Originales
Análisis coste-efectividad de dispositivos sanitarios diseñados para prevenir exposiciones percutáneas
Safety-engineered devices to prevent percutaneous injuries: cost-effectiveness analysis on prevention of high-risk exposure
Lluís Armadans Gila,
, María Isabel Fernández Canob, Inmaculada Albero Andrésa, María Luisa Anglés Melladob, José María Sánchez Garcíaa, Magda Campins Martía, Josep Vaqué Rafarta
Autor para correspondencia
larmadan@vhebron.net
Correspondencia: Dr. Lluís Armadans Gil. Servei de Medicina Preventiva. Hospital Universitari Vall d’Hebron. Universitat Autònoma de Barcelona. Passeig Vall d’Hebron, 119-129. 08035 Barcelona. España.
Correspondencia: Dr. Lluís Armadans Gil. Servei de Medicina Preventiva. Hospital Universitari Vall d’Hebron. Universitat Autònoma de Barcelona. Passeig Vall d’Hebron, 119-129. 08035 Barcelona. España.
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Mellado, José María Sánchez García, Magda Campins Martí, Josep Vaqué Rafarta" "autores" => array:7 [ 0 => array:4 [ "nombre" => "Lluís" "apellidos" => "Armadans Gil" "email" => array:1 [ 0 => "larmadan@vhebron.net" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor1" ] ] ] 1 => array:3 [ "nombre" => "María Isabel" "apellidos" => "Fernández Cano" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] 2 => array:3 [ "nombre" => "Inmaculada" "apellidos" => "Albero Andrés" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 3 => array:3 [ "nombre" => "María Luisa" "apellidos" => "Anglés Mellado" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span 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class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Correspondencia: Dr. Lluís Armadans Gil. Servei de Medicina Preventiva. Hospital Universitari Vall d’Hebron. Universitat Autònoma de Barcelona. Passeig Vall d’Hebron, 119-129. 08035 Barcelona. España." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Safety-engineered devices to prevent percutaneous injuries: cost-effectiveness analysis on prevention of high-risk exposure" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2005-10-21" "fechaAceptado" => "2006-02-16" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec14139" "palabras" => array:4 [ 0 => "Exposición percutánea" 1 => "Exposición ocupacional" 2 => "Análisis coste-efectividad" 3 => "Personal sanitario" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec14140" "palabras" => array:4 [ 0 => "Needlestick injuries" 1 => "Occupational exposure" 2 => "Costeffectiveness analysis" 3 => "Health-care workers" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Evaluar la eficiencia de sustituir algunos dispositivos médicos por otros diseñados para prevenir exposiciones percutáneas (EP).</p> <span class="elsevierStyleSectionTitle">Métodos</span><p class="elsevierStyleSimplePara elsevierViewall">Se han estimado las relaciones coste-efectividad de sustituir algunos dispositivos por otros diseñados para prevenir EP: se han considerado los costes de adquisición y de la asistencia a una EP; el número de EP prevenibles por cada dispositivo se ha estimado a partir de las 252 exposiciones ocupacionales notificadas por el personal de un hospital de 1.300 camas de marzo de 2002 a febrero de 2003. Se ha calculado la relación entre el coste adicional de los dispositivos alternativos y el número de EP evitables de alto riesgo (las que cumplían 2 o más de los siguientes: EP moderadamente profunda o profunda, por objeto insertado en vaso, o por objeto expuesto a la sangre).</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Orden de los dispositivos según la relación costeefectividad:aguja con resguardo para catéter implantado (−2,65 €/EP evitada), seguida por jeringa con resguardo (869,79 €/EP), aguja con aletas con resguardo, equipo de perfusion con válvulas y catéter endovenoso periférico con retracción del fiador. Orden según relación entre coste adicional y número de EP de alto riesgo evitadas: aguja para acceso a catéter implantado, seguida por aguja con aletas, jeringa para aguja hipodérmica, catéter endovenoso y equipo de infusion con válvulas.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">El ahorro en asistencia a EP compensa el coste adicional de algunos dispositivos diseñados para prevenirlas. Un análisis coste-efectividad ayuda a establecer prioridades, pero debe tener en cuenta el riesgo de las EP asociadas con cada dispositivo.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">To assess the efficiency of the replacement of several medical devices by engineered sharp injury (SI) prevention devices (ESIPDs).