SIDE EFFECTS TO THE HOSPITAL
SIDE EFFECTS TO THE HOSPITAL
EMPLOYEES DURING THE USE OF
EMPLOYEES DURING THE USE OF
DISINFECTANTS AND ANTISEPTICS
DISINFECTANTS AND ANTISEPTICS
IN THE CENTRAL STERILIZATION
IN THE CENTRAL STERILIZATION
SERVICE DEPARTMENTS
SERVICE DEPARTMENTS
Costas Delezos
Costas Delezos
Hygienist
Hygienist
,
,
Msc
Msc
Laboratory of Work Health and Safety
Laboratory of Work Health and Safety
Public Health Department
Public Health Department
Technological Educational Institute of Athens
Technological Educational Institute of Athens
The investigation and documentation of the health
The investigation and documentation of the health
problems that can be caused to the CSSD`s staff by
problems that can be caused to the CSSD`s staff by
the extensive but necessary use of:
the extensive but necessary use of:
Detergents
Detergents
Disinfectants
Disinfectants
Antiseptics
Antiseptics
during their work
during their work
AIM OF THE STUDY
Sample 111 employees from
Sample 111 employees from
18 large Hospital Units in Attica-Greece
18 large Hospital Units in Attica-Greece
Duration: January to June of 2007
Duration: January to June of 2007
Use of questionnaire consisted of 109 questions of both open and
Use of questionnaire consisted of 109 questions of both open and
closed type as well as a personal interview.
closed type as well as a personal interview.
Fields of questionnaire:
Fields of questionnaire:
Demographic data
Demographic data
Investigation of the employment
Investigation of the employment
Investigation of the contact and expose in surgical instruments
Investigation of the contact and expose in surgical instruments
disinfectants
disinfectants
Investigation of the musculoskeletal burden by the use of surgical
Investigation of the musculoskeletal burden by the use of surgical
instrument disinfectants during manual or automatic cleaning
instrument disinfectants during manual or automatic cleaning
Investigation of contact and exposure in hand antiseptic
Investigation of contact and exposure in hand antiseptic
IDENTITY OF THE STUDY
ΣΚΟΠΟΣ ΤΗΣ ΜΕΛΕΤΗΣ-1-
ΣΚΟΠΟΣ ΤΗΣ ΜΕΛΕΤΗΣ-1-
Women (8.65%)
Women (8.65%)
Mean age: 39 years
Mean age: 39 years
High
school
graduates
(32.4%)
and
High
school
graduates
(32.4%)
and
technological education institute graduates
technological education institute graduates
(29.7%)
(29.7%)
Hired as unspecialized personnel (53.9%)
Hired as unspecialized personnel (53.9%)
Adoption of a healthy behavior in their life
Adoption of a healthy behavior in their life
style such as stop smoking, exercise, diet
style such as stop smoking, exercise, diet
(68.5%)
(68.5%)
DEMOGRAPHIC DATA
SMOKING
S m o ki n g
Y e s
5 2 %
No
4 8 %
ALLERGIC
38% from the allergic, declare allergic
38% from the allergic, declare allergic
especially in disinfectants
especially in disinfectants
Allergie
Yes
44%
No
56%
Suffer of bronchial asthma (26,1%) and
Suffer of bronchial asthma (26,1%) and
thyroid illness (28,8%).
thyroid illness (28,8%).
Present migraines(26,1%).
Present migraines(26,1%).
Complain of dermal illness(21,6%).
Complain of dermal illness(21,6%).
DECLARED SYMPTOMS
USUAL EMPLOYMENT
USUAL EMPLOYMENT
Deal with multitasking during their working
Deal with multitasking during their working
hours.
hours.
32,40%
50,50%
53,20%
36,90%
30,60%
68,50%
29,70%
0,00%
10,00%
20,00%
30,00%
40,00%
50,00%
60,00%
70,00%
Υποδοχή
Ακαθάρτων
Φορτωτής-Χειριστής
Πλυντηρίου ΧΕ
Χειρωνακτικό
πλύσιμο ΧΕ σε
νιπτήρα
Τοποθέτηση ΧΕ σε
λεκάνη
απολύμανσης
Παρασκευαστής
απολυμαντικών
Διαλογή-
Συντήρηση-
Πακετάρισμα
Φορτωτής
Κλιβάνου
Freighter operator
of washing machines
Manual instruments
Cleaning by the washbasin
Selection maintenance
packaging
54,1%
45,9%
40,0%
42,0%
44,0%
46,0%
48,0%
50,0%
52,0%
54,0%
56,0%
Ναι
Όχι
Yes
No
CSSD WITH A DESIGNED PLACE FOR
CSSD WITH A DESIGNED PLACE FOR
PREPARING DISINFECTANTS
PREPARING DISINFECTANTS
PLACEMENT OF THE LOCKER ROOMS
PLACEMENT OF THE LOCKER ROOMS
81,40%
18,60%
0,00%
10,00%
20,00%
30,00%
40,00%
50,00%
60,00%
70,00%
80,00%
90,00%
% Ποσοστό
Αμέσως Μετά
Διέλευση από την ΚΑ
Just after entrance
Passage through
CSSD’s facilities
MIXING
OF DISINFECTANTS
19,3%
80,7%
0,0%
10,0%
20,0%
30,0%
40,0%
50,0%
60,0%
70,0%
80,0%
90,0%
Ναι
Όχι
Yes
No
AWARENESS OF SAFETY DATA SHEETS
BY THE PERSONNEL
No
78%
Yes
22%
USE OF PERSONAL PROTECTION MEANS
DURING THE SURFACE DISINFECTION
.
