Needlestick and sharp instrument injuries among dentists in Montes Claros, Brazil

  • Andréa Maria Eleutério Barros de Lima Martins Montes Claros State University - Unimontes
  • Nívea Carla Santos
  • Marta Élide Dias de Lima
  • Rodrigo Dantas Pereira Federal University of Uberlândia - UFU
  • Raquel Conceição Ferreira Montes Claros State University - Unimontes

Resumo

Percutaneous injuries are a common problem among dentists, who are among the healthcare professionals most involved in occupational accidents. This study evaluated the prevalence and characteristics of needlestick and sharp instrument injuries and the factors associated with these accidents among dentists. Structured, self-administered questionnaires were distributed to all dentists currently working in Montes Claros, Brazil. Percutaneous injuries within the previous six months and during the course of professional life were reported by 19.1% and 81.3%, respectively. The instrument most frequently mentioned was the bur, and injuries involved the finger; 56.3% reported the presence of bleeding, while 51.5% reported a compliance with the post-exposure protocol. Associated factors included sex, age, marital status, consumers of alcohol, hours worked per day, the use of gloves and mask 100% of the time, report of breaks taken during working
hours, and knowledge about the post-exposure protocol. A higher prevalence of accidents occurred among dentists who were women, who were older aged, who drank alcohol, and who were unmarried. The list also
included those who worked longer than 8 hours per day, did not take breaks during working hours, used masks 100% of the time, did not wear gloves all the time, and did not know the Brazilian post-exposure protocol.
Uniterms: Dentists. Occupational health. Injuries.

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Biografia do Autor

Andréa Maria Eleutério Barros de Lima Martins, Montes Claros State University - Unimontes

Department of Dentistry, Montes Claros State University (Unimontes), Montes Claros, MG, Brazil

Course of Dentistry, Unidas do Norte de Minas Colleges (Funorte), Montes Claros, MG, Brazil

Nívea Carla Santos
Dental Surgeon
Marta Élide Dias de Lima
Dental Surgeon
Rodrigo Dantas Pereira, Federal University of Uberlândia - UFU
Graduate Program in Dentistry, Federal University of Uberlândia (UFU), Uberlândia, MG, Brazil
Raquel Conceição Ferreira, Montes Claros State University - Unimontes

Department of Dentistry, Montes Claros State University (Unimontes), Montes Claros, MG, Brazil

Course of Dentistry, Unidas do Norte de Minas Colleges (Funorte), Montes Claros, MG, Brazil

