Sharp truth: health care workers remain at risk of bloodborne infection
In 2013, new regulations for the prevention of sharps injuries were introduced in the UK. All health care employers are required to provide the safest possible working environment by preventing or controlling the risk of sharps injuries. To analyse data on significant occupational sharps injuries am...
Saved in:
Published in | Occupational medicine (Oxford) Vol. 65; no. 3; pp. 210 - 214 |
---|---|
Main Authors | , , |
Format | Journal Article |
Language | English |
Published |
England
01.04.2015
|
Subjects | |
Online Access | Get full text |
Cover
Loading…
Abstract | In 2013, new regulations for the prevention of sharps injuries were introduced in the UK. All health care employers are required to provide the safest possible working environment by preventing or controlling the risk of sharps injuries.
To analyse data on significant occupational sharps injuries among health care workers in England, Wales and Northern Ireland before the introduction of the 2013 regulations and to assess bloodborne virus seroconversions among health care workers sustaining a blood or body fluid exposure.
Analysis of 10 years of information on percutaneous and mucocutaneous exposures to blood or other body fluids from source patients infected with a bloodborne virus, collected in England, Wales and Northern Ireland through routine surveillance of health care workers reported for the period 2002-11.
A total of 2947 sharps injuries involving a source patient infected with a bloodborne virus were reported by health care workers. Significant sharps injuries were 67% higher in 2011 compared with 2002. Sharps injuries involving an HIV-, hepatitis B virus- or hepatitis C virus (HCV)-infected source patient increased by 107, 69 and 60%, respectively, between 2002 and 2011. During the study period, 14 health care workers acquired HCV following a sharps injury.
Our data show that during a 10-year period prior to the introduction of new regulations in 2013, health care workers were at risk of occupationally acquired bloodborne virus infection. To prevent sharps injuries, health care service employers should adopt safety-engineered devices, institute safe systems of work and promote adherence to standard infection control procedures. |
---|---|
AbstractList | BACKGROUNDIn 2013, new regulations for the prevention of sharps injuries were introduced in the UK. All health care employers are required to provide the safest possible working environment by preventing or controlling the risk of sharps injuries.AIMSTo analyse data on significant occupational sharps injuries among health care workers in England, Wales and Northern Ireland before the introduction of the 2013 regulations and to assess bloodborne virus seroconversions among health care workers sustaining a blood or body fluid exposure.METHODSAnalysis of 10 years of information on percutaneous and mucocutaneous exposures to blood or other body fluids from source patients infected with a bloodborne virus, collected in England, Wales and Northern Ireland through routine surveillance of health care workers reported for the period 2002-11.RESULTSA total of 2947 sharps injuries involving a source patient infected with a bloodborne virus were reported by health care workers. Significant sharps injuries were 67% higher in 2011 compared with 2002. Sharps injuries involving an HIV-, hepatitis B virus- or hepatitis C virus (HCV)-infected source patient increased by 107, 69 and 