ABSTRACT
Introducción: El uso de la toxina como medicamento constituye un riesgo biológico, debido a la presencia de la toxina, así como al uso indebido que se le puede dar. Objetivo: Evaluar el grado de riesgo biológico al manipular toxina botulínica como medicamento. Métodos: Estudio descriptivo transversal en el Centro Internacional de Restauración Neurológica, La Habana, Cuba, en 2017. Se aplicó una lista de chequeo de riesgo biológico a 6 profesionales del área de tratamiento de toxina botulínica. El resultado integrado de la lista de chequeo se analizó a través del método semicuantitativo "ERBIO". Resultados: La probabilidad se catalogó de "media", el cumplimiento de medidas de contención como "aceptable" y la exposición se consideró como "muy frecuente". Conclusiones: Se constató un grado de riesgo biológico "tolerable" al manipular la toxina botulínica como medicamento en el Centro Internacional de Restauración Neurológica. Esto implica que se deben considerar mejoras que no supongan una carga económica importante, que requerirán de comprobaciones periódicas para asegurar el mantenimiento de la eficacia de las medidas de control establecidas(AU)
Introduction: The use of the toxin as a medication constitutes a biological risk, due to the presence of the toxin, as well as the potential improper use. Objective: To evaluate the degree of biological risk when Handling botulinum toxin as a medication. Methods: A cross-sectional descriptive study was carried out at the International Center for Neurological Restoration, Havana, Cuba, in 2017. A biological risk checklist was applied to six professionals from the botulinum toxin treatment area. The integrated result of the checklist was analyzed through ERBIO semi-quantitative method. Results: The probability was classified as medium. Compliance with containment measures was assessed as acceptable and the exposure was considered as very frequent. Conclusions: A tolerable degree of biological risk was found when manipulating botulinum toxin as a medication at the International Center for Neurological Restoration. This implies that improvements should be considered not to imply a significant economic burden, which will require periodic checks to ensure the maintenance of the effectiveness of the established control measures(AU)
Subject(s)
Humans , Biological Products , Botulinum Toxins , Pharmaceutical Preparations , Containment of Biohazards/methods , Occupational Risks , Hazardous SubstancesABSTRACT
Tema a presentar: En tiempos de COVID-19, debido al riesgo de transmisión derivado de varios procederes estomatológicos, se requiere reforzar la protección de los pacientes y de los trabajadores. Por tanto, se hace necesario actualizar a la comunidad científica y a los decisores de políticas en salud pública sobre aspectos esenciales para el perfeccionamiento de la gestión de la atención de salud bucal durante la pandemia. Comentarios principales: Con un enfoque actualizado según las experiencias internacionales, se trató el tema de la evaluación del riesgo laboral en estomatología y la gestión de la atención estomatológica durante la presente pandemia de COVID-19. Consideraciones globales: La profesión estomatológica tiene ante sí la responsabilidad de evitar la transmisión nosocomial de infecciones en los centros laborales, en las áreas de desempeño y que el personal en ejercicio de las acciones de salud esté protegido y no se convierta en trasmisor que ponga en riesgo a sus compañeros de trabajo, a la población que atiende, a su familia y a la población en general. El desempeño de los especialistas debe responder en todo momento a la ética médica y velar por ofrecer alternativas a las necesidades de salud bucal de la población en todas las situaciones de la vida social. La efectividad del accionar dependerá del perfeccionamiento de la gestión de la atención de salud bucal en tiempos de la COVID-19(AU)
Topic to be presented: In the time of COVID-19, and due to the risk of transmission derived from various dental procedures, it is necessary to enhance the protection of patients and workers. The scientific community and public health policy makers should therefore be updated on essential contents related to the improved management of oral health care during the pandemic. Main remarks: The topic of occupational risk assessment and dental care management during the current COVID-19 pandemic was addressed with an updated approach in keeping with international experiences. General considerations: The dental care profession has the responsibility of preventing nosocomial transmission of infections at work places and performance areas, as well as ensuring the protection of those involved in health actions, so that they do not become infected and transmit the disease to their colleagues, their patients, their family and the population at large. Specialists should always comply with medical ethics and offer alternatives to the oral health care needs of the population in all social life situations. The effectiveness of such actions will depend on improving the management of oral health care in the time of COVID-19(AU)
Subject(s)
Humans , Health Services Administration/ethics , Dental Care/methods , Coronavirus Infections/epidemiology , Occupational RisksABSTRACT
OBJECTIVE To investigate the risk factors of professional exposure among medical staff and explore the preventive strategies.METHODS The influence of factors including profession,exposure process,exposed materials,treatment process,and follow-up among 110 medical staff with professional exposure was analyzed.RESULTS The general incidence of professional exposure was 52.73%,35.45% and 6.36% for clinical doctors,nures,and workers,respectively.Among all exposure cases,we found the incidence was 62.73% for pricking wound,20% for various liquid contamination,4.55% for glass injury,2.73% for scalpel cutting,and 4.55% for other instrument related damage.The reasons leading to exposure were treatment and nursing care,surgery assistance,and instrument and materials manipulation,which accounted for 40%,31.82%,and 18.18% of total incidence,respectively.All of the exposure cases had been properly treated.None of the investigated cases had been found illed with blood derived transmitted disease caused by professional exposure.CONCLUSIONS It is critical to intensify the training of medical staff for the knowledge of professional exposure and to improve their personal protective awareness,so that the incidence of professional exposure could be reduced.
ABSTRACT
Objective To give a clear definition of professional exposure to HIV and map out the preventive strategies. Methods To propose the preventive strategies for preventing professional exposure to HIV according to the relative knowledge and the practical nursing measures. Results The preventive strategies include the recognition from the administrative authority, care about the exposure suits for preventing HIV , the establishment of a reasonable by law, properly handling the wound when exposure happen and report the accident to local CDC and arrange HIV test at 4,8,12 week and 6 month after exposures. Conclusions The medical staff lack the knowledge of preventing professional exposure to HIV, the intensive training is urgently needed. It is better to involve the professional HIV exposure as one of the professional injuries by law in order to relieve the medical staff′s anxieties about HIV exposure during the course of working.
ABSTRACT
OBJECTIVE To discuss the risk factors of professional exposure of dental health personnel and treatment measures. METHODS The management system of standardization,systematization,science and universal prevention were carried out and realized to maximally prevent the onset of dental hospital infection. RESULTS A set of feasible management system and measures about professional exposure for dental health personnel were drafted to make dental staff master the management standards of dental infection,realize the sterilization procedures of dental device and prevent dental infection maximally in dental hospital by implementing universal preventive measures during dental treatment. CONCLUSIONS The preventive measures and programs about professional exposure for dental health personnel must be structuralized.
ABSTRACT
OBJECTIVE To evaluate the exposing risks among dental staff and improve their concerns for prevention. METHODS By checking and evaluating the various risk factors,including HIV,HBV,HCV,SARS infectious antigens,and mercury contamination in our hospital,we found and formulated effective ways for preventing occupational disease. RESULTS Most dental staff in our hospital effectively decreased the professional exposing risks by practising preventive strategies. CONCLUSIONS Accurate evaluation and practical preventive strategies are key factors to reduce the professional exposing risks for dental staff.