Analyses des connaissances attitudes et pratiques du personnel soignant face aux accidents d'exposition au sang en chirurgie generale

ABSTRACT

In order to assess the degree of knowledge, attitudes and the personnel's practices exercising in a service of general surgery of the hospital Charles Nicolle of Tunis, concerning blood exposure accidents, we did a transverse survey during the month of January of the year 2002. A questionnaire has been addressed to 114 people while using the technique of the direct interview. The middle age of investigated is 35,7 years. The sex ratio is 0,7. Only the 2/3 declare have been vaccinated against the B hepatitis. The results show a good knowledge of the exposure risk to a communicable disease by blood [95,6%], but less good for the risk of contamination by the three viruses HBV, HCV and HIV. The resheathing of needles, considered like gesture to risk, is underestimated by 71,2% of investigated. the majority of investigated declare to know universal precaution principles [85,8%]. However, to the maximum 4 measures only on the 1 0 advisable have been mentioned by investigated. The conduct to hold in case of blood exposure accident seems insufficientiy known by our sample- It is represented, in 78,8% of cases, in the application of disinfectants Betadin' type or alcohol Iodized, whereas the practice of 0 serology to the patient source is ignored completely. 75% of investigated having had a blood exposure accident lasting the last 12 months [n = 44] didn't declare their blood exposure accident and only 11,4% declare to have undergone cares. Actions of information and Formation, to the intention of the whole of the personnel of the service, on risks incurred by the nursing, gestures and procedures to risk, the universal precaution respect, the conduct to hold in case of a blood exposure accident, the interest of the declaration and the interest of the vaccination against the B hepatitis, are primordial