Gloves 94,2%
Gloves 94,2%
Robe 16,3%
Robe 16,3%
Mask 36,5%
Mask 36,5%
Cap 1,9%
Cap 1,9%
Glasses 3,8%
Glasses 3,8%
After surface disinfecting 30,6% has a
After surface disinfecting 30,6% has a
headache.
headache.
PARTICIPATION IN TESTING OF EVERY NEW
DISINFECTANT IS OFFERED TO THE HOSPITAL
70,3% of the employees take part in testing of every new
70,3% of the employees take part in testing of every new
product is offered to the hospital by the companies
product is offered to the hospital by the companies
automated cleaning of
surgical instrument
14%
manual cleaning
surgical of instrument
17%
combination manual
and automated
cleaning
69%
SIDE EFFECTS DURING THE TESTING
SIDE EFFECTS DURING THE TESTING
OF THE NEW DISINFECTANTS
OF THE NEW DISINFECTANTS
23,9%
13,0%
43,5%
2,2%
17,4%
0,0%
5,0%
10,0%
15,0%
20,0%
25,0%
30,0%
35,0%
40,0%
45,0%
Κεφαλαλγία
Ερεθισμός
Βλεννογόνου
Δύσπνοια
Κνησμός
Εξανθήματα
Headache
Dyspnea
Rashes
TOTAL TIME OF PARTICIPATION IN
TOTAL TIME OF PARTICIPATION IN
MANUAL CLEANING FOR AN
MANUAL CLEANING FOR AN
EMPLOYEE
EMPLOYEE
48,9% of the employees participate to manual cleaning of
48,9% of the employees participate to manual cleaning of
surgical instruments for a period of 30 minutes and more, at
surgical instruments for a period of 30 minutes and more, at
least 5-10 times a day.
least 5-10 times a day.
14,4%
36,7%
48,9%
0,0%
5,0%
10,0%
15,0%
20,0%
25,0%
30,0%
35,0%
40,0%
45,0%
50,0%
0-15 Λεπτά
15-30 Λεπτά
>30 Λεπτά
0-15 min
15-30 min
>30 min
Headache (44%)
Headache (44%)
Rashes (16%)
Rashes (16%)
Dyspnea (10%)
Dyspnea (10%)
Eye irritation (12%)
Eye irritation (12%)
SIDE EFFECTS DURING CLEANING OF
SIDE EFFECTS DURING CLEANING OF
SURGICAL INSTRUMENTS
SURGICAL INSTRUMENTS
65% of employees uses hand antiseptics
65% of employees uses hand antiseptics
more than 10 times a day.
more than 10 times a day.
Side effects like xerosis and hand
Side effects like xerosis and hand
irritation has been developed (54,1%).
irritation has been developed (54,1%).
USE OF HAND ANTISEPTICS
USE OF HAND ANTISEPTICS
PER DAY
PER DAY
86,5% of the staff uses the same
86,5% of the staff uses the same
disinfectant (chlorine) at home as well as
disinfectant (chlorine) at home as well as
at work many times a day.
at work many times a day.
SAME DISINFECTANT AT HOME
SAME DISINFECTANT AT HOME
AND AT WORK
AND AT WORK
The employees are not well informed and
The employees are not well informed and
trained in the field of the safe use of chemical
trained in the field of the safe use of chemical
substances.
substances.
During their working hours, multiple exposure
During their working hours, multiple exposure
conditions and side – effects are noted, while
conditions and side – effects are noted, while
at the same time lack of infrastructure and
at the same time lack of infrastructure and
inadequate management, exacerbate the
inadequate management, exacerbate the
problem.
problem.
It is imperative to use measures of precaution
It is imperative to use measures of precaution
and continuous training of the employees for
and continuous training of the employees for
the correct use of the means of personal
the correct use of the means of personal
protection.
protection.
CONCLUSIONS
CONCLUSIONS
Thank you
Thank you
Document Outline