Acidentes com perfurocortantes em acadêmicos de medicina
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , |
Tipo de documento: | Trabalho de conclusão de curso |
Idioma: | por |
Título da fonte: | Repositório do Centro Universitário Braz Cubas |
Texto Completo: | https://repositorio.cruzeirodosul.edu.br/handle/123456789/3679 |
Resumo: | Occupational accidents caused by potentially contaminated sharp instruments (APFC) with exposure to biological materials are frequent among health professionals. The estimate is that every year in Brazil, there are about 17 new APFC per 1000 professionals. Literature indicates that medical students are one of the groups that most report this type of accident. The present study assessed the APFC in medical students aiming at identifying the degree of knowledge of the post-exposition protocol of treatment, published in 2009 by the Brazilian Ministry of Health, the leading causes attributed to these accidents, the rate of underreporting accidents, and the vaccine coverage of hepatitis B and anti-tetanus among medical students. A cross-sectional study was carried out from September to November 2020 as an anonymous online form (Google Forms platform). The target audience was the medical students from Brazilian institutions from any period of time within the medical school program. A total of 724 valid responses were received. About 22% of the medical students, who have already done an internship, have suffered APFC exposure to biological materials. APFC occurred more frequently during the last two years of medical education (p<0.0001) among medical students who did an internship (p<0.0001) and belong to a public Higher Education Institution (HEI) (p=0.036). Also, it was observed a significant underreporting rate of 60%. Among the leading causes attributed to the APFC, "lack of experience", followed by "lack of training", stand out. As to vaccination coverage, a rate of over 90% vaccines against hepatitis B was observed, with a seroconversion rate of 76% among those who confirmed it by immunological tests. As for tetanus and diphtheria, vaccine coverage of more than 90% was observed. As to the medical student’s knowledge assessment to the post-exposure protocol, only 8% of students answered all questions correctly (p=0.0002). An important prevalence of APFC, as well as its underreporting, has been observed among medical students, with a “lack of experience” being the main cause attributed to the occurrence of accidents. It is vital that universities perform the analysis of seroconversion, not only the vaccination requirement against hepatitis B. In addition, the degree of knowledge of medical students about the APFC protocol is below what is desired. Therefore, continuing education with regards to the protocol is required and highly suggested. |
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Acidentes com perfurocortantes em acadêmicos de medicinaMedicinaAcidentes Perfuro-CortantesAcadêmicosBiossegurançaCNPQ::CIENCIAS DA SAUDE::MEDICINAOccupational accidents caused by potentially contaminated sharp instruments (APFC) with exposure to biological materials are frequent among health professionals. The estimate is that every year in Brazil, there are about 17 new APFC per 1000 professionals. Literature indicates that medical students are one of the groups that most report this type of accident. The present study assessed the APFC in medical students aiming at identifying the degree of knowledge of the post-exposition protocol of treatment, published in 2009 by the Brazilian Ministry of Health, the leading causes attributed to these accidents, the rate of underreporting accidents, and the vaccine coverage of hepatitis B and anti-tetanus among medical students. A cross-sectional study was carried out from September to November 2020 as an anonymous online form (Google Forms platform). The target audience was the medical students from Brazilian institutions from any period of time within the medical school program. A total of 724 valid responses were received. About 22% of the medical students, who have already done an internship, have suffered APFC exposure to biological materials. APFC occurred more frequently during the last two years of medical education (p<0.0001) among medical students who did an internship (p<0.0001) and belong to a public Higher Education Institution (HEI) (p=0.036). Also, it was observed a significant underreporting rate of 60%. Among the leading causes attributed to the APFC, "lack of experience", followed by "lack of training", stand out. As to vaccination coverage, a rate of over 90% vaccines against hepatitis B was observed, with a seroconversion rate of 76% among those