Author/Editor		Lešničar, Gorazd
Title		Pogostost incidentov pri zdravstvenih delavcih in drugih osebah na Celjskem, njihovo preprečevanje in poizpostavitvena zaščita
Translated title		The frequency of incidental injuries related infections in health care workers and other persons in Celje region, their prevention and postexposure prophylaxis
Type		članek
Source		In: Ferlan-Marolt V, Luzar B, editors. Viral hepatitis. Proceedings of the 35th memorial meeting to professor Janez Plečnik with international participation; 2004 Dec 2-3; Ljubljana. Ljubljana: Faculty of medicine, Institute of pathology,
Publication year		2004
Volume		str. 217-35
Language		slo
Abstract		Background. Injuries with sharp, potentially infected objects represent a danger, particularly due to the possibility of viral transmission, such as hepatitis B, hepatitis C and human immunodeficiency virus, and consequentially, the possibility of infections with these viruses. The possibility of a tetanus infection should always be excluded as well. In percutaneous exposure of patient's blood to hepatitis B the possibility of infection ranges between 5-30%, while in exposure to hepatitis C it is 3-10% and in exposure to human immunodeficiency virus this rate is 0,3% (in exposure of mucous membranes 0,09 %). Methods. The prospective investigation carried out in the period from 1997 to July 2004 was aimed at establishing the frequency and type of incidents as well as the categories of the affected health care workers along with the procedures and types of sharp objects involved in those incidents. A protocol with 20 incident-related questions was prepared. Post-exposure prophylaxis (immunoprophylaxis) against hepatitis B (specific anti-hepatitis B immunoglobulin and/or anti hepatitis B virus vaccine) and against human immunodeficiency virus infection (chemoprophylaxis) was carried out by infectologists according to state-of-the-art doctrine. Considering the possibility of infection with hepatitis B virus, hepatitis C virus and human immunodeficiency virus, the injured persons were subjected to a clinical, laboratory and serological follow up for at least 6 months or more following the incident. Exactly the same follow-up approach after injury was used in the rest of the injured persons from Celje region. (Abstract truncated at 2000 characters).
Descriptors		HEALTH MANPOWER OCCUPATIONAL EXPOSURE NEEDLESTICK INJURIES HEPATITIS, VIRAL, HUMAN PRACTICE GUIDELINES QUESTIONNAIRES