2015, Number 2
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Rev Med Inst Mex Seguro Soc 2015; 53 (2)
Perception of health and safety risks among workers pathology laboratories
Alvarado-Cabrero I, Valencia-Cedillo R
Language: Spanish
References: 28
Page: 206-213
PDF size: 77.67 Kb.
ABSTRACT
Background: Health care workers are experiencing increasing numbers
of occupational illnesses. Safety practices in anatomical pathology
laboratories (APL) are crucial to prevent unnecessary exposures to both
chemical and biological agents.
Methods: The main goal of this study was to determine if pathologists
perceptions and actual practice mirror regulatory guidelines. Current
available recommendations for APL were reviewed and used to construct
an online survey distribuited to pathologists. The survey was completed
by 121 participants.
Results: Eighty-seven (72 %) of respondents reported receiving inadequate
safety training. Most Pathologists (82 %) were not well-informed
about biosafety practices. Sixty-three (52 %) participants felt that the
risks of chemical and infectious disease exposures in the APL were low.
Most respondents reported having a needle stick or cut (71 %). Eightysix
(71 %) of participants reported musculo skeletal problems.
Conclusions: This study indicated that there is a need for improving
training in anatomical pathology safety practices in Mexican Laboratories
as daily practices do not reflected current guidelines.
REFERENCES
Alvarado-Cabrero I. Redefi nición de la productividad y de la calidad de los diagnósticos del patólogo en un Hospital de Oncología. GAMO. 2012; 11(3): 145-51. Texto libre en http://132.248.9.34/hevila/ Gacetamexicanadeoncologia/2012/vol11/no3/2.pdf
Harrington JM, Shannon HS. Mortality study of pathologists and medical laboratory technicians. Br Med J. 1975; 4(5992): 329-32. Texto libre en http:// www.ncbi.nlm.nih.gov/pmc/articles/PMC1675173/
Ford A. Tacking stock of biosafety perils in surg path. CAP today. 2009, September . Texto libre en http://www. cap.org/apps//cap.portal?_nfpb=true&cntvwrPtlt_ac tionOverride=%2Fportlets%2FcontentViewer% 2Fshow&_windowLabel=cntvwrPtlt&cntvwrPtlt %7BactionForm.contentReference%7D=cap_ today%2F0909%2F0909b_taking_stock. html&_state=maximized&_pageLabel=cntvwr
Offi ce of Air and Radiation[USA]. Report to Congress on Indoor Air Quality, Volume II: Assessment and Control of Indoor Air Pollution. USA: Environmental Protection Agency;1989.
U.S Departament of Health and Human Services. Report on carcinogens[Internet]. 12 ed. U.S: National Toxicology Program; 2011. Disponible en http://ntp. niehs.nih.gov/go/roc 12
Hauptmann M, Stewart PA, Lubin JH, Beane Freeman LE, Hornung RW, Herrick RF,et al. Mortality from lymphohematopoietic malignancies and brain cancer among embalmers exposed to formaldehyde. J Natl Cancer Inst. 2009; 101(24): 1696-708. Texto libre en http://www.ncbi.nlm.nih.gov/pmc/articles/ PMC2794303/
Coggon D, Harris EC, Poole J, Palmer KT. Extended follow-up of a cohort of british chemical workers exposed to formaldehyde. JNatl Cancer Inst 2003; 95(21): 1608-1615. Texto libre http://jnci.oxfordjournals. org/content/95/21/1608.long
Nelson A, Wilson ML. Biothreat agents and pathology laboratories. Semin Diagn Pathol. 2007; 24(4): 209-16.
