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M9460256.TXT
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1994-06-12
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Document 0256
DOCN M9460256
TI Risks of bloodborne diseases to emergency personnel in traumatic wound
management.
DT 9408
AU Huang YC; Lin CL; Chang CF; Wang JS; Ker CG; Department of Emergency
Medicine, Kaohsiung Medical College,; Taiwan, Republic of China.
SO Kao Hsiung I Hsueh Ko Hsueh Tsa Chih. 1994 Feb;10(2):63-7. Unique
Identifier : AIDSLINE MED/94231607
AB High prevalence of viral hepatitis, increasing HIV infection and other
bloodborne diseases in Taiwan have made the health care provider exposed
to an increased risk of disease transmission unless adequate precautions
and protections have been undertaken. Furthermore, emergency personnel
must face the patient with limited information, and neither a reliable
predictor nor appropriate tools have been found to assist in identifying
emergency patients who pose a risk. The Centers for Disease Control
(CDC) in the United States thus issued a specific caveat advocating all
body fluids should be treated as potentially infectious under
uncontrolled emergency circumstances. Unfortunately, in Taiwan,
personnel in emergency service practice with limited protection, often
without mask and only gloves as the only barrier device used. We tried
to determine the risk of facial exposure during traumatic wound
management. One hundred and fifteen wounds of 107 patients were
enrolled. Most of them were not life-threatening and thus could be
managed under more controlled conditions. Standard procedures of wound
management were applied and facial exposure was assessed after each
wound closure. Positive exposure rate in such controlled conditions
remained as high as 46/115 (40%). Exposure rate in uncontrolled
conditions should be, therefore, much more significant. Therefore, we
should put more emphasis on adequate precaution and protection against
bloodborne diseases.
DE *Blood-Borne Pathogens *Emergency Medicine Human Infection/*ETIOLOGY
Occupational Diseases/*ETIOLOGY Risk Virus Diseases/*ETIOLOGY Wounds
and Injuries/*MICROBIOLOGY/THERAPY JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).