[Use of the new Italian version of the International Classification of Diseases-Clinical Modification (ICD-9-CM) for the information system of immunization health services]. / Utilizzo della nuova versione italiana 2009 della International Classification of Diseases-Clinical Modification (ICD-9-CM) per il sistema informativo dei servizi sanitari dedicati alle vaccinazioni.

Compared to the previous one, the recently updated Italian version of the International Classification of Diseases - Clinical Modification (ICD-9-CM) includes new codes for the description of medical-related vaccinations procedures. In this work the new codes are described and the Classification is proposed as a possible tool for storing electronic information systems of immunization health services.

[Exposure to biologic hazards in rehabilitation: analysis of the perceived risk and of the educational needs of nurses and physiotherapists]. / Il rischio biologico in riabilitazione: analisi della percezione del rischio e del bisogno formativo negli infermieri e nei fisioterapisti.

Nurses and physiotherapists who work in a Rehabilitation Centre are exposed to biologic hazards due to the close physical contact they have with their patients, who are often affected by contagious infectious diseases. The perceived risk amongst these workers is a significant element in establishing an effective prevention plan and in evaluating educational needs and was therefore investigated in this survey. An anonymous self-administered questionnaire, structured in four subsections for a total of twenty four multiple-choice questions was used. The evaluated variables included knowledge of pathogen transmission pathways, modes of exposure to such pathogens, knowledge of universal precautions and of ways in which to deal with known exposure. Physiotherapists, more so than nurses, have a partial and insufficient knowledge of biologic hazards. The main reason for this gap can be found in the school curriculum for such professionals, in which, in comparison to other graduate degree courses (medicine, nursing) a much smaller amount of course time is allotted to the topic of biologic hazards and risk prevention. In order to practice effective risk management it is therefore necessary for the employer to commit to providing specific on-site education and training to its workers. For this purpose, our centre has developed specific educational activities and internal procedures which can be shared on the topic of biologic hazards and risk management.