who confirmed it by immunological tests. As for tetanus and diphtheria, vaccine coverage of more than 90% was observed. As to the medical student’s knowledge assessment to the post-exposure protocol, only 8% of students answered all questions correctly (p=0.0002). An important prevalence of APFC, as well as its underreporting, has been observed among medical students, with a “lack of experience” being the main cause attributed to the occurrence of accidents. It is vital that universities perform the analysis of seroconversion, not only the vaccination requirement against hepatitis B. In addition, the degree of knowledge of medical students about the APFC protocol is below what is desired. Therefore, continuing education with regards to the protocol is required and highly suggested.Os acidentes por perfurocortantes (APFC) com exposição a materiais biológicos são frequentes entre os profissionais da saúde. Estima-se que no Brasil ocorram cerca de 17 novos APFC a cada 1000 profissionais por ano. Dados da literatura apontam que os acadêmicos de medicina são um dos grupos que mais sofrem esse tipo de acidente. O presente estudo avaliou APFC em acadêmicos de medicina visando identificar o grau de conhecimento do protocolo de atendimento pós exposição, publicado em 2009 pelo Ministério da Saúde, quais as principais causas atribuídas aos acidentes, a taxa de subnotificação desses e a cobertura vacinal de hepatite B e antitetânica entre os estudantes. Foi realizado um estudo transversal através de questionário aplicado de forma anônima e online, através da plataforma Google Forms, no período de setembro a novembro de 2020, tendo como público alvo acadêmicos de medicina de qualquer período do curso, estudando em instituições brasileiras. Foram obtidas 724 respostas válidas. Cerca de 22% dos estudantes que já realizaram estágio, sofreram APFC com exposição a materiais biológicos. Os APFC ocorreram com maior frequência durante o internato (p<0,0001), entre estudantes que fizeram estágio (p<0,0001) e pertencem a Instituição de Ensino Superior (IES) pública (p=0,036). Observamos, também, uma expressiva taxa de subnotificação, de 60%. Entre as principais causas atribuídas aos APFC, destacam-se a "falta de experiência", seguida de "falta de treinamento". Em relação à cobertura vacinal, foi observada uma taxa de mais de 90% contra hepatite B, com uma soroconversão de 76% entre os que confirmaram por exames imunológicos. Já contra tétano e difteria (dupla adulto), foi observada igualmente uma cobertura vacinal de mais de 90%. Na análise sobre o conhecimento do protocolo pós exposição, apenas 8% dos estudantes responderam a todas as perguntas de forma correta (p=0,0002). Uma prevalência importante de APFC, bem como de sua subnotificação, foi observada entre os estudantes de medicina, sendo a falta de experiência a principal causa atribuída para ocorrência dos acidentes. Quanto à imunização contra Hepatite B, é recomendável, por parte das instituições de ensino, a análise da soroconversão, e não apenas a exigência da vacinação. Além disso, o grau de conhecimento dos acadêmicos de medicina sobre o protocolo dos APFC está abaixo do desejado, sugerindo-se por isso educação continuada sobre o protocolo.Universidade PositivoBrasilMedicinaUPNisihara, Renato Mitsunorihttp://lattes.cnpq.br/9349031397383383Zani, Anderson CesarFerreira, Caroline KaminskiDrugovich, EstelaLopes, Fernanda Roseira2022-05-04T18:17:39Z20222022-05-04T18:17:39Z2021info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/bachelorThesisapplication/pdfhttps://repositorio.cruzeirodosul.edu.br/handle/123456789/3679porinfo:eu-repo/semantics/openAccessreponame:Repositório do Centro Universitário Braz Cubasinstname:Centro Universitário Braz Cubas (CUB)instacron:CUB2022-05-04T18:19:31Zoai:repositorio.cruzeirodosul.edu.br:123456789/3679Repositório InstitucionalPUBhttps://repositorio.brazcubas.edu.br/oai/requestbibli@brazcubas.edu.bropendoar:2022-05-04T18:19:31Repositório do Centro Universitário Braz Cubas - Centro Universitário Braz Cubas (CUB)false |
dc.title.none.fl_str_mv |
Acidentes com perfurocortantes em acadêmicos de medicina |
title |
Acidentes com perfurocortantes em acadêmicos de medicina |
spellingShingle |
Acidentes com perfurocortantes em acadêmicos de medicina Zani, Anderson Cesar Medicina Acidentes Perfuro-Cortantes Acadêmicos Biossegurança CNPQ::CIENCIAS DA SAUDE::MEDICINA |
title_short |
Acidentes com perfurocortantes em acadêmicos de medicina |
title_full |
Acidentes com perfurocortantes em acadêmicos de medicina |
title_fullStr |
Acidentes com perfurocortantes em acadêmicos de medicina |
title_full_unstemmed |
Acidentes com perfurocortantes em acadêmicos de medicina |
title_sort |
