Objective: Provide a safer work environment and ensure a faster and more efficient care of the health care worker (HCW) after occupational exposure to blood and body fluids.
Methods: Our work team has 4 biomedical ones, 6 nurses (1 local coordinator), a doctor (Brazilians) and 5 national nurses. Since March 2008, we had introduced the use of puncture-resistant containers to disposal syringes and needles, HCW vaccination for hepatitis B and a “kit” for occupational exposure at federal hospitals. The “kits” are composed of shifts and antiretroviral drugs (enough for 5 days of treatment) to assist HCW exposed to sharp injuries and are available at the emergency rooms. Nurses and doctors were trained to give the first aid (based on a protocol) and a doctor from the aids program is responsible by the HCW follow up. The local Biosecurity Technical Committee (CTBI) is responsible for the program.
Results: From March 2008 to November 2009, 28 federal hospitals were included in the program at various provinces (
- 13600 puncture-resistant containers were placed in hospitals for the first 3 months of use.
- 1.659 HCW were immunized to hepatitis B virus (3 doses) and 3.112 had received only one or 2 doses (50% compliance).
- 64 Kits were distributed and their uses have been monitored by the work team. 770 professionals had been guided and/or trained.
- From January to October 2009, 34 needle stick injuries were notified. 22 HCW had received antiretroviral drugs and 17 cases (77%) had a known source of contamination.
Conclusions: Use of puncture-resistant containers to disposal syringes and needles, healthcare workers (HCW) vaccination for hepatitis B and a kit for occupational exposure are strategies of easy implementation and low cost that can have a high impact on the prevention of blood and body fluids contact and create a new individual and collective consciousness on the risk of occupationally acquired viral infections.