Risk of exposure to bloodborne infection for Italian healthcare workers, by job category and work area

Vincenzo Puro; Gabriella De Carli; Nicola Petrosillo; Giuseppe Ippolito; G. Finzi; L. Gherardi; P. Cugini; I. Ferraresi; S. Zenoni; C. Sileo; R. Iuliucci; G. Andreoletti; L. Pischedda; A. Lodi; G. Nurra; A. Rosati; M. Daglio; D. Vlacos; M. Lanave; R. Carzedda; C. Amoddeo; M. R. Cocco; D. Rosi; G. Pitzalis; L. Di Bernardo; M. Bombonato; B. Testini; D. Turrolla; I. Egger; R. Bertucci; M. De Fazio; D. Zangrando; I. Berchialla; S. Maccarrone; C. Paradiso; T. Agosta; G. Raineri; S. Pelissero; A. Vivalda; M. Desperati; M. Bergaglia; P. Contegiacomo; E. Aspiro; B. Burrai; C. Penna; M. Fulgheri; M. Nelli; M. Rebora; L. Garra; G. Fasulo; M. C. Pirazzini; M. Tangenti; C. Libralato; C. Govoni; B. Bonfiglioli; A. Macchioni; G. Gualandi; M. E. Bonaventura; V. Di Nardo; A. Segata; G. Raponi; A. R. Boscolo; C. Tonelli; P. Marchegiano; D. Tovoli; R. Bonini; V. Mercurio; F. Soscia; R. Martiniello

Risk of exposure to bloodborne infection for Italian healthcare workers, by job category and work area

Vincenzo Puro, Gabriella De Carli, Nicola Petrosillo, Giuseppe Ippolito, G. Finzi, L. Gherardi, P. Cugini, I. Ferraresi, S. Zenoni, C. Sileo, R. Iuliucci, G. Andreoletti, L. Pischedda, A. Lodi, G. Nurra, A. Rosati, M. Daglio, D. Vlacos, M. Lanave, R. CarzeddaC. Amoddeo, M. R. Cocco, D. Rosi, G. Pitzalis, L. Di Bernardo, M. Bombonato, B. Testini, D. Turrolla, I. Egger, R. Bertucci, M. De Fazio, D. Zangrando, I. Berchialla, S. Maccarrone, C. Paradiso, T. Agosta, G. Raineri, S. Pelissero, A. Vivalda, M. Desperati, M. Bergaglia, P. Contegiacomo, E. Aspiro, B. Burrai, C. Penna, M. Fulgheri, M. Nelli, M. Rebora, L. Garra, G. Fasulo, M. C. Pirazzini, M. Tangenti, C. Libralato, C. Govoni, B. Bonfiglioli, A. Macchioni, G. Gualandi, M. E. Bonaventura, V. Di Nardo, A. Segata, G. Raponi, A. R. Boscolo, C. Tonelli, P. Marchegiano, D. Tovoli, R. Bonini, V. Mercurio, F. Soscia, R. Martiniello

Research output: Contribution to journal › Article › peer-review

Abstract

OBJECTIVE: To analyze the rate of occupational exposure to blood and body fluids from all sources and specifically from human immunodeficiency virus (HIV)-infected sources among hospital workers, by job category and work area. DESIGN: Multicenter prospective study. Occupational exposure data (numerator) and full-time equivalents ([FTEs] denominator) were collected over a 5-year period (1994-1998) and analyzed. SETTING: 18 Italian urban acute-care hospitals with infectious disease units. RESULTS: A total of 10,988 percutaneous and 3,361 mucocutaneous exposures were reported. The highest rate of percutaneous exposure per 100 FTEs was observed among general surgery (11%) and general medicine (10.6%) nurses, the lowest among infectious diseases (1.1%) and laboratory (1%) physicians. The highest rates of mucocutaneous exposure were observed among midwives (5.3%) and dialysis nurses (4.7%), the lowest among pathologists (0%). Inadequate sharps disposal and the prevalence of sharps in the working unit influence the risk to housekeepers. The highest combined HIV exposure rates were observed among nurses (7.8%) and physicians (1.9%) working in infectious disease units. The highest rates of high-risk percutaneous exposures per 100 FTE were again observed in nurses regardless of work area, but this risk was higher in medical areas than in surgery (odds ratio, 2.1; 95% confidence interval, 1.9-2.5; P