Acidentes com perfurocortantes em acadêmicos de medicina |
author |
Zani, Anderson Cesar |
author_facet |
Zani, Anderson Cesar Ferreira, Caroline Kaminski Drugovich, Estela Lopes, Fernanda Roseira |
author_role |
author |
author2 |
Ferreira, Caroline Kaminski Drugovich, Estela Lopes, Fernanda Roseira |
author2_role |
author author author |
dc.contributor.none.fl_str_mv |
Nisihara, Renato Mitsunori http://lattes.cnpq.br/9349031397383383 |
dc.contributor.author.fl_str_mv |
Zani, Anderson Cesar Ferreira, Caroline Kaminski Drugovich, Estela Lopes, Fernanda Roseira |
dc.subject.por.fl_str_mv |
Medicina Acidentes Perfuro-Cortantes Acadêmicos Biossegurança CNPQ::CIENCIAS DA SAUDE::MEDICINA |
topic |
Medicina Acidentes Perfuro-Cortantes Acadêmicos Biossegurança CNPQ::CIENCIAS DA SAUDE::MEDICINA |
description |
Occupational accidents caused by potentially contaminated sharp instruments (APFC) with exposure to biological materials are frequent among health professionals. The estimate is that every year in Brazil, there are about 17 new APFC per 1000 professionals. Literature indicates that medical students are one of the groups that most report this type of accident. The present study assessed the APFC in medical students aiming at identifying the degree of knowledge of the post-exposition protocol of treatment, published in 2009 by the Brazilian Ministry of Health, the leading causes attributed to these accidents, the rate of underreporting accidents, and the vaccine coverage of hepatitis B and anti-tetanus among medical students. A cross-sectional study was carried out from September to November 2020 as an anonymous online form (Google Forms platform). The target audience was the medical students from Brazilian institutions from any period of time within the medical school program. A total of 724 valid responses were received. About 22% of the medical students, who have already done an internship, have suffered APFC exposure to biological materials. APFC occurred more frequently during the last two years of medical education (p<0.0001) among medical students who did an internship (p<0.0001) and belong to a public Higher Education Institution (HEI) (p=0.036). Also, it was observed a significant underreporting rate of 60%. Among the leading causes attributed to the APFC, "lack of experience", followed by "lack of training", stand out. As to vaccination coverage, a rate of over 90% vaccines against hepatitis B was observed, with a seroconversion rate of 76% among those who confirmed it by immunological tests. As for tetanus and diphtheria, vaccine coverage of more than 90% was observed. As to the medical student’s knowledge assessment to the post-exposure protocol, only 8% of students answered all questions correctly (p=0.0002). An important prevalence of APFC, as well as its underreporting, has been observed among medical students, with a “lack of experience” being the main cause attributed to the occurrence of accidents. It is vital that universities perform the analysis of seroconversion, not only the vaccination requirement against hepatitis B. In addition, the degree of knowledge of medical students about the APFC protocol is below what is desired. Therefore, continuing education with regards to the protocol is required and highly suggested. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021 2022-05-04T18:17:39Z 2022 2022-05-04T18:17:39Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/bachelorThesis |
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bachelorThesis |
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publishedVersion |
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https://repositorio.cruzeirodosul.edu.br/handle/123456789/3679 |
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https://repositorio.cruzeirodosul.edu.br/handle/123456789/3679 |
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por |
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info:eu-repo/semantics/openAccess |
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openAccess |
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Universidade Positivo Brasil Medicina UP |
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Universidade Positivo Brasil Medicina UP |
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reponame:Repositório do Centro Universitário Braz Cubas instname:Centro Universitário Braz Cubas (CUB) instacron:CUB |
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Centro Universitário Braz Cubas (CUB) |
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Repositório do Centro Universitário Braz Cubas - Centro Universitário Braz Cubas (CUB) |
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