Acidentes com material biológico entre trabalhadores da área da saúde da região metropolitana de Goiânia-GO: uma análise de 25 anos de registros
Ano de defesa: | 2016 |
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Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | , , , , |
Tipo de documento: | Tese |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Universidade Federal de Goiás
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Programa de Pós-Graduação: |
Programa de Pós-graduação em Enfermagem (FEN)
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Departamento: |
Faculdade de Enfermagem - FEN (RG)
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País: |
Brasil
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Palavras-chave em Português: | |
Palavras-chave em Inglês: | |
Área do conhecimento CNPq: | |
Link de acesso: | http://repositorio.bc.ufg.br/tede/handle/tede/6182 |
Resumo: | Accidents with biological material are reportable events, health care workers (TAS), victims of these accidents may be exposed to the hepatitis B and C and HIV, among others. The aims of this study were: to analyze the epidemiology of occupational accidents with biological material among health care workers of the metropolitan area of Goiania-GO (general); describe the socio-demographic and occupational profile of health care workers, victims of occupational accidents with biological material; describe the profile of accidents with biological material among health care workers; characterize the adoption of pre-exposure behaviours related to the latest accident; identify the serological status related to hepatitis B, C and HIV in victims of occupational accidents involving biological material and source patients, and establish the demographic and employment factors associated with the occurrence of multiple accidents among health care workers of the metropolitan area of Goiania-GO. Epidemiological Cross and analytical study which included all registration records of accidents involving biological material of HCW from two sources: A - records of injured HCW in a reference hospital for notification in Goiania, from the first record in 1989 to 2010, and B - records of Sinan, including the first record in 2006 until those available at 31/12/2014. Linkage of databases was performed and data analyzed using the Statistical Package for Social Sciences (SPSS). Socio-demographic and employment variables were the predictor variables and have suffered more than one accident, the outcome. Univariate analysis was performed and variables with P<0.10 were included in a logistic regression model. Ethical precepts were followed (Approval Ethics Committees: 033/2010 and 414.258/2013). A total of 11,536 accidents were recorded from 1989 to December 2014. Of these, 9,575 (83.0%) occurred among HCW and the majority was female. It was found that 665 (7.5%) of the HCW experienced more than one accident, while 70 (0.8%) experienced three or more accidents, totaling 8,825 victims. Nursing staff, auxiliary cleaning, physician, and dental and laboratory teams were the ones who were more frequently hurted, respectively. Most of the victims had completed high school (3,719 (48.0%). Blood/serum/plasma were the biological materials found to be the most involved (6,480/67.7%), at the time of administering medications/vascular access puncture occurring in 2.759 (28.9%), and involving needles with and without lumen in 6,097 (63.7%). A total of 6,653 (75.4%) HCW were vaccinated for hepatitis B. Incomplete information on Sinan records such as, use of PPE (gloves, masks, boots and safety glasses) and serological markers (HBsAg; Anti-HBs, Anti-HCV and Anti-HIV) was found to be the major factor that hampered data analysis. Age, type of material, and organic fluid were predictors risk factor for multiple accidents involving biological material among health care workers. |