Original language	English
Pages (from-to)	206-210
Number of pages	5
Journal	Infection Control and Hospital Epidemiology
Volume	22
Issue number	4
Publication status	Published - 2001

ASJC Scopus subject areas

Microbiology (medical)
Immunology

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Puro, V., De Carli, G., Petrosillo, N., Ippolito, G., Finzi, G., Gherardi, L., Cugini, P., Ferraresi, I., Zenoni, S., Sileo, C., Iuliucci, R., Andreoletti, G., Pischedda, L., Lodi, A., Nurra, G., Rosati, A., Daglio, M., Vlacos, D., Lanave, M., ... Martiniello, R. (2001). Risk of exposure to bloodborne infection for Italian healthcare workers, by job category and work area. Infection Control and Hospital Epidemiology, 22(4), 206-210.

Risk of exposure to bloodborne infection for Italian healthcare workers, by job category and work area. / Puro, Vincenzo ; De Carli, Gabriella ; Petrosillo, Nicola ; Ippolito, Giuseppe; Finzi, G.; Gherardi, L.; Cugini, P.; Ferraresi, I.; Zenoni, S.; Sileo, C.; Iuliucci, R.; Andreoletti, G.; Pischedda, L.; Lodi, A.; Nurra, G.; Rosati, A.; Daglio, M.; Vlacos, D.; Lanave, M.; Carzedda, R.; Amoddeo, C.; Cocco, M. R.; Rosi, D.; Pitzalis, G.; Di Bernardo, L.; Bombonato, M.; Testini, B.; Turrolla, D.; Egger, I.; Bertucci, R.; De Fazio, M.; Zangrando, D.; Berchialla, I.; Maccarrone, S.; Paradiso, C.; Agosta, T.; Raineri, G.; Pelissero, S.; Vivalda, A.; Desperati, M.; Bergaglia, M.; Contegiacomo, P.; Aspiro, E.; Burrai, B.; Penna, C.; Fulgheri, M.; Nelli, M.; Rebora, M.; Garra, L.; Fasulo, G.; Pirazzini, M. C.; Tangenti, M.; Libralato, C.; Govoni, C.; Bonfiglioli, B.; Macchioni, A.; Gualandi, G.; Bonaventura, M. E.; Di Nardo, V.; Segata, A.; Raponi, G.; Boscolo, A. R.; Tonelli, C.; Marchegiano, P.; Tovoli, D.; Bonini, R.; Mercurio, V.; Soscia, F.; Martiniello, R.

In: Infection Control and Hospital Epidemiology, Vol. 22, No. 4, 2001, p. 206-210.

Research output: Contribution to journal › Article › peer-review

Puro, V , De Carli, G , Petrosillo, N , Ippolito, G, Finzi, G, Gherardi, L, Cugini, P, Ferraresi, I, Zenoni, S, Sileo, C, Iuliucci, R, Andreoletti, G, Pischedda, L, Lodi, A, Nurra, G, Rosati, A, Daglio, M, Vlacos, D, Lanave, M, Carzedda, R, Amoddeo, C, Cocco, MR, Rosi, D, Pitzalis, G, Di Bernardo, L, Bombonato, M, Testini, B, Turrolla, D, Egger, I, Bertucci, R, De Fazio, M, Zangrando, D, Berchialla, I, Maccarrone, S, Paradiso, C, Agosta, T, Raineri, G, Pelissero, S, Vivalda, A, Desperati, M, Bergaglia, M, Contegiacomo, P, Aspiro, E, Burrai, B, Penna, C, Fulgheri, M, Nelli, M, Rebora, M, Garra, L, Fasulo, G, Pirazzini, MC, Tangenti, M, Libralato, C, Govoni, C, Bonfiglioli, B, Macchioni, A, Gualandi, G, Bonaventura, ME, Di Nardo, V, Segata, A, Raponi, G, Boscolo, AR, Tonelli, C, Marchegiano, P, Tovoli, D, Bonini, R, Mercurio, V, Soscia, F & Martiniello, R 2001, 'Risk of exposure to bloodborne infection for Italian healthcare workers, by job category and work area', Infection Control and Hospital Epidemiology, vol. 22, no. 4, pp. 206-210.