Referências

1. Ramos-Gomez F, Ellison J, Greenspan D, Bird W, Lowe S, Gerberding JL. Accidental exposures to blood and body fluids among health care workers in dental teaching clinics: a prospective study. J Am Dent Assoc. 1997;
128:253-61.
2. Caixeta RB, Barbosa-Branco A. Work-related accidents, with biological materials in health care workers in public hospitals in Brasilia, Brazil, 2002/2003. Cad Saúde Pública. 2005; 21:737-
46.
3. Bellissimo-Rodrigues WT, Bellissimo-Rodrigues F, Machado AA. Occupational exposure to biological fluids among a cohort of Brazilian
dentists. Int Dent J. 2006; 56:332-7.
4. McCarthy GM, Koval JJ, MacDonald JK. Occupational injuries and exposures among Canadian dentists: the results of a national
survey. Infect Control Hosp Epidemiol. 1999; 20:331-6.
5. Siew C, Gruninger SE, Miaw CL, Neidle EA. Percutaneous injuries in practicing dentists: a prospective study using a 20-day diary. J Am
Dent Assoc. 1995; 126:1227-34.
6. Leggat PA, Smith DR. Prevalence of percutaneous exposure incidents amongst dentists in Queensland. Aust Dent J. 2006;
51:158-61.
7. Naidoo S. Dentists and cross-infection. J Dent Assoc S Afr. 1997; 52:165-7.
8. Yengopal V, Naidoo S, Chikte UM. Infection control among dentists in private practice in Durban. SADJ. 2001; 56:580-4.
9. Vignarajah S, Eastmond VH, Ashraph A, Rashad M. An assessment of cross-infection control procedures among English-speaking
Caribbean general dental practitioners: a regional preliminary study. Int Dent J. 1998; 48:67-76.
10. Chowanadisai S, Kukiattrakoon B, Yapong B, Kedjarune U, Leggat PA. Occupational health problems of dentists in southern Thailand. Int
Dent J. 2000; 50:36-40.
11. Adegboye AA, Moss GB, Soyinka F, Kreiss JK. The epidemiology of needlestick and sharp instrument accidents in a Nigerian hospital.
Infect Control Hosp Epidemiol. 1994; 15:27-31.
12. Sepkowitz KA. Occupationally acquired infections in health care workers. Part II. Ann Intern Med. 1996; 125:917-28.
13. Sulkowski MS, Ray SC, Thomas DL. Needlestick transmission of hepatitis C. JAMA. 2002; 287:2406-13.
14. Henderson DK, Fahey BJ, Willy M, Schmitt JM, Carey K, Koziol DE, et al. Risk for occupational transmission of human immunodeficiency virus type 1 (HIV-1) associated with clinical
exposures. A prospective evaluation. Ann Intern Med. 1990; 113:740-6.
15. Gibson GB, Noble MA, MacFadyen EE. A pilot survey on compliance with recommended infection control procedures in ninety dental practices in New Zealand. Int Dent J. 1995; 45:279-81.
16. Martins AM, Barreto SM. Hepatitis B vaccination among dentists surgeons. Rev Saúde Pública. 2003; 37:333-8.
17. Cleveland JL, Lockwood SA, Gooch BF, Chamberland ME, Valauri DV, Roistacher SL, et al. Percutaneous injuries in dentistry: an
observational study. J Am Dent Assoc. 1995; 126:745-51.
18. Shah SM, Merchant AT, Dosman JA. Percutaneous injuries among dental professionals in Washington State. BMC Public
Health. 2006; 6:269.
19. Cleveland JL, Barker L, Gooch BF, Beltrami EM, Cardo D. Use of HIV postexposure prophylaxis by dental health care personnel: an
overview and updated recommendations. J Am Dent Assoc. 2002; 133:1619-26.
20. Garcia LP, Blank VL. Prevalence of occupational exposures to potentially infectious materials among dentists and dental assistants.
Cad Saúde Pública. 2006; 22:97-108.
21. Cleveland JL, Barker LK, Cuny EJ, Panlilio AL. Preventing percutaneous injuries among dental health care personnel. J Am Dent Assoc. 2007; 138:169-78.
22. Gershon RR, Karkashian C, Vlahov D, Grimes M, Spannhake E. Correlates of infection control practices in dentistry. Am J Infect Control. 1998; 26:29-34.
23. Haiduven DJ, Simpkins SM, Phillips ES, Stevens DA. A survey of percutaneous/mucocutaneous injury reporting in a public teaching hospital. J Hosp Infect. 1999; 41:151-4.
24. Brasil. Ministério da Saúde. Agência Nacional de Vigilância Sanitária. Serviços odontológicos: prevenção e controle de riscos. Brasília: Anvisa; 2006.
25. Mast ST, Woolwine JD, Gerberding JL. Efficacy of gloves in reducing blood volumes transferred during simulated needlestick injury. J Infect Dis. 1993; 168:1589-92.
Publicado
2016-05-10
Como Citar
Martins, A. M. E. B. de L., Santos, N. C., Lima, M. Élide D. de, Pereira, R. D., & Ferreira, R. C. (2016). Needlestick and sharp instrument injuries among dentists in Montes Claros, Brazil. Arquivos Em Odontologia, 46(3). Recuperado de https://periodicos.ufmg.br/index.php/arquivosemodontologia/article/view/3537
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