While the care for an injured after a blood exposure accident in a hospital in the Netherlands in general is well arranged, outside the hospitals this is more difficult to organize, and therefore much is unknown.

To improve handling of blood exposure accidents outside the hospital setting, in 2006 a nationally operating telephone expert centre was established by a Dutch occupational service.

Methods
All occupational accidents in the Netherlands could be reported directly by the injured by telephone on a 24/7 basis. Based on a national protocol staff members made a risk estimation, and advised the injured about the appropriate measures that should be taken when necessary. Depending on the seriousness of the risk, if needed, collection of blood samples and administration of medication could be arranged in local hospitals.
All registered accidents in a tree-year period were analyzed on incidence and risk level per occupational branch. Also hepatitis B vaccination level, interval between accident and reporting, and the medical interventions taken by the expert centre were analyzed.

Results
Of 2929 reported accidents 2927 were eligible for analysis. Highest incidence rates were in private clinics and hospitals (68,5 and 54,3 accidents/1000 personyears, resp). Ambulance staff, midwife practices and private clinics reported more high risk accidents whereas penitentiary institutions often reported accidents with no risk at all. Hepatitis B vaccination levels in mental health care, penitentiary institutions occupational services and cleaners was low (<70%). Mental healthcare staff as well as private clinics and midwifes often reported late.

Conclusion
The nationally operating centre proved to be capable of organizing the handling blood exposure accidents. Several occupational branches in which the risks so far were not fully known showed that their staff has a serious risk for blood exposure accidents. In these branches more research is needed to explore these risks and design preventive measures.

Poster: Risk-estimation and handling of occupational blood exposure accidents by nationally operating telephone service in The Netherlands; 2007-2009.

Door: Peter M. Schneeberger1, Annemarie E. Meiberg2, Janet Warmelts2, Sander C.A.P. Leenders1, Paul T.L. van Wijk1,3
1 Department of Medical Microbiology and Infection prevention, Jeroen Bosch Hospital, ’s-Hertogenbosch, 2 365/PrikPunt Occupational Services, Utrecht, 3 Department of Medical Microbiology, Academic Medical Centre, Amsterdam, The Netherlands

Poster presentatie ICPIC 2011, Geneva, Switserland

 

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