Puro, Vincenzo ; De Carli, Gabriella ; Petrosillo, Nicola ; Ippolito, Giuseppe ; Finzi, G. ; Gherardi, L. ; Cugini, P. ; Ferraresi, I. ; Zenoni, S. ; Sileo, C. ; Iuliucci, R. ; Andreoletti, G. ; Pischedda, L. ; Lodi, A. ; Nurra, G. ; Rosati, A. ; Daglio, M. ; Vlacos, D. ; Lanave, M. ; Carzedda, R. ; Amoddeo, C. ; Cocco, M. R. ; Rosi, D. ; Pitzalis, G. ; Di Bernardo, L. ; Bombonato, M. ; Testini, B. ; Turrolla, D. ; Egger, I. ; Bertucci, R. ; De Fazio, M. ; Zangrando, D. ; Berchialla, I. ; Maccarrone, S. ; Paradiso, C. ; Agosta, T. ; Raineri, G. ; Pelissero, S. ; Vivalda, A. ; Desperati, M. ; Bergaglia, M. ; Contegiacomo, P. ; Aspiro, E. ; Burrai, B. ; Penna, C. ; Fulgheri, M. ; Nelli, M. ; Rebora, M. ; Garra, L. ; Fasulo, G. ; Pirazzini, M. C. ; Tangenti, M. ; Libralato, C. ; Govoni, C. ; Bonfiglioli, B. ; Macchioni, A. ; Gualandi, G. ; Bonaventura, M. E. ; Di Nardo, V. ; Segata, A. ; Raponi, G. ; Boscolo, A. R. ; Tonelli, C. ; Marchegiano, P. ; Tovoli, D. ; Bonini, R. ; Mercurio, V. ; Soscia, F. ; Martiniello, R. / Risk of exposure to bloodborne infection for Italian healthcare workers, by job category and work area. In: Infection Control and Hospital Epidemiology. 2001 ; Vol. 22, No. 4. pp. 206-210.

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abstract = "OBJECTIVE: To analyze the rate of occupational exposure to blood and body fluids from all sources and specifically from human immunodeficiency virus (HIV)-infected sources among hospital workers, by job category and work area. DESIGN: Multicenter prospective study. Occupational exposure data (numerator) and full-time equivalents ([FTEs] denominator) were collected over a 5-year period (1994-1998) and analyzed. SETTING: 18 Italian urban acute-care hospitals with infectious disease units. RESULTS: A total of 10,988 percutaneous and 3,361 mucocutaneous exposures were reported. The highest rate of percutaneous exposure per 100 FTEs was observed among general surgery (11%) and general medicine (10.6%) nurses, the lowest among infectious diseases (1.1%) and laboratory (1%) physicians. The highest rates of mucocutaneous exposure were observed among midwives (5.3%) and dialysis nurses (4.7%), the lowest among pathologists (0%). Inadequate sharps disposal and the prevalence of sharps in the working unit influence the risk to housekeepers. The highest combined HIV exposure rates were observed among nurses (7.8%) and physicians (1.9%) working in infectious disease units. The highest rates of high-risk percutaneous exposures per 100 FTE were again observed in nurses regardless of work area, but this risk was higher in medical areas than in surgery (odds ratio, 2.1; 95% confidence interval, 1.9-2.5; P",

author = "Vincenzo Puro and {De Carli}, Gabriella and Nicola Petrosillo and Giuseppe Ippolito and G. Finzi and L. Gherardi and P. Cugini and I. Ferraresi and S. Zenoni and C. Sileo and R. Iuliucci and G. Andreoletti and L. Pischedda and A. Lodi and G. Nurra and A. Rosati and M. Daglio and D. Vlacos and M. Lanave and R. Carzedda and C. Amoddeo and Cocco, {M. R.} and D. Rosi and G. Pitzalis and {Di Bernardo}, L. and M. Bombonato and B. Testini and D. Turrolla and I. Egger and R. Bertucci and {De Fazio}, M. and D. Zangrando and I. Berchialla and S. Maccarrone and C. Paradiso and T. Agosta and G. Raineri and S. Pelissero and A. Vivalda and M. Desperati and M. Bergaglia and P. Contegiacomo and E. Aspiro and B. Burrai and C. Penna and M. Fulgheri and M. Nelli and M. Rebora and L. Garra and G. Fasulo and Pirazzini, {M. C.} and M. Tangenti and C. Libralato and C. Govoni and B. Bonfiglioli and A. Macchioni and G. Gualandi and Bonaventura, {M. E.} and {Di Nardo}, V. and A. Segata and G. Raponi and Boscolo, {A. R.} and C. Tonelli and P. Marchegiano and D. Tovoli and R. Bonini and V. Mercurio and F. Soscia and R. Martiniello",