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Tipple, Anaclara Ferreira Veigahttp://lattes.cnpq.br/4288704233343920Oliveira, Adriana Cristina deSouza, Adenícia Custódia Silva ePereira, Milca SeverinoMendonça, Katiane MartinsTipple, Anaclara Ferreira Veigahttp://lattes.cnpq.br/2471644951216820Neves, Zilah Cândida Pereira das2016-09-12T14:30:18Z2016-03-30NEVES, Z.C. P. das. Acidentes com material biológico entre trabalhadores da área da saúde da região metropolitana de Goiânia-GO: uma análise de 25 anos de registros. 2016. 174 f. Tese (Doutorado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2016.http://repositorio.bc.ufg.br/tede/handle/tede/6182Accidents with biological material are reportable events, health care workers (TAS), victims of these accidents may be exposed to the hepatitis B and C and HIV, among others. The aims of this study were: to analyze the epidemiology of occupational accidents with biological material among health care workers of the metropolitan area of Goiania-GO (general); describe the socio-demographic and occupational profile of health care workers, victims of occupational accidents with biological material; describe the profile of accidents with biological material among health care workers; characterize the adoption of pre-exposure behaviours related to the latest accident; identify the serological status related to hepatitis B, C and HIV in victims of occupational accidents involving biological material and source patients, and establish the demographic and employment factors associated with the occurrence of multiple accidents among health care workers of the metropolitan area of Goiania-GO. Epidemiological Cross and analytical study which included all registration records of accidents involving biological material of HCW from two sources: A - records of injured HCW in a reference hospital for notification in Goiania, from the first record in 1989 to 2010, and B - records of Sinan, including the first record in 2006 until those available at 31/12/2014. Linkage of databases was performed and data analyzed using the Statistical Package for Social Sciences (SPSS). Socio-demographic and employment variables were the predictor variables and have suffered more than one accident, the outcome. Univariate analysis was performed and variables with P<0.10 were included in a logistic regression model. Ethical precepts were followed (Approval Ethics Committees: 033/2010 and 414.258/2013). A total of 11,536 accidents were recorded from 1989 to December 2014. Of these, 9,575 (83.0%) occurred among HCW and the majority was female. It was found that 665 (7.5%) of the HCW experienced more than one accident, while 70 (0.8%) experienced three or more accidents, totaling 8,825 victims. Nursing staff, auxiliary cleaning, physician, and dental and laboratory teams were the ones who were more frequently hurted, respectively. Most of the victims had completed high school (3,719 (48.0%). Blood/serum/plasma were the biological materials found to be the most involved (6,480/67.7%), at the time of administering medications/vascular access puncture occurring in 2.759 (28.9%), and involving needles with and without lumen in 6,097 (63.7%). A total of 6,653 (75.4%) HCW were vaccinated for hepatitis B. Incomplete information on Sinan records such as, use of PPE (gloves, masks, boots and safety glasses) and serological markers (HBsAg; Anti-HBs, Anti-HCV and Anti-HIV) was found to be the major factor that hampered data analysis. Age, type of material, and organic fluid were predictors risk factor for multiple accidents involving biological material among health care workers.Os acidentes com material biológico são eventos de notificação compulsória. Os trabalhadores da área da saúde (TAS), vítimas desses acidentes, podem se expor aos vírus das hepatites B e C e HIV, dentre outros. Foram objetivos deste estudo: analisar a epidemiologia dos acidentes ocupacionais com material biológico entre trabalhadores de serviços de saúde, da região metropolitana de Goiânia-GO (geral); descrever o perfil sociodemográfico e laboral dos trabalhadores de serviços de saúde, vítimas de acidentes ocupacionais com material biológico; descrever o perfil dos acidentes com material biológico entre trabalhadores dos serviços de saúde; caracterizar a adoção das condutas pré-exposição relacionadas ao último acidente; identificar a situação sorológica referente às hepatites B, C e HIV, das vítimas de acidentes ocupacionais com material biológico e dos pacientes-fonte e estabelecer os fatores sociodemográficos e laborais associados à ocorrência de múltiplos acidentes entre trabalhadores de