Résumé :
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[BDSP. Notice produite par INIST 5R0x0k65. Diffusion soumise à autorisation]. Objective. Collecting information about workplace practises of self-employed home-care nurses to prevent transmission of bloodborne pathogens. Method and population. Between November 1993 and February 1995,49 Flemish self-employed home-care nurses were invited to complete a confidential, one page questionnaire. Results. 28.6% of the 49 participants reported not been vaccinated against hepatitis B. The mean age of the not-vaccinated group was 39 years ; 8 of the 14 nurses were at least 40 years ; compared to the younger population (<40 years), the difference in hepatitis B vaccination rate was statistically significant (p=0.004). None of the nurses reported to use a sharps disposal container for safe disposal of used needles. The definite removal of used needles was obtained through the intermediary of a pharmacist (n=5) or a hospital in the neighbourhood (n=3) ; 6 nurses reported to use the box for small dangerous household waste. In all other cases, the needles were removed along with the household waste (n=35). Only two nurses reported not recapping needles prior to disposal. Six nurses reported (12%) that they should contact a physician after having a needlestick injury. Finally, glove-use when having contact with blood, was reported by 29 participants (59%). Conclusion. This brief study documents a lack of workplace practises to prevent transmission of bloodborne pathogens by self-employed home-care nurses. (...)
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