Assuntos
Carcinoma Basocelular/cirurgia , Carcinoma de Células Escamosas/cirurgia , Impedância Elétrica , Margens de Excisão , Cirurgia de Mohs , Neoplasias Cutâneas/cirurgia , Carcinoma Basocelular/patologia , Carcinoma de Células Escamosas/patologia , Gerenciamento Clínico , Reações Falso-Negativas , Reações Falso-Positivas , Feminino , Secções Congeladas , Humanos , Masculino , Valor Preditivo dos Testes , Sensibilidade e Especificidade , Neoplasias Cutâneas/patologiaRESUMO
BACKGROUND: Dermatologists are at risk of body-fluid contamination during procedures. OBJECTIVE: We sought to determine the frequency of blood splash during procedural dermatology. METHODS: In all, 500 consecutive excisions were performed. Postoperatively, blood droplets on face shields and surgical gowns were counted. A survey regarding universal precautions during procedures was also conducted with members of the American College of Mohs Surgery (ACMS). RESULTS: Contamination from blood splashes during dermatologic procedures (Mohs micrographic surgery, excision, repair) occurred in 66.4%. Reconstruction type, anticoagulation use, wound location, and wound size correlated with a higher blood splash rate. Our survey showed that face shields and goggles are used inconsistently. LIMITATIONS: The 4 participating dermatologists do not represent all practicing dermatologists. It may be possible to generalize the survey results directed at physicians in the ACMS. CONCLUSION: Physician body-fluid contamination risk with procedural dermatology is clinically significant. Dermatologists and their assistants should wear preventive barriers during procedures to minimize the risk of viral transmission.