serviços de saúde da região metropolitana de Goiânia-GO (específicos). Estudo epidemiológico, transversal e analítico no qual foram incluídas todas as fichas de registro de acidentes de trabalho com material biológico de TAS a partir de duas fontes, A prontuários de TAS acidentados em um hospital de referência para notificação no município de Goiânia, desde o primeiro registro em 1989 até 2010 e B - fichas do Sinan, incluindo o primeiro registro em 2006, até os disponíveis em 31/12/2014. Foi realizado o Linkage dos bancos de dados que foram processados e analisados no Statistical Package for the Social Sciences (SPSS). As variáveis sociodemográficas e laborais foram as variáveis preditoras e ter sofrido mais de um acidente, o desfecho. Foi realizada a análise univariada, e as variáveis que apresentaram valor de p < 0,10 foram incluídas em um modelo de regressão logística. Preceitos éticos foram seguidos (aprovações em Comitês de Ética: 033/2010 e 414.258/2013). Foram registrados 11.536 acidentes, no período de 1989 a dezembro de 2014. Destes registros, 9.575 (83,0%) ocorreram entre os trabalhadores da área de saúde e a maioria era do sexo feminino. Verificou-se que 665 (7,5%) TAS sofreram mais de um acidente, 70 (0,8%) apresentaram três ou mais acidentes, perfazendo 8.825 vítimas. A equipe de enfermagem, o auxiliar de limpeza, médicos e a equipe de odontologia e de laboratório foram os que mais se acidentaram, respectivamente. A maioria das vítimas possuía o ensino médio completo 3.719 (48,0%). O sangue/soro/plasma foram os materiais biológicos mais envolvidos 6.480(67,7%), no momento de administrar medicamentos/punção de acesso vascular em 2.759 (28,9%), com o envolvimento de agulhas com e sem lúmen em 6.097 (63,7%). Em 6.653 (75,4%) dos TAS vacinaram para hepatite B. Para várias informações, predominou a falta de registro nas fichas do Sinan que dificultou a análise: uso dos EPI (luvas, máscaras, botas e óculos) e marcadores sorológicos (HBSAG; Anti-HBs, AntiHCV e o Anti-HIV). Verificou-se que idade, tipo de material, fluido orgânico foram fatores de risco preditores para múltiplos acidentes envolvendo material biológico, entre os trabalhadores dos serviços de saúde.Submitted by Erika Demachki (erikademachki@gmail.com) on 2016-09-09T17:59:04Z No. of bitstreams: 2 Tese - Zilah Cândida Pereira das Neves - 2016.pdf: 2900186 bytes, checksum: cfefb1ed9137da82dc5cb133b19682f5 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2016-09-12T14:30:18Z (GMT) No. of bitstreams: 2 Tese - Zilah Cândida Pereira das Neves - 2016.pdf: 2900186 bytes, checksum: cfefb1ed9137da82dc5cb133b19682f5 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Made available in DSpace on 2016-09-12T14:30:18Z (GMT). No. of bitstreams: 2 Tese - Zilah Cândida Pereira das Neves - 2016.pdf: 2900186 bytes, checksum: cfefb1ed9137da82dc5cb133b19682f5 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Previous issue date: 2016-03-30application/pdfporUniversidade Federal de GoiásPrograma de Pós-graduação em Enfermagem (FEN)UFGBrasilFaculdade de Enfermagem - FEN (RG)http://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessExposição ocupacionalExposição a agentes biológicosNotificação de acidentes de trabalhoFerimentos penetrantes produzidos por agulhaPatógenos transmitidos pelo sangueOccupational exposureExposure to biological agentsOccupational accidents registryNeedlestick injuriesBlood-borne pathogensCIENCIAS DA SAUDE::ENFERMAGEMAcidentes com material biológico entre trabalhadores da área da saúde da região metropolitana de Goiânia-GO: uma análise de 25 anos de registrosAccidents with biological material among health care workers in the metropolitan area of Goiânia-GO: an analysis of 25 years of recordsinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesis45061628303650419816006006002756753233336908714-7702826533010964327reponame:Repositório Institucional da UFGinstname:Universidade Federal de Goiás (UFG)instacron:UFGLICENSElicense.txtlicense.txttext/plain; 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dc.title.por.fl_str_mv |
Acidentes com material biológico entre trabalhadores da área da saúde da região metropolitana de Goiânia-GO: uma análise de 25 anos de registros |
dc.title.alternative.eng.fl_str_mv |
