Fatores associados ao abandono do acompanhamento clínico – laboratorial após acidente de trabalho com material biológico

• Ano de defesa: 2018
• Autor(a) principal: Sardeiro, Tatiana Luciano
• Orientador(a): Tipple, Anaclara Ferreira Veiga
• Banca de defesa: Tipple, Anaclara Ferreira Veiga, Canini, Silvia Rita Marin da Silvia, Galdino Júnior, Hélio
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de Goiás
• Programa de Pós-Graduação: Programa de Pós-graduação em Enfermagem (FEN)
• Departamento: Faculdade de Enfermagem - FEN (RG)
• País: Brasil
• Palavras-chave em Português: Perda de seguimento; Profilaxia pós-exposição; Trabalhadores da saúde; Acidente de trabalho
• Palavras-chave em Inglês: Loss of follow-up; Post-exposure prophylaxis; Health workers; Occupation accident
• Área do conhecimento CNPq: CIENCIAS DA SAUDE::ENFERMAGEM
• Link de acesso: http://repositorio.bc.ufg.br/tede/handle/tede/8906

Clinical-laboratory follow-up after an accident with biological material should be performed at occupational exposures with a positive or unknown source. The objective of this study was to analyze the epidemiology of occupational accidents with exposure to biological material among health workers who abandoned clinical-laboratory follow-up. Cohort study developed from work accidents registered in the SINAN (National Institute of Public Health) Information System between 2006 and 2016 in the city of Goiania - Goias. Data were analyzed in Stata with descriptive and analytical statistics. During the study period, 7,265 accidents were reported. Of these, 2,104 exposures were analyzed and the majority of the workers were females, with completed high school and belonged to the nursing team. The accidents occurred mostly due to percutaneous injury (72.6%), involving lumen needles (56.1%) which were used for drug administration or vascular access puncture. In most exposures (60.1%) the resource person was known and the most recommended prophylaxis was chemoprophylaxis against VIH. The dropout rate of clinical and laboratory follow-up was 41.5%. In the multivariate analysis, it was observed that the chances of interruption of follow-up were higher among workers aged 40 or over, belonging to the nursing, dentistry and cleaning staff, who were not using personal protective equipment (apron) at the time of exposure, were injured by other objects that were not a lumen needle, were working on the books, had not been issued with a work accident report and refused chemoprophylaxis against VIH. It was also observed that the injured persons exposed during procedures in the laundry or in the washing of material presented less chance of drop-out. It is concluded that the interruption of follow-up is a multifactorial event, influenced by the care offered after the exposure, the support of the employer and the convictions of the injured.