Management practices and risk of occupational blood exposure in U.S. paramedics: Needlesticks
Article first published online: 13 APR 2010
Copyright © 2010 Wiley-Liss, Inc.
American Journal of Industrial Medicine
Volume 53, Issue 9, pages 866–874, September 2010
How to Cite
Leiss, J. K. (2010), Management practices and risk of occupational blood exposure in U.S. paramedics: Needlesticks. Am. J. Ind. Med., 53: 866–874. doi: 10.1002/ajim.20842
- Issue published online: 3 AUG 2010
- Article first published online: 13 APR 2010
- Manuscript Accepted: 25 FEB 2010
- National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention. Grant Number: U01 OH04266
- blood exposure;
- occupational exposure;
The purpose of this study was to present risk estimates for needlestick in U.S. paramedics and estimated risk ratios for selected management practices.
A mail survey was conducted among a national sample of U.S. paramedics in 2002–2003.
The adjusted response rate was 55% (n = 2,664). The overall 12-month risk of needlestick was 6.7% (95% confidence interval, 5.4–7.9). Risk ratios for provision of safety-engineered medical devices and two supervisory behaviors that emphasized safe work practices ranged from 2.5 to 3.2. The protective effect of working in an environment that included both of the supervisory behaviors was greater than the protective effect of always being provided with safety devices. A sensitivity analysis indicated that the risk ratio estimates were unlikely to be inflated by nonresponse bias.
These results suggest that greater provision of safety devices and interventions aimed at management practices that promote worker safety could substantially reduce the risk of needlestick among U.S. paramedics. Am. J. Ind. Med. 53:866–874, 2010. © 2010 Wiley-Liss, Inc.