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