A Cross-Sectional Analysis of Sharps Injuries Among Dermatologic Surgeons: A Survey of American College of Mohs Surgery Members.
Journal
Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]
ISSN: 1524-4725
Titre abrégé: Dermatol Surg
Pays: United States
ID NLM: 9504371
Informations de publication
Date de publication:
01 11 2023
01 11 2023
Historique:
medline:
2
11
2023
pubmed:
29
8
2023
entrez:
29
8
2023
Statut:
ppublish
Résumé
There is a paucity of data on sharps injuries and bloodborne pathogen exposure among Dermatologic Surgeons. Quantify occupational risks from sharps injuries among Mohs surgeons. Determine rate of injury, reporting, and confidence in staff's sharps handling. A cross-sectional analysis performed using survey responses from Mohs surgeons with membership in the American College of Mohs Surgery (ACMS). A total of 60 ACMS members completed the survey. Overall, 56.7% reported at least 1 sharps injury within the past year, of which 14.7% resulted in a bloodborne exposure (odds of exposure: 7.5% per year). The most common type of injury was self-inflicted suture needlestick (76.5%). Forty-four-point-one percent did not report their injuries. Ninety-five percent reported access to postexposure prophylaxis at their workplace. In addition, respondents in academic and single-specialty practices were more likely to report high or moderate confidence in staff sharps handling knowledge and in injury reporting compared with respondents from multispecialty and solo practices (88% vs 54% p = .02, 76%-81% vs 27% p = .0004, respectively). Sharps injuries and under-reporting of these injuries are common among Mohs surgeons. Despite reporting of higher confidence in staff knowledge and training in academic and single-specialty practices, there was no correlation with surgeon's rate of injury.
Sections du résumé
BACKGROUND
There is a paucity of data on sharps injuries and bloodborne pathogen exposure among Dermatologic Surgeons.
OBJECTIVE
Quantify occupational risks from sharps injuries among Mohs surgeons. Determine rate of injury, reporting, and confidence in staff's sharps handling.
METHODS
A cross-sectional analysis performed using survey responses from Mohs surgeons with membership in the American College of Mohs Surgery (ACMS).
RESULTS
A total of 60 ACMS members completed the survey. Overall, 56.7% reported at least 1 sharps injury within the past year, of which 14.7% resulted in a bloodborne exposure (odds of exposure: 7.5% per year). The most common type of injury was self-inflicted suture needlestick (76.5%). Forty-four-point-one percent did not report their injuries. Ninety-five percent reported access to postexposure prophylaxis at their workplace. In addition, respondents in academic and single-specialty practices were more likely to report high or moderate confidence in staff sharps handling knowledge and in injury reporting compared with respondents from multispecialty and solo practices (88% vs 54% p = .02, 76%-81% vs 27% p = .0004, respectively).
CONCLUSION
Sharps injuries and under-reporting of these injuries are common among Mohs surgeons. Despite reporting of higher confidence in staff knowledge and training in academic and single-specialty practices, there was no correlation with surgeon's rate of injury.
Identifiants
pubmed: 37643220
doi: 10.1097/DSS.0000000000003907
pii: 00042728-990000000-00481
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
985-988Informations de copyright
Copyright © 2023 by the American Society for Dermatologic Surgery, Inc. Published by Wolters Kluwer Health, Inc. All rights reserved.
Références
Sharps Safety for Healthcare Settings. Centers for Disease Control and Prevention. 2015. Available at: https://www.cdc.gov/sharpssafety/index.html . Accessed June 1, 2023.
Donnelly A, Chang Y, Nemeth-Ochoa S. Sharps injuries and reporting practices of U.S. Dermatologists. Dermatol Surg 2013;39:1813–21.
Morris C, Adotama P, Li J, Stasko T. Comparison of injuries from sharps among resident physicians within dermatology and other medical and surgical specialties. JAMA Dermatol 2019;155:116–8.
Santillan M, Salian P, Weiss J. Sharps injuries during micrographic surgery and dermatologic oncology fellowship training. Dermatol Online J 2022;15:28.
Goulart J, Oliveria S, Levitt J. Safety during dermatologic procedures and surgeries: a survey of resident injuries and prevention strategies. J Am Acad Dermatol 2011;65:648–50.
Rizk C, Monroe H, Orengo I, Rosen T. Needlestick and sharps injuries in dermatologic surgery: a review of preventative techniques and post-exposure protocols. J Clin Aesthet Dermatol 2016;9:41–9.
LoPiccolo M, Balle M, Kouba D. Safety precautions in Mohs micrographic surgery for patients with known blood-borne infections: a survey-based study. Dermatol Surg 2012;38:1059–65.
Brewer J, Elston D, Vidimos A, Rizza S, et al. Managing sharps injuries and other occupational exposures to HIV, HBV, and HCV in the dermatology office. J Am Acad Dermatol 2017;77:946–51.e6.