Accidents with biological material among health care workers in the metropolitan area of Goiânia-GO: an analysis of 25 years of records |
title |
Acidentes com material biológico entre trabalhadores da área da saúde da região metropolitana de Goiânia-GO: uma análise de 25 anos de registros |
spellingShingle |
Acidentes com material biológico entre trabalhadores da área da saúde da região metropolitana de Goiânia-GO: uma análise de 25 anos de registros Neves, Zilah Cândida Pereira das Exposição ocupacional Exposição a agentes biológicos Notificação de acidentes de trabalho Ferimentos penetrantes produzidos por agulha Patógenos transmitidos pelo sangue Occupational exposure Exposure to biological agents Occupational accidents registry Needlestick injuries Blood-borne pathogens CIENCIAS DA SAUDE::ENFERMAGEM |
title_short |
Acidentes com material biológico entre trabalhadores da área da saúde da região metropolitana de Goiânia-GO: uma análise de 25 anos de registros |
title_full |
Acidentes com material biológico entre trabalhadores da área da saúde da região metropolitana de Goiânia-GO: uma análise de 25 anos de registros |
title_fullStr |
Acidentes com material biológico entre trabalhadores da área da saúde da região metropolitana de Goiânia-GO: uma análise de 25 anos de registros |
title_full_unstemmed |
Acidentes com material biológico entre trabalhadores da área da saúde da região metropolitana de Goiânia-GO: uma análise de 25 anos de registros |
title_sort |
Acidentes com material biológico entre trabalhadores da área da saúde da região metropolitana de Goiânia-GO: uma análise de 25 anos de registros |
author |
Neves, Zilah Cândida Pereira das |
author_facet |
Neves, Zilah Cândida Pereira das |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Tipple, Anaclara Ferreira Veiga |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/4288704233343920 |
dc.contributor.referee1.fl_str_mv |
Oliveira, Adriana Cristina de |
dc.contributor.referee2.fl_str_mv |
Souza, Adenícia Custódia Silva e |
dc.contributor.referee3.fl_str_mv |
Pereira, Milca Severino |
dc.contributor.referee4.fl_str_mv |
Mendonça, Katiane Martins |
dc.contributor.referee5.fl_str_mv |
Tipple, Anaclara Ferreira Veiga |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/2471644951216820 |
dc.contributor.author.fl_str_mv |
Neves, Zilah Cândida Pereira das |
contributor_str_mv |
Tipple, Anaclara Ferreira Veiga Oliveira, Adriana Cristina de Souza, Adenícia Custódia Silva e Pereira, Milca Severino Mendonça, Katiane Martins Tipple, Anaclara Ferreira Veiga |
dc.subject.por.fl_str_mv |
Exposição ocupacional Exposição a agentes biológicos Notificação de acidentes de trabalho Ferimentos penetrantes produzidos por agulha Patógenos transmitidos pelo sangue |
topic |
Exposição ocupacional Exposição a agentes biológicos Notificação de acidentes de trabalho Ferimentos penetrantes produzidos por agulha Patógenos transmitidos pelo sangue Occupational exposure Exposure to biological agents Occupational accidents registry Needlestick injuries Blood-borne pathogens CIENCIAS DA SAUDE::ENFERMAGEM |
dc.subject.eng.fl_str_mv |
Occupational exposure Exposure to biological agents Occupational accidents registry Needlestick injuries Blood-borne pathogens |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::ENFERMAGEM |
description |
Accidents with biological material are reportable events, health care workers (TAS), victims of these accidents may be exposed to the hepatitis B and C and HIV, among others. The aims of this study were: to analyze the epidemiology of occupational accidents with biological material among health care workers of the metropolitan area of Goiania-GO (general); describe the socio-demographic and occupational profile of health care workers, victims of occupational accidents with biological material; describe the profile of accidents with biological material among health care workers; characterize the adoption of pre-exposure behaviours related to the latest accident; identify the serological status related to hepatitis B, C and HIV in victims of occupational accidents involving biological material and source patients, and establish the demographic and employment factors associated with the occurrence of multiple accidents among health care workers of the