60%, respectively, between 2002 and 2011. During the study period, 14 health care workers acquired HCV following a sharps injury.CONCLUSIONSOur data show that during a 10-year period prior to the introduction of new regulations in 2013, health care workers were at risk of occupationally acquired bloodborne virus infection. To prevent sharps injuries, health care service employers should adopt safety-engineered devices, institute safe systems of work and promote adherence to standard infection control procedures. Background In 2013, new regulations for the prevention of sharps injuries were introduced in the UK. All health care employers are required to provide the safest possible working environment by preventing or controlling the risk of sharps injuries. Aims To analyse data on significant occupational sharps injuries among health care workers in England, Wales and Northern Ireland before the introduction of the 2013 regulations and to assess bloodborne virus seroconversions among health care workers sustaining a blood or body fluid exposure. Methods Analysis of 10 years of information on percutaneous and mucocutaneous exposures to blood or other body fluids from source patients infected with a bloodborne virus, collected in England, Wales and Northern Ireland through routine surveillance of health care workers reported for the period 2002-11. Results A total of 2947 sharps injuries involving a source patient infected with a bloodborne virus were reported by health care workers. Significant sharps injuries were 67% higher in 2011 compared with 2002. Sharps injuries involving an HIV-, hepatitis B virus- or hepatitis C virus (HCV)-infected source patient increased by 107, 69 and 60%, respectively, between 2002 and 2011. During the study period, 14 health care workers acquired HCV following a sharps injury. Conclusions Our data show that during a 10-year period prior to the introduction of new regulations in 2013, health care workers were at risk of occupationally acquired bloodborne virus infection. To prevent sharps injuries, health care service employers should adopt safety-engineered devices, institute safe systems of work and promote adherence to standard infection control procedures. In 2013, new regulations for the prevention of sharps injuries were introduced in the UK. All health care employers are required to provide the safest possible working environment by preventing or controlling the risk of sharps injuries. To analyse data on significant occupational sharps injuries among health care workers in England, Wales and Northern Ireland before the introduction of the 2013 regulations and to assess bloodborne virus seroconversions among health care workers sustaining a blood or body fluid exposure. Analysis of 10 years of information on percutaneous and mucocutaneous exposures to blood or other body fluids from source patients infected with a bloodborne virus, collected in England, Wales and Northern Ireland through routine surveillance of health care workers reported for the period 2002-11. A total of 2947 sharps injuries involving a source patient infected with a bloodborne virus were reported by health care workers. Significant sharps injuries were 67% higher in 2011 compared with 2002. Sharps injuries involving an HIV-, hepatitis B virus- or hepatitis C virus (HCV)-infected source patient increased by 107, 69 and 60%, respectively, between 2002 and 2011. During the study period, 14 health care workers acquired HCV following a sharps injury. Our data show that during a 10-year period prior to the introduction of new regulations in 2013, health care workers were at risk of occupationally acquired bloodborne virus infection. To prevent sharps injuries, health care service employers should adopt safety-engineered devices, institute safe systems of work and promote adherence to standard infection control procedures. |