</p> <span class="elsevierStyleSectionTitle">Methods</span><p class="elsevierStyleSimplePara elsevierViewall">The cost-effectiveness ratios of the replacement of medical devices in use by ESIPDs were estimated: their purchasing costs and the direct costs of sharp injury care were taken into account; the number of SI avoidable by each ESIPD was estimated from the 252 occupational SI notified by healthcare workers at a 1,300 bed hospital from March 2002 to February 2003. The relationship between ESIPD additional costs and the number of high-risk SI was estimated (SI were classified as high-risk if they met two or more of the following criteria: moderately-deep or deep injury, injury with a device previously inserted in an artery or vein, or with a device exposed to blood).</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">ESIPDs order according to cost-effectiveness ratio: safety needle for implanted ports (−2.65 €/SI avoided), followed by syringes with protective shield (869.79 €/SI), resheathable winged steel needles, needleless administration sets, and short catheters with protective encasement. ESIPDs order according to relationship between additional costs and number of high-risk sharp injuries avoided: safety needles for implanted ports, followed by winged steel needles, hypodermic syringes,short catheter and needleless administration sets.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Savings in SI care outweigh additional costs of certain ESIPDs. Cost-effectiveness analysis is useful in assigning priorities; however the risks of SI by every device must be taken into account.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:29 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Centers for Diseases Control. Updated U.S. Public Health Service Guidelines for the Management of Occupational Exposures to HBV, HCV, and HIV and Recommendations for Postexposure Prophylaxis. Morb Mortal Wkly Rep. 2001;50 (RR-11);1-42." ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:1 [ "autores" => array:1 [ 0 => array:3 [ "colaboracion" => "Grupo Catalán para el Estudio del Riesgo Laboral de Infección por el VHC en Hospitales. Riesgo laboral de infección por el virus de la hepatitis C después de una exposición accidental" "etal" => false "autores" => array:3 [ 0 => "C. Serra" 1 => "M. Torres" 2 => "M. Campins" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Med Clin (Barc)" "fecha" => "1998" "volumen" => "111" "paginaInicial" => "645" "paginaFinal" => "649" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib3" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Transmission and control of bloodborne viral hepatitis in health care workers" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "B.P. Lanphear" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Occup Med" "fecha" => "1997" "volumen" => "12" "paginaInicial" => "717" "paginaFinal" => "730" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9353819" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib4" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A case-control study of HIV seroconversion in health care workers after percutaneous exposure" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "D.M. Cardo" 1 => "D.H. Culver" 2 => "C.A. Ciesielski" 3 => "P.U. Srivastava" 4 => "R. Marcus" 5 => "D. Abiteboul" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1056/NEJM199711203372101" "Revista" => array:6 [ "tituloSerie" => "N Engl J Med" "fecha" => "1997" "volumen" => "337" "paginaInicial" => "1485" "paginaFinal" => "1490" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9366579" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib5" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "OSHA. Safer Needle Devices: Protecting Health Care Workers. Octubre 1997 [accedido 30 Mar 2005]. Disponible en:<a class="elsevierStyleInterRef" href="http://www.osha.gov/SLTC/needlestick/saferneedledevices/saferneedledevices.html">http://www.osha.gov/SLTC/needlestick/saferneedledevices/saferneedledevices.html</a>" ] ] ] 5 => array:3 [ "identificador" => "bib6" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "NIOSH Alert: Preventing Needlestick Injuries in Health Care Settings. DHHS (NIOSH) Publication N.° 2000-108. November 1999 [accedido 30 Mar 2000]. Disponible en:<a class="elsevierStyleInterRef" href="http://www.cdc.gov/niosh/2000-108.html">http://www.cdc.gov/niosh/2000-108.html</a>" ] ] ] 6 => array:3 [ "identificador" => "bib7" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Pub L N.° 106-430, Needlestick Safety and Prevention Act. (November 6, 2000)." ] ] ] 7 => array:3 [ "identificador" => "bib8" "etiqueta" => "8." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Selection of needlestick prevention devices: a conceptual framework for approaching product evaluation" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "L.A. Chiarello" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am J Infect Control" "fecha" => "1995" "volumen" => "23" "paginaInicial" => "386" "paginaFinal" => "395" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8821116" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib9" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Application of cost-effectiveness methodology to the consideration of needlestick-prevention technology" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "F.N. Laufer" 1 => "LA. Chiarello" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am J Infect Control" "fecha" => "1994" "volumen" => "22" "paginaInicial" => "75" "paginaFinal" => "82" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8060008" "web" => "Medline" ] ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib10" "etiqueta" => "10." