Document Detail

Contribution of a winged phlebotomy device design to blood splatter.
MedLine Citation:
PMID:  23041802     Owner:  NLM     Status:  In-Data-Review    
Background. Despite a proliferation of phlebotomy devices with engineered sharps injury protection (ESIP), the impact of various winged device designs on blood splatter occurring during venipuncture procedures has not been explored. Objectives. To evaluate the potential for blood splatter of 6 designs of winged phlebotomy devices. Design. A laboratory-based device evaluation without human subjects, using a simulated patient venous system. Methods. We evaluated 18 winged phlebotomy devices of 6 device designs by Terumo, BD Vacutainer (2 designs), Greiner, Smith Medical, and Kendall (designated A-F, respectively). Scientific filters were positioned around the devices and weighed before and after venipuncture was performed. Visible blood on filters, exam gloves, and devices and measurable blood splatter were the primary units of analysis. Results. The percentages of devices and gloves with visible blood on them and filters with measurable blood splatter ranged from 0% to 20%. There was a statistically significant association between device design and visible blood on devices ([Formula: see text]) and between device design and filters with measurable blood splatter ([Formula: see text]), but not between device design and visible blood on gloves. A wide range of associations were demonstrated between device design and visible blood on gloves or devices and incidence of blood splatter. Conclusions. The results of this evaluation suggest that winged phlebotomy devices with ESIP may produce blood splatter during venipuncture. Reinforcing the importance of eye protection and developing a methodology to assess ocular exposure to blood splatter are major implications for healthcare personnel who use these devices. Future studies should focus on evaluating different designs of intravascular devices (intravenous catheters, other phlebotomy devices) for blood splatter.
Donna J Haiduven; Christine McGuire-Wolfe; Shawn P Applegarth
Publication Detail:
Type:  Journal Article     Date:  2012-09-19
Journal Detail:
Title:  Infection control and hospital epidemiology : the official journal of the Society of Hospital Epidemiologists of America     Volume:  33     ISSN:  1559-6834     ISO Abbreviation:  Infect Control Hosp Epidemiol     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-10-08     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8804099     Medline TA:  Infect Control Hosp Epidemiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1069-76     Citation Subset:  IM; N    
Veterans Administration Health Services Research and Development/Rehabilitation Research and Development Research Center of Excellence, Tampa, Florida.
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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