Author | Ncube, F M Rice, B D Tomkins, S E |
Author_xml | – sequence: 1 givenname: B D surname: Rice fullname: Rice, B D email: brian.rice@phe.gov.uk organization: Department of HIV and STI, Centre for Infectious Disease Surveillance and Control, Public Health England, 61 Colindale Avenue, Colindale, London NW9 5EQ, UK. brian.rice@phe.gov.uk – sequence: 2 givenname: S E surname: Tomkins fullname: Tomkins, S E organization: Department of HIV and STI, Centre for Infectious Disease Surveillance and Control, Public Health England, 61 Colindale Avenue, Colindale, London NW9 5EQ, UK – sequence: 3 givenname: F M surname: Ncube fullname: Ncube, F M organization: Department of HIV and STI, Centre for Infectious Disease Surveillance and Control, Public Health England, 61 Colindale Avenue, Colindale, London NW9 5EQ, UK |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/25663385$$D View this record in MEDLINE/PubMed |
BookMark | eNqFkElLw0AAhQep2EWPXmWOXmJny8zEmxStQsGDeg6zhcQs084kiP_elLRnTw8eH4_HtwSzzncOgFuMHjDK6Nob0zq7rg8DQfwCLDATOJEMpTOwQBkniWASzcEyxm-EMGeSXIE5STmnVKYLsP0oVdjDPgx9-QhLp5q-hEYFB398qF2IMLhWVR1UPQxVrKEvoG68t9qHzsGqK5zpK99dg8tCNdHdnHIFvl6ePzevye59-7Z52iWGEt4n1GjDMpVibQVRjDNttaDIWIG0sBLjgiNGMkVkJgUTBqfcUWud1XZ8PH5egftpdx_8YXCxz9sqGtc0qnN-iDkWaDQgUsb-RznPGJNcihFNJtQEH2NwRb4PVavCb45RftScT5rzSfPI352mB32sz_TZK_0Dww97yQ |
CitedBy_id | crossref_primary_10_1016_j_jiph_2021_06_006 crossref_primary_10_5005_jp_journals_10035_1110 crossref_primary_10_7251_bii1901101s crossref_primary_10_26633_RPSP_2018_93 crossref_primary_10_1186_s12995_018_0198_5 crossref_primary_10_4236_ojpm_2020_108014 crossref_primary_10_1016_j_shaw_2021_02_002 crossref_primary_10_1016_j_imu_2023_101283 crossref_primary_10_1136_bmjopen_2017_017761 crossref_primary_10_48107_CMJ_2021_04_002 crossref_primary_10_1080_10643389_2022_2150495 crossref_primary_10_1016_j_medntd_2023_100244 crossref_primary_10_1080_21645515_2017_1398297 crossref_primary_10_17795_iji_32879 crossref_primary_10_1007_s00101_019_0603_1 crossref_primary_10_1016_j_jvacx_2022_100172 crossref_primary_10_1093_intqhc_mzab009 crossref_primary_10_12968_bjon_2020_29_14_S22 crossref_primary_10_3390_vaccines8030467 crossref_primary_10_1080_21645515_2019_1680082 crossref_primary_10_3233_WOR_210007 crossref_primary_10_7759_cureus_62792 crossref_primary_10_1017_ice_2016_14 crossref_primary_10_1007_s00063_019_00651_5 crossref_primary_10_1016_j_jhin_2019_03_004 |
Cites_doi | 10.1086/497131 10.1016/j.aorn.2011.01.001 10.1056/NEJM199711203372101 10.1016/S0195-6701(03)00090-2 10.1093/annhyg/men044 10.1056/NEJM198212093072403 10.1176/appi.ps.60.9.1269 10.3949/ccjm.75a.07019 10.1086/671733 10.1539/joh.48.474 10.1093/occmed/kqt006 10.1308/003588409X432194 |
ContentType | Journal Article |
Copyright | The Author 2015. Published by Oxford University Press on behalf of the Society of Occupational Medicine. All rights reserved. For Permissions, please email: journals.permissions@oup.com. |
Copyright_xml | – notice: The Author 2015. Published by Oxford University Press on behalf of the Society of Occupational Medicine. All rights reserved. For Permissions, please email: journals.permissions@oup.com. |