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Sharps injuries: defining prevention priorities" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "E.A. Bryce" 1 => "J. Ford" 2 => "L. Chase" 3 => "C. Taylor" 4 => "S. Scharf" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am J Infect Control" "fecha" => "1999" "volumen" => "27" "paginaInicial" => "447" "paginaFinal" => "452" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10511494" "web" => "Medline" ] ] ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib11" "etiqueta" => "11." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Exposición ocupacional a sangre y material biológico en personal sanitario. Proyecto EPINETAC 1996-2000" "autores" => array:1 [ 0 => array:3 [ "colaboracion" => "Grupo de Trabajo EPINETAC" "etal" => false "autores" => array:6 [ 0 => "M.J. Hernández Navarrete" 1 => "M. Campins Martí" 2 => "E.V. Martínez Sánchez" 3 => "F. Ramos Pérez" 4 => "A. García de Codes Ilario" 5 => "J.L. Arribas Llorente" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Med Clin (Barc)" "fecha" => "2004" "volumen" => "122" "paginaInicial" => "81" "paginaFinal" => "86" ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib12" "etiqueta" => "12." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Materiales de seguridad. Evidencia de efectividad. ¿Cómo introducir un dispositivo de seguridad?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "J.A. Forcada Segura" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:4 [ "titulo" => "Estudio y seguimiento del riesgo biológico en el personal sanitario. Proyecto EPINETAC, 1996-2002" "paginaInicial" => "281" "paginaFinal" => "294" "serieFecha" => "2005" ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib13" "etiqueta" => "13." "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Departament de Salut: Guies de bona praxi. Risc biològic parenteral [accedido 23 Mar 2005]. Disponible en: <a class="elsevierStyleInterRef" href="http://www.gencat.net/salut/depsan/units/sanitat/pdf/parenteral.pdf">http://www.gencat.net/salut/depsan/units/sanitat/pdf/parenteral.pdf</a>" ] ] ] 13 => array:3 [ "identificador" => "bib14" "etiqueta" => "14." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Actualización del coste de las inoculaciones accidentales en el personal sanitario hospitalario" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "V.M. Solano" 1 => "M.J. Hernández" 2 => "F.J. Montes" 3 => "J.L. Arribas Llorente" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Gac Sanit" "fecha" => "2005" "volumen" => "19" "paginaInicial" => "29" "paginaFinal" => "35" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15745666" "web" => "Medline" ] ] ] ] ] ] ] ] 14 => array:3 [ "identificador" => "bib15" "etiqueta" => "15." "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Ley de Prevención de Riesgos Laborales. L. N.° 31/1995. (8 noviembre 1995)" ] ] ] 15 => array:3 [ "identificador" => "bib16" "etiqueta" => "16." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Preventability of percutaneous injuries in healthcare workers: a year-long survey in Italy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "A. Castella" 1 => "A. Vallino" 2 => "P.A. Argentero" 3 => "C.M. Zotti" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Hosp Infect" "fecha" => "2003" "volumen" => "55" "paginaInicial" => "290" "paginaFinal" => "294" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14629973" "web" => "Medline" ] ] ] ] ] ] ] ] 16 => array:3 [ "identificador" => "bib17" "etiqueta" => "17." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A comprehensive approach to percutaneous injury prevention during phlebotomy: results of a multicenter study, 1993-1995" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "F. Alvarado-Ramy" 1 => "E.M. Beltrami" 2 => "L.J. Short" 3 => "P.U. Srivastava" 4 => "K. Henry" 5 => "M. Mendelson" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1086/502179" "Revista" => array:6 [ "tituloSerie" => "Infect Control Hosp Epidemiol" "fecha" => "2003" "volumen" => "24" "paginaInicial" => "97" "paginaFinal" => "104" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12602691" "web" => "Medline" ] ] ] ] ] ] ] ] 17 => array:3 [ "identificador" => "bib18" "etiqueta" => "18." "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Centers for Diseases Control. Workbook for designing, implementing, and evaluating a sharps injury prevention program [accedido 29 Mar 2005] Disponible en: <a class="elsevierStyleInterRef" href="http://www.cdc.gov/sharpssafety/resources.html">http://www.cdc.gov/sharpssafety/resources.html</a>" ] ] ] 18 => array:3 [ "identificador" => "bib19" "etiqueta" => "19." