed2001

Neonatal salivary cortisol in response to heelstick: method modifications enable analysis of low concentrations and small sample volumes.

Measuring cortisol in saliva offers important advantages compared to measurement in plasma or serum. However, the sampling procedure and also the detection limit cause problems, especially in paediatric and neonatal care. We describe a simple and efficient sampling procedure, together with a modification of a radioimmunoassay, which enables analysis of low (down to 1 nmol/L) concentrations of salivary cortisol (10 times lower detection limit than in the original procedure). This setting was used in studying salivary cortisol concentrations before and after heelstick on healthy newborn infants. A significant rise (median 81%; p<0.01) in salivary cortisol as response to this invasive stressor was noted.

Adrenal Glands↗