DBID | CGR CUY CVF ECM EIF NPM AAYXX CITATION 7X8 7T2 7U1 7U2 7U9 C1K H94 |
DOI | 10.1093/occmed/kqu206 |
DatabaseName | Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed CrossRef MEDLINE - Academic Health and Safety Science Abstracts (Full archive) Risk Abstracts Safety Science and Risk Virology and AIDS Abstracts Environmental Sciences and Pollution Management AIDS and Cancer Research Abstracts |
DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) CrossRef MEDLINE - Academic Risk Abstracts AIDS and Cancer Research Abstracts Health & Safety Science Abstracts Virology and AIDS Abstracts Safety Science and Risk Environmental Sciences and Pollution Management |
DatabaseTitleList | MEDLINE - Academic Risk Abstracts MEDLINE |
Database_xml | – sequence: 1 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: EIF name: MEDLINE url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search sourceTypes: Index Database |
DeliveryMethod | fulltext_linktorsrc |
Discipline | Medicine Occupational Therapy & Rehabilitation |
EISSN | 1471-8405 |
EndPage | 214 |
ExternalDocumentID | 10_1093_occmed_kqu206 25663385 |
Genre | Research Support, Non-U.S. Gov't Journal Article |
GeographicLocations | British Isles, England British Isles, Northern Ireland British Isles, Wales |
GeographicLocations_xml | – name: British Isles, Northern Ireland – name: British Isles, England – name: British Isles, Wales |
GroupedDBID | --- --K -E4 .2P .GJ .I3 .ZR 0R~ 123 1B1 1TH 29N 2WC 4.4 482 48X 53G 5VS 5WA 5WD 6.Y 70D AABZA AACZT AAJKP AAJQQ AAMDB AAMVS AAOGV AAPGJ AAPNW AAPQZ AAPXW AARHZ AASNB AAUAY AAUQX AAVAP AAWDT AAYJJ ABEUO ABIVO ABIXL ABKDP ABNHQ ABNKS ABPTD ABQLI ABQTQ ABSAR ABSMQ ABWST ABXVV ABZBJ ACFRR ACGFS ACIWK ACMRT ACPQN ACPRK ACUFI ACUTJ ACUTO ACZBC ADBBV ADEYI ADEZT ADGZP ADHKW ADHZD ADIPN ADJQC ADOCK ADQBN ADRIX ADRTK ADVEK ADYVW ADZXQ AEGPL AEHUL AEJOX AEKPW AEKSI AEMDU AENZO AEPUE AETBJ AEWNT AFFZL AFIYH AFOFC AFRAH AFSHK AFXEN AFYAG AGINJ AGKEF AGKRT AGMDO AGQXC AGSYK AHMBA AHXPO AIJHB AJEEA AKWXX ALMA_UNASSIGNED_HOLDINGS ALUQC APIBT APJGH APWMN AQDSO AQKUS ATGXG ATTQO AVNTJ AXUDD AZFZN BAWUL BAYMD BCRHZ BEYMZ BHONS BTRTY BVRKM BZKNY CAG CDBKE CGR COF CS3 CUY CVF CZ4 DAKXR DIK DILTD D~K EBD EBS ECM EDH EE~ EIF EIHJH EJD EMOBN F3I F5P F9B FEDTE FLUFQ FOEOM FOTVD FQBLK GAUVT GJXCC GX1 H13 H5~ HAR HVGLF HW0 HZ~ IHE IOX J21 KAQDR KBUDW KC5 KOP KQ8 KSI KSN M-Z M41 M49 MBLQV N9A NGC NOMLY NOYVH NPM NQ- NTWIH NU- NVLIB O0~ O9- OAWHX OCZFY ODMLO OJQWA OJZSN OK1 OPAEJ OVD OWPYF O~Y P2P PAFKI PB- PEELM PQQKQ Q1. Q5Y QBD R44 RD5 RIG RNI ROL ROX ROZ RPZ RUSNO RW1 RXO RZF RZO SV3 TEORI TJX TMA TR2 W8F WH7 WOQ WOW X7H YAYTL YCJ YHZ YKOAZ YXANX ZKX ZXP ~91 AAYXX CITATION 7X8 7T2 7U1 7U2 7U9 C1K H94 |
ID | FETCH-LOGICAL-c326t-3cbc49a51bd72a464bdb730cd70b7d811f60429a2898747c156e3ddedbd663633 |
ISSN | 0962-7480 |
IngestDate | Thu Aug 15 22:18:52 EDT 2024 Wed Jul 24 16:54:56 EDT 2024 Thu Sep 12 19:06:39 EDT 2024 Sat Sep 28 08:07:29 EDT 2024 |
IsPeerReviewed | true |
IsScholarly | true |
Issue | 3 |
Keywords | Hepatitis occupational injury surveillance HIV sharp injury |
Language | English |
License | The Author 2015. Published by Oxford University Press on behalf of the Society of Occupational Medicine. All rights reserved. For Permissions, please email: journals.permissions@oup.com. |
LinkModel | OpenURL |
MergedId | FETCHMERGED-LOGICAL-c326t-3cbc49a51bd72a464bdb730cd70b7d811f60429a2898747c156e3ddedbd663633 |
Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
