On-line version ISSN 2078-5151
Print version ISSN 0038-2361
S. Afr. j. surg. vol.47 n.1 Cape Town Feb. 2009
R. de SilvaI; A. MallII; E. PanieriIII; D. StupartIII; D. KahnIV
I(Medical Student); Department of Surgery and Medical research Council Liver research Centre, University of Cape town and Groote Schuur Hospital, Cape town
IIPH.D.; Department of Surgery and Medical research Council Liver research Centre, University of Cape town and Groote Schuur Hospital, Cape town
IIIM.B. CH.B., F.C.S. (S.A.); Department of Surgery and Medical research Council Liver research Centre, University of Cape town and Groote Schuur Hospital, Cape town
IVM.B. CH.B., CH.M., F.C.S. (S.A.); Department of Surgery and Medical research Council Liver research Centre, University of Cape town and Groote Schuur Hospital, Cape town
BACKGROUND: With the advent of a new infectious era involving the HIV and hepatitis B and C viruses, concern has arisen about transmission of these viruses through ocular blood splashes during surgery. The purpose of the study was to determine the risk of ocular blood splashes to surgeons and their assistants during surgery.
METHOD: Surgeons and assistants in several surgical disciplines were requested to wear facemasks with a transparent plastic visor. The visors were collected postoperatively and inspected for macroscopic and microscopic blood splashes.
RESULTS: Fifty-nine per cent of the surgeons and assistants refused to wear facemasks with a visor. The incidence of blood splashes in those who participated was 45%. There was a trend for blood splashes to be more common during major surgery and during elective surgery. Surgeons and assistants were subject to similar risk.
CONCLUSION: This study confirms the significant risk of ocular blood splashes during surgery, while also suggesting that both surgeons and assistants lack appreciation of the risk.
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1. Aisien AO, Ujah IAO. Risk of blood splashes to masks and goggles during cesarean section. Med Sci Monit 2006; 12(2): CR94-97. [ Links ]
2. Fitch KM, Alvarez IP, Medina RDA, et al. Occupational transmission of HIV in health care workers. A review. Eur F Public Health 1995; 5: 175186. [ Links ]
3. Mitsui T, Iwano K, Masuko K, et al. Hepatitis C virus infection in medical personnel after needlestick accident. Hepatology 1992; 16: 1109-1114. [ Links ]
4. Sartori M, La Terra G, Aglietta M, Manzin A, Navino C, Verzetti G. Transmission of hepatitis C via blood splash into conjunctiva. Scand F Infect Dis 1993; 25(2): 270-271. [ Links ]
5. Bell DM. Human immunodeficiency virus transmission in health care settings: risk and risk reduction. Am F Med 1991; 91(Suppl 3B): 2945-3005. [ Links ]
6. Bond WW, Peterson NJ, Favero MS, Ebert JW, Maynard JE. Transmission of type B viral hepatitis via eye inoculation of a chimpanzee. F Clin Microbiol 1982; 15(3): 533-534. [ Links ]
7. Sharma JB, Gupta A, Malhotra M, Arora R. Facial and body blood contamination in major gynaecologic surgeries. F Obstet Gynaecol Res 2003; 29(6): 402-405. [ Links ]
8. Marasco S, Woods S. The risk of eye splash injuries in surgery. Aust NZ F Surg 1998; 68(11): 785-787. [ Links ]
9. Keogh IJ, Hone SW, Colreavey M,Walsh M. Blood splash and tonsillectomy: an underestimated hazard to the otolaryngologist. F Laryngol Otol 2001; 115(6): 455-456. [ Links ]
10. Collins D, Rice J, Nicholson P, Barry K. Quantification of facial contamination with blood during orthopaedic procedures. F Hosp Infect 2000; 45(1): 73-75. [ Links ]
11. McNamara IR, Tehrani H, Sassoon EM. Ocular contamination during lesional surgery - a hazard for the plastic surgeon. F Plast Reconstr Aesthet Surg 2006; 59: 263-265. [ Links ]
12. Brearley S, Buist LJ. Blood splashes: An underestimated hazard to surgeons. BMF 1989; 299: 1315. [ Links ]