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T1 - Risk of exposure to bloodborne infection for Italian healthcare workers, by job category and work area

AU - Puro, Vincenzo

AU - De Carli, Gabriella

AU - Petrosillo, Nicola

AU - Ippolito, Giuseppe

AU - Finzi, G.

AU - Gherardi, L.

AU - Cugini, P.

AU - Ferraresi, I.

AU - Zenoni, S.

AU - Sileo, C.

AU - Iuliucci, R.

AU - Andreoletti, G.

AU - Pischedda, L.

AU - Lodi, A.

AU - Nurra, G.

AU - Rosati, A.

AU - Daglio, M.

AU - Vlacos, D.

AU - Lanave, M.

AU - Carzedda, R.

AU - Amoddeo, C.

AU - Cocco, M. R.

AU - Rosi, D.

AU - Pitzalis, G.

AU - Di Bernardo, L.

AU - Bombonato, M.

AU - Testini, B.

AU - Turrolla, D.

AU - Egger, I.

AU - Bertucci, R.

AU - De Fazio, M.

AU - Zangrando, D.

AU - Berchialla, I.

AU - Maccarrone, S.

AU - Paradiso, C.

AU - Agosta, T.

AU - Raineri, G.

AU - Pelissero, S.

AU - Vivalda, A.

AU - Desperati, M.

AU - Bergaglia, M.

AU - Contegiacomo, P.

AU - Aspiro, E.

AU - Burrai, B.

AU - Penna, C.

AU - Fulgheri, M.

AU - Nelli, M.

AU - Rebora, M.

AU - Garra, L.

AU - Fasulo, G.

AU - Pirazzini, M. C.

AU - Tangenti, M.

AU - Libralato, C.

AU - Govoni, C.

AU - Bonfiglioli, B.

AU - Macchioni, A.

AU - Gualandi, G.

AU - Bonaventura, M. E.

AU - Di Nardo, V.

AU - Segata, A.

AU - Raponi, G.

AU - Boscolo, A. R.

AU - Tonelli, C.

AU - Marchegiano, P.

AU - Tovoli, D.

AU - Bonini, R.

AU - Mercurio, V.

AU - Soscia, F.

AU - Martiniello, R.

PY - 2001

Y1 - 2001

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AB - OBJECTIVE: To analyze the rate of occupational exposure to blood and body fluids from all sources and specifically from human immunodeficiency virus (HIV)-infected sources among hospital workers, by job category and work area. DESIGN: Multicenter prospective study. Occupational exposure data (numerator) and full-time equivalents ([FTEs] denominator) were collected over a 5-year period (1994-1998) and analyzed. SETTING: 18 Italian urban acute-care hospitals with infectious disease units. RESULTS: A total of 10,988 percutaneous and 3,361 mucocutaneous exposures were reported. The highest rate of percutaneous exposure per 100 FTEs was observed among general surgery (11%) and general medicine (10.6%) nurses, the lowest among infectious diseases (1.1%) and laboratory (1%) physicians. The highest rates of mucocutaneous exposure were observed among midwives (5.3%) and dialysis nurses (4.7%), the lowest among pathologists (0%). Inadequate sharps disposal and the prevalence of sharps in the working unit influence the risk to housekeepers. The highest combined HIV exposure rates were observed among nurses (7.8%) and physicians (1.9%) working in infectious disease units. The highest rates of high-risk percutaneous exposures per 100 FTE were again observed in nurses regardless of work area, but this risk was higher in medical areas than in surgery (odds ratio, 2.1; 95% confidence interval, 1.9-2.5; P

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