PMID | 25663385 |
PQID | 1669448687 |
PQPubID | 23479 |
PageCount | 5 |
ParticipantIDs | proquest_miscellaneous_1701477544 proquest_miscellaneous_1669448687 crossref_primary_10_1093_occmed_kqu206 pubmed_primary_25663385 |
PublicationCentury | 2000 |
PublicationDate | 2015-Apr 2015-04-01 20150401 |
PublicationDateYYYYMMDD | 2015-04-01 |
PublicationDate_xml | – month: 04 year: 2015 text: 2015-Apr |
PublicationDecade | 2010 |
PublicationPlace | England |
PublicationPlace_xml | – name: England |
PublicationTitle | Occupational medicine (Oxford) |
PublicationTitleAlternate | Occup Med (Lond) |
PublicationYear | 2015 |
References | ELGOUHARI (11_32690094) 2008; 75 Jagger (28_39354624) 2011; 93 Sohn (7_23292865) 2006; 48 (6_45240742) 2013; 63 (20_31607672) 2008; 52 Ramsay (26_6402019) 1999; 2 (29_49718370) 2014; 3 (24_11022952) 2001; 50 Cutter (14_17716819) 2003; 54 Goniewicz (5_43798146) 2012; 19 Kerr (15_35322430) 2009; 91 Szmuness (22_8807574) 1982; 307 Cardo (25_5794112) 1997; 337 (8_49718368) 2014; 42 Kakisi (19_35435960) 2009; 60 (9_38222348) 2005; 41 (27_49718369) 2013; 34 |
References_xml | – volume: 41 start-page: 1423 issn: 1058-4838 issue: 10 year: 2005 ident: 9_38222348 publication-title: Clinical Infectious Diseases doi: 10.1086/497131 – volume: 19 start-page: 523 issn: 1232-1966 issue: 3 year: 2012 ident: 5_43798146 publication-title: Annals of agricultural and environmental medicine : AAEM contributor: fullname: Goniewicz – volume: 93 start-page: 322 issn: 0001-2092 issue: 3 year: 2011 ident: 28_39354624 publication-title: AORN journal doi: 10.1016/j.aorn.2011.01.001 contributor: fullname: Jagger – volume: 42 start-page: 549 issn: 0300-8126 year: 2014 ident: 8_49718368 publication-title: Infection – volume: 2 start-page: 258 issn: 1462-1843 issue: 4 year: 1999 ident: 26_6402019 publication-title: Communicable disease and public health / PHLS contributor: fullname: Ramsay – volume: 337 start-page: 1485 issn: 0028-4793 issue: 21 year: 1997 ident: 25_5794112 publication-title: New England Journal of Medicine doi: 10.1056/NEJM199711203372101 contributor: fullname: Cardo – volume: 54 start-page: 239 issn: 0195-6701 issue: 3 year: 2003 ident: 14_17716819 publication-title: The Journal of hospital infection doi: 10.1016/S0195-6701(03)00090-2 contributor: fullname: Cutter – volume: 52 start-page: 615 issn: 0003-4878 issue: 7 year: 2008 ident: 20_31607672 publication-title: Annals of Occupational Hygiene doi: 10.1093/annhyg/men044 – volume: 307 start-page: 1481 issn: 0028-4793 issue: 24 year: 1982 ident: 22_8807574 publication-title: New England Journal of Medicine doi: 10.1056/NEJM198212093072403 contributor: fullname: Szmuness – volume: 60 start-page: 1269 issn: 0022-1597 issue: 9 year: 2009 ident: 19_35435960 publication-title: Psychiatric Services doi: 10.1176/appi.ps.60.9.1269 contributor: fullname: Kakisi – volume: 75 start-page: 881 issn: 0891-1150 issue: 12 year: 2008 ident: 11_32690094 publication-title: Cleveland Clinic Journal of Medicine doi: 10.3949/ccjm.75a.07019 contributor: fullname: ELGOUHARI – volume: 34 start-page: 935 issn: 0899-823X year: 2013 ident: 27_49718369 publication-title: Infection control and hospital epidemiology : the official journal of the Society of Hospital Epidemiologists of America doi: 10.1086/671733 – volume: 48 start-page: 474 issn: 1341-9145 issue: 6 year: 2006 ident: 7_23292865 publication-title: Journal of occupational health doi: 10.1539/joh.48.474 contributor: fullname: Sohn – volume: 63 start-page: 183 issn: 