Provision and use of personal protective equipment and safety devices in the National Study to Prevent Blood Exposure in Paramedics

• Published in: American journal of infection control Vol. 36; no. 10; pp. 743 - 749
• Main Authors: Mathews, Rahel, MPH, Leiss, Jack K., PhD, Lyden, Jennifer T., MPH, Sousa, Sara, MPH, Ratcliffe, Jennifer M., PhD, MSc, Jagger, Janine, MPH, PhD
• Format: Journal Article
• Language: English
• Published: New York, NY Mosby, Inc 01.12.2008; Elsevier
• Subjects: Adult; Allied Health Personnel - statistics & numerical data; Biological and medical sciences; Blood-Borne Pathogens; California - epidemiology; Epidemiology. Vaccinations; Female; General aspects; Health Surveys; Humans; Incidence; Infection Control; Infection Control - methods; Infectious Disease; Infectious diseases; Male; Medical sciences; Middle Aged; Needlestick Injuries - epidemiology; Needlestick Injuries - prevention & control; Occupational Diseases - epidemiology; Occupational Diseases - prevention & control; Occupational Exposure - prevention & control; Occupational Exposure - statistics & numerical data; Practice Guidelines as Topic; Protective Clothing - supply & distribution; Protective Clothing - utilization; Protective Devices - supply & distribution; Protective Devices - utilization; Risk Assessment; Surveys and Questionnaires; United States - epidemiology; United States; California; Accidental blood exposure; Infection; Prevention; Check; Device
• ISSN: 0196-6553; 1527-3296
• DOI: 10.1016/j.ajic.2008.04.250

Background Paramedics are at risk for human immunodeficiency virus, hepatitis B virus, and hepatitis C virus infection from occupational blood exposure. This study examined how often paramedics are provided with personal protective equipment (PPE), sharps containers, and selected safety devices by their employers; the frequency with which paramedics use sharps containers and these safety devices; and paramedics’ attitudes regarding this equipment. Methods We conducted a mail survey among a nationally representative sample of certified paramedics. California was oversampled to allow for separate estimation of proportions for this population. Results The final sample included 2588 paramedics, 720 of whom were from California (adjusted response rate, 55%). Paramedics in California were provided safety devices more often than paramedics in the United States as a whole. For each type of device, there was at least a 40% increase in use when the device was always provided compared with when it was not always provided. Eighty-four percent of paramedics thought that safety needles significantly reduce blood exposure, but substantial percentages thought that safety needles, eye protection, and masks interfere with some medical procedures. Approximately one fifth said that they need more training in the use of safety devices and PPE. Conclusion Lack of access to safety devices is the major barrier to their use, and the higher rates of provision and use in California may be the result of the state's early safety needle legislation. Increased provision, training, and improvement of safety equipment are needed to better protect paramedics from blood exposure.