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Médecine du travail du personnel hospitalier

BRIEF REPORT: Needlestick Injury and Inadequate Post-Exposure Practice in Medical Students.

J Gen Intern Med. 2005 May;20(5):419-21.
BRIEF REPORT: Needlestick Injury and Inadequate Post-Exposure Practice in Medical Students.
‘Cervini P, Bell C.
Department of Medical Imaging, University of Toronto, Toronto, ON, Canada.’

Background: Medical students are at a particularly high risk for needlestick injury and its consequences because of their relative inexperience and lack of disability insurance. Objective: To determine the risk of needlestick injury and the use of post-exposure prophylaxis among medical students. Design: Internet-based survey. Participants: The 2003 graduating medical school class at the University of Toronto. Measurements: Number of needlestick injuries, circumstances surrounding those incidents, and post-exposure actions. Results: The response rate was 88% (157/178). Over one third (55/157) of respondents suffered at least 1 needlestick injury. In more than half the high-risk injuries, the students continued working and did not seek medical advice. Six students who suffered a needlestick injury began prophylactic human immunodeficiency virus medications. Of those students who suffered an injury, 15% had purchased disability insurance prior to the incident. Conclusions: Poor use of post-exposure procedures and a lack of disability insurance leave medical students at high risk for career and life-altering consequences from a needlestick injury.

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