0885-114X issue: 3 year: 2013 ident: 6_45240742 publication-title: Occupational Medicine doi: 10.1093/occmed/kqt006 – volume: 91 start-page: 430 issn: 1478-7083 issue: 5 year: 2009 ident: 15_35322430 doi: 10.1308/003588409X432194 contributor: fullname: Kerr – volume: 3 start-page: CD009740 issn: 1469-493X year: 2014 ident: 29_49718370 publication-title: Cochrane database of systematic reviews (Online) – volume: 50 start-page: 1 issn: 1057-5987 issue: RR-1 year: 2001 ident: 24_11022952 publication-title: MMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports / Centers for Disease Control |
SSID | ssj0016482 |
Score | 2.2429543 |
Snippet | In 2013, new regulations for the prevention of sharps injuries were introduced in the UK. All health care employers are required to provide the safest possible... BACKGROUNDIn 2013, new regulations for the prevention of sharps injuries were introduced in the UK. All health care employers are required to provide the... Background In 2013, new regulations for the prevention of sharps injuries were introduced in the UK. All health care employers are required to provide the... |
SourceID | proquest crossref pubmed |
SourceType | Aggregation Database Index Database |
StartPage | 210 |
SubjectTerms | Blood-Borne Pathogens Body Fluids Hepatitis B virus Hepatitis C virus Human immunodeficiency virus Humans Infection Control - legislation & jurisprudence Infectious Disease Transmission, Patient-to-Professional - legislation & jurisprudence Infectious Disease Transmission, Patient-to-Professional - prevention & control Needlestick Injuries - prevention & control Occupational Diseases - epidemiology Occupational Exposure - prevention & control Protective Devices - utilization United Kingdom - epidemiology |
Title | Sharp truth: health care workers remain at risk of bloodborne infection |
URI | https://www.ncbi.nlm.nih.gov/pubmed/25663385 https://search.proquest.com/docview/1669448687 https://search.proquest.com/docview/1701477544 |
Volume | 65 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1Lb9QwELaglRAXRMtrC62MBL2g0Dxsx-EGtKWA2kPZSr1F8WOFVG2ytFkJ8esZe5zHSm1VuESrJLuW5psdz2fPfCbkjXaTRgH_NDXjJmLSiEhyZaJUSMMYjzOVuEbh4xNxdMa-nfPz4RRH313Sqvf6z7V9Jf-DKtwDXF2X7D8g2_8o3IDPgC9cAWG43gljp7a8eNdeLtufjtljT6MXm_ZHwLje3Es7B-7vWha7InJfqg7Ie7kQrMSqxynqiu5wt_XuVUl_YyF8v3RwGk6M_zSUDU-b-UVYwf4xNDmc6KXCMuKw-BqWGRI-qk6xGBphGouADvJx7MRzHoKPZCuBML42QKN4VaP13K3lHl78WqZecaAdwbWYe7wgGRNAoPkwU_X1g92j-2Q9zQvuSPf-1-_97pFgMg16qjDeHo62h2M59efw7dVU5AZ-4fOM6WPyKBAE-hHR3iD3bL1JHhwHHDbJ2zE-dIqiEHSXnq5Irj8hX7xzUO8cHyi6BnWuQYNrUHQNWrXUuQZtZnRwDdq7xlNydngw_XwUhVMzIg2peBtlWmlWVDxRJk8rJpgyCsK4NnmsciOTZCZcElIB05bAJTUQeJvBJGeUAbOAYZ6Rtbqp7QtCreESCENVJZlm1qaF4lIlcaZjOTPA1SdktzNguUBxlBKLGrISjV6i0SfkdWfeEsKX25Oqatssr8pEiIIxKWR-yzs58Hiv1DghzxGbfrgOy60bn7wkDwd_fkXWwO52GxLJVu14r_kL1Bxz-A |
link.rule.ids | 315,786,790,27957,27958 |
linkProvider | Flying Publisher |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Sharp+truth%3A+health+care+workers+remain+at+risk+of+bloodborne+infection&rft.jtitle=Occupational+medicine+%28Oxford%29&rft.au=Rice%2C+B+D&rft.au=Tomkins%2C+S+E&rft.au=Ncube%2C+F+M&rft.date=2015-04-01&rft.eissn=1471-8405&rft.volume=65&rft.issue=3&rft.spage=210&rft_id=info:doi/10.1093%2Foccmed%2Fkqu206&rft_id=info%3Apmid%2F25663385&rft.externalDocID=25663385 |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0962-7480&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0962-7480&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0962-7480&client=summon |