| Blood and body fluid exposures among US medical students in Botswana. | |
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MedLine Citation:
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PMID: 21116867 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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INTRODUCTION: Medical students from resource-rich countries who rotate in resource-limited settings have little pre-departure experience performing procedures, and lack familiarity with local equipment. The risk of blood and body fluid exposures during such rotations is significant. AIM: 1) Determine whether a simulation-based intervention reduced exposures among US medical students on a rotation in Botswana; 2) determine whether exposures were underreported; 3) describe exposures and provision of human immunodeficiency virus (HIV) post-exposure prophylaxis (PEP). SETTING: University of Pennsylvania medical students who traveled to Botswana for a clinical rotation from July 2007 to February 2010 were eligible to participate. PROGRAM DESCRIPTION: Twenty-two students participated in the simulation-based intervention. PROGRAM EVALUATION: To evaluate the intervention, we used a pre/post quasi-experimental design and administered a retrospective survey. The response rate was 81.7% (67/82). Needlesticks were eliminated [8/48 (16.7%) to 0/19 (0.0%), p = 0.07]. Splashes were unchanged (6/48 [12.5%) to 3/19 (15.8%), p=>0.99]. Three students did not report their exposure. Fifteen exposures were reported to an attending, who counseled the student regarding HIV PEP. Three students did not take PEP because the exposure was low-risk. DISCUSSION: Our intervention was associated with a decrease in needlestick exposures. Medical schools should consider training to reduce exposures abroad. |
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Authors:
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Jessica S Merlin; Gail Morrison; Stephen Gluckman; Gregg Lipschik; Darren R Linkin; Sarah Lyon; Elizabeth O'Grady; Heather Calvert; Harvey Friedman |
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Publication Detail:
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Type: Comparative Study; Journal Article Date: 2010-11-30 |
Journal Detail:
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Title: Journal of general internal medicine Volume: 26 ISSN: 1525-1497 ISO Abbreviation: J Gen Intern Med Publication Date: 2011 May |
Date Detail:
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Created Date: 2011-04-15 Completed Date: 2011-10-24 Revised Date: 2012-05-01 |
Medline Journal Info:
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Nlm Unique ID: 8605834 Medline TA: J Gen Intern Med Country: United States |
Other Details:
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Languages: eng Pagination: 561-4 Citation Subset: IM |
Affiliation:
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Hospital of the University of Pennsylvania, Division of Infectious Diseases, Philadelphia, PA 19104-6073, USA. jessicasarahmerlin@gmail.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Body Fluids*
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microbiology,
virology Botswana Data Collection / methods Humans Needlestick Injuries / microbiology, prevention & control*, virology Occupational Exposure / adverse effects, prevention & control* Post-Exposure Prophylaxis / methods* Retrospective Studies Students, Medical* / psychology United States |
| Comments/Corrections | |
Comment In:
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J Gen Intern Med. 2011 May;26(5):462-3
[PMID:
21424867
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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