Guanche H, Menéndez N, Piñera S, Morales C, Fresneda G, Gutiérrez-García F. Riesgo ocupacional por exposición a objetos punzocortantes en Trabajadores de la Salud. MEDICRIT. 2006; 3(2): 56- 60. Texto libre en http://www.medicrit.com/Revista/ v3n2.06/56030206.pdf
George E. Occupational Hazard for Pathologists: Microscope use and musculoskeletal disorders. Am J Clin Pathol. 2010; 133(4): 543-8. Texto libre en http:// ajcp.ascpjournals.org/content/133/4/543.long
Secretaria del Trabajo y Previsión Social [México] Norma Ofi cial Mexicana, NOM-018-STPS-2000, Sistema para la identifi cación y comunicación de peligros y riesgos por substancias quimicas peligrosas en los centros de trabajo[Internet].México:Diario Ofi - cial;2000.Disponible en http://www.stps.gob.mx/bp/ secciones/dgsst/normatividad/normas/Nom-018.pdf
Secretaría del Medio Ambiente y Recursos Naturales [México]Norma Ofi cial Mexicana,NOM-087-ECOLSSA1- 2002, Protección ambiental - Salud ambiental - Residuos peligrosos biológico-infecciosos - Clasifi cación y especifi caciones de manejo[Internet]. México: ECOLSA; 2002. Disponible en www.salud.gob. mx/unidades/cdi/nom/087ecolssa.html
Secretaria del Trabajo y Previsión Social [México] Norma Ofi cial Mexicana NOM-017-STPS-2008 Equipo de protección personal-Selección, uso y manejo en los centros de trabajo[Internet]. México:Diario Ofi - cial;2008. Disponible en www.stps.gob.mx/bp/secciones/ dgsst/normatividad/normas/Nom-017.pdf
Secretaria del Trabajo y Previsión Social [México] Norma Ofi cial Mexicana NOM-010-STPSS-1999, condiciones de seguridad e higiene en los centros de trabajo donde se manejen, transporten, procesen o almacenen sustancias químicas capaces de generar contaminación en el medio ambiente laboral[Internet]. México:Diario Ofi cial; 1999. Disponible en http:// www.stps.gob.mx/bp/secciones/dgsst/normatividad/ normas/Nom-010.pdf
The Joint Commission. Accreditation, Health Care, Rev Med Inst Mex Seguro Soc. 2015;53(2):206-13 213 Alvarado-Cabrero I et al. Seguridad en laboratorio de patología Certifi cation[Internet]. U.S[?]. Disponible en: www. jointcommission.org
Centers for Disease Control and Prevention. www. cdc.gov/
Adegbaye AA, Moss GB, Soyinka F, Kreiss JK. The epidemiology of needlestick and sharp instrument accidents in Nigerian hospitals. Infect Control Hosp Epidemiol. 1994; 15(1) : 27-31.
Miller JM, Astles R, Baszler T, Chapin K, Carey R, Garcia L, et al. Guidelines for safe work practices in human and animal medical diagnostic laboratories. recommendations of a CDC-convened, Biosafety Blue Ribbon Panel. MMWR Surveill Summ. 2012; 61(Supl): 1-102.
Kales SN. La importancia de la salud ocupacional. Revista Ciencias de la Salud. 2004 ; 2(1) :5-7.
Collins CH, Kennedy DA. Microbiological hazards of occupational needstick and sharp injuries. A review. J Appl Bacteriol. 1987; 62(5): 385-402
American Society of Microbiology Web site that provides laboratory guidelines http://www.asmusa.org
Gerston KF, Blumberg L, Tshabalala VA, Murray J. Viability of mycobacteria in formalin-fi xed lungs. Hum Pathol. 2004; 35(5): 571-5.
Chamberlain AT, Burnett LC, King JP, Whitney ES, Kaufman SG, Berkelman RL. Biosafety Training and incident-reporting Practices in the United States: a 2008 Survey of Biosafety Professionals. Appl Biosaf. 2009;14(3):135-43. Texto libre en http://www.ncbi. nlm.nih.gov/pmc/articles/PMC2947438/
National Institute for Occupational Safety and Health (NIOSH). Formalin (as formaldehyde). NIOSH Pocket Guide to Chemical Hazards. (Internet]. U.S.:Center for Disease Control and Prevention; [?]. citado 4 Abr 2011]. Disponible en: http://www.cdc.gov/niosh/npg/ npgd0294.html
Bureau of Labor Statistics. Career Guide to industries, 2010-2011[Internet].United States:Departament of Labor;2009.[citado 2 Feb 2010]. Disponible en http:// www.bls.gov/oco/cg/cgs035.htm
Junco-Diaz , RA, Oliva Pérez, Barroso-Uria I, Guanche- Garcell H. Riesgo ocupacional por exposición a objetos punzocortantes en trabajadores de la salud. Rev Cubana Hig Epidemiol. 2003; 41(2): 1-10. Texto libre en http://www.bvsde.ops-oms.org/bvsacd/cd49/ riesgo.pdf
Ehdaivand S, Chapin KC, Andrea S, Gnepp DR. Are biosafety practices in anatomical laboratories suffi - cient? A survey and review of current guidelines. Human Pathol. 2013; 44(6): 951-8.
Fritzche FR, Ramach C, Soldini D, Caduff R, Tinguely M, Cassoly E, et al. Occupational health risks of pathologists- results from a nationwide online questionnaire in Switzerland. BMC. Public Health. 2012; 12: 1054-1065. Texto libre en http://www.ncbi.nlm. nih.gov/pmc/articles/PMC3538703/