Epidemiología de los accidentesbiológicos en el area V del Insalud en 1999 / Epidemiology of accidents with biological hazard in the Insalud Area V 1999

Nos proponemos describir los accidentes con exposición a sangre y/o fluidos corporales entre los trabajadores sanitarios del área V del INSALUD en 1999, además, de indagar en las circunstancias en que ocurrieron. Las enfermeras reportaron la mayor cantidad de exposiciones (46,4 W). Las 9 a.m. es la hora con mayor accidentalidad. El día con más eventos fue el jueves (19,9 por ciento). El pinchazo fue el accidente más común (76,1 por ciento). Son potencialmente evitables el 35,6 por ciento de las exposiciones. Las manos se comprometieron en el 85,1 por ciento de las veces. La tasa global de exposición ocupacional fue de 44,8 por 1.000 trabajadores de la salud (AU)

[Thoracic radiography in occupational health examination of hospital personnel. Making decisions]. / La radiografía de tórax en los exámenes de salud laboral de trabajadores hospitalarios. Toma de decisiones.

BACKGROUND: The routine chest radiography has been legally suppressed because of its low diagnostic profitability in non selected populations. Health surveillance of occupational populations at respiratory risk is entering a transitional period, where new guidelines are needed. Therefore, we determined to study the percentage of pathological findings in the chest radiographies of health examinations for hospital workers and whether it was possible to obtain explicative models allowing to calculate the probability of radiographies alteration. METHODS: A representative stratified sample of workers belonging to the Hospital La Paz in Madrid is studied, elaborating a transversal study based on the first health examination of their clinical history and two chest radiographies of further examinations. We carried out a multivariant analysis to calculate the probability of their alteration. RESULTS: We obtain alterations percentages of 19% for the first chest radiography; 23.5%, 22% and 21% for the two further ones and for the total, respectively. The explicative models obtained are based on age, family and personal antecedents of the respiratory disease, number of cigarettes smoked, cholesterol levels, the Mantoux test and the previous radiographies alteration. CONCLUSIONS: These equations may be an additional instrument together with labour environment considerations and within a clinical context, to help to the health specific occasional surveillance of the respiratory risk of hospital personnel.