metropolitan area of Goiania-GO. Epidemiological Cross and analytical study which included all registration records of accidents involving biological material of HCW from two sources: A - records of injured HCW in a reference hospital for notification in Goiania, from the first record in 1989 to 2010, and B - records of Sinan, including the first record in 2006 until those available at 31/12/2014. Linkage of databases was performed and data analyzed using the Statistical Package for Social Sciences (SPSS). Socio-demographic and employment variables were the predictor variables and have suffered more than one accident, the outcome. Univariate analysis was performed and variables with P<0.10 were included in a logistic regression model. Ethical precepts were followed (Approval Ethics Committees: 033/2010 and 414.258/2013). A total of 11,536 accidents were recorded from 1989 to December 2014. Of these, 9,575 (83.0%) occurred among HCW and the majority was female. It was found that 665 (7.5%) of the HCW experienced more than one accident, while 70 (0.8%) experienced three or more accidents, totaling 8,825 victims. Nursing staff, auxiliary cleaning, physician, and dental and laboratory teams were the ones who were more frequently hurted, respectively. Most of the victims had completed high school (3,719 (48.0%). Blood/serum/plasma were the biological materials found to be the most involved (6,480/67.7%), at the time of administering medications/vascular access puncture occurring in 2.759 (28.9%), and involving needles with and without lumen in 6,097 (63.7%). A total of 6,653 (75.4%) HCW were vaccinated for hepatitis B. Incomplete information on Sinan records such as, use of PPE (gloves, masks, boots and safety glasses) and serological markers (HBsAg; Anti-HBs, Anti-HCV and Anti-HIV) was found to be the major factor that hampered data analysis. Age, type of material, and organic fluid were predictors risk factor for multiple accidents involving biological material among health care workers. |
publishDate |
2016 |
dc.date.accessioned.fl_str_mv |
2016-09-12T14:30:18Z |
dc.date.issued.fl_str_mv |
2016-03-30 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/doctoralThesis |
format |
doctoralThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
NEVES, Z.C. P. das. Acidentes com material biológico entre trabalhadores da área da saúde da região metropolitana de Goiânia-GO: uma análise de 25 anos de registros. 2016. 174 f. Tese (Doutorado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2016. |
dc.identifier.uri.fl_str_mv |
http://repositorio.bc.ufg.br/tede/handle/tede/6182 |
identifier_str_mv |
NEVES, Z.C. P. das. Acidentes com material biológico entre trabalhadores da área da saúde da região metropolitana de Goiânia-GO: uma análise de 25 anos de registros. 2016. 174 f. Tese (Doutorado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2016. |
url |
http://repositorio.bc.ufg.br/tede/handle/tede/6182 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.program.fl_str_mv |
4506162830365041981 |
dc.relation.confidence.fl_str_mv |
600 600 600 |
dc.relation.department.fl_str_mv |
2756753233336908714 |
dc.relation.cnpq.fl_str_mv |
-7702826533010964327 |
dc.rights.driver.fl_str_mv |
http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
http://creativecommons.org/licenses/by-nc-nd/4.0/ |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Federal de Goiás |
dc.publisher.program.fl_str_mv |
Programa de Pós-graduação em Enfermagem (FEN) |
dc.publisher.initials.fl_str_mv |
UFG |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
Faculdade de Enfermagem - FEN (RG) |
publisher.none.fl_str_mv |
Universidade Federal de Goiás |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UFG instname:Universidade Federal de Goiás (UFG) instacron:UFG |
instname_str |
Universidade Federal de Goiás (UFG) |
instacron_str |
UFG |
institution |
UFG |
reponame_str |
Repositório Institucional da UFG |
collection |
Repositório Institucional da UFG |
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repository.name.fl_str_mv |
Repositório Institucional da UFG - Universidade Federal de Goiás (UFG) |
repository.mail.fl_str_mv |
tasesdissertacoes.bc@ufg.br |
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1798044948675690496 |