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Costs and benefits of measures to prevent needle-stick injuries in a university hospital" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "F. Roudot-Thoraval" 1 => "O. Montagne" 2 => "A. Schaffer" 3 => "L. Dubreuil-Lemarie M-" 4 => "D. Hachard" 5 => "I. Durand-Zaleski" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Infec Control Hosp Epidemiol" "fecha" => "1999" "volumen" => "20" "paginaInicial" => "614" "paginaFinal" => "617" ] ] ] ] ] ] 19 => array:3 [ "identificador" => "bib20" "etiqueta" => "20." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Efficacy and cost-effectiveness of a needleless intravenous access system" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "A. Yassi" 1 => "M. McGill" 2 => "J.B. Khokhar" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am J Infect Control" "fecha" => "1995" "volumen" => "23" "paginaInicial" => "57" "paginaFinal" => "64" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7639404" "web" => "Medline" ] ] ] ] ] ] ] ] 20 => array:3 [ "identificador" => "bib21" "etiqueta" => "21." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Do protective devices prevent needlestick injuries among health care workers?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "R. Orenstein" 1 => "L. Reynolds" 2 => "M. Karabaic" 3 => "A. Lamb" 4 => "S.M. Markowitz" 5 => "E.S. Wong" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am J Infect Control" "fecha" => "1995" "volumen" => "23" "paginaInicial" => "344" "paginaFinal" => "351" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8821109" "web" => "Medline" ] ] ] ] ] ] ] ] 21 => array:3 [ "identificador" => "bib22" "etiqueta" => "22." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Impact of safety devices for preventing percutaneous injuries related to phlebotomy procedures in health care workers" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "A.M. Rogues" 1 => "C. Verdun-Esquer" 2 => "I. Buisson-Valles" 3 => "M.F. Laville" 4 => "A. Lashéras" 5 => "A. Sarrat" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/S019665530400478X" "Revista" => array:6 [ "tituloSerie" => "Am J Infect Control" "fecha" => "2004" "volumen" => "32" "paginaInicial" => "441" "paginaFinal" => "444" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15573049" "web" => "Medline" ] ] ] ] ] ] ] ] 22 => array:3 [ "identificador" => "bib23" "etiqueta" => "23." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Reducing occupational exposure to bloodborne pathogens: where do we stand a decade later?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "J. Jagger" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Infect Control Hosp Epidemiol" "fecha" => "1996" "volumen" => "17" "paginaInicial" => "573" "paginaFinal" => "575" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8880228" "web" => "Medline" ] ] ] ] ] ] ] ] 23 => array:3 [ "identificador" => "bib24" "etiqueta" => "24." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The effectiveness of a needleless intravenous connection system: an assessment by injury rate and user satisfaction" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "L.W. Lawrence" 1 => "G.L. Delclos" 2 => "S.A. Felknor" 3 => "P.C. Johnson" 4 => "R.F. Frankowski" 5 => "S.P. Copper" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Infect Control Hosp Epidemiol" "fecha" => "1997" "volumen" => "18" "paginaInicial" => "175" "paginaFinal" => "182" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9090545" "web" => "Medline" ] ] ] ] ] ] ] ] 24 => array:3 [ "identificador" => "bib25" "etiqueta" => "25." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Evaluation of a safety resheathable winged steel needle for prevention of percutaneous injuries associated with intravascular-access procedures among healthcare workers" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "M.H. Mendelson" 1 => "B.Y. Lin-Chen" 2 => "R. Solomon" 3 => "E. Bailey" 4 => "G. Kogan" 5 => "J. Goldbold" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1086/502174" "Revista" => array:6 [ "tituloSerie" => "Infect Control Hosp Epidemiol" "fecha" => "2003" "volumen" => "24" "paginaInicial" => "105" "paginaFinal" => "112" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12602692" "web" => "Medline" ] ] ] ] ] ] ] ] 25 => array:3 [ "identificador" => "bib26" "etiqueta" => "26." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Preventing transmission of blood-borne pathogens: a compelling argument for effective device-selection strategies" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "J. Culver" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am J Infect Control" "fecha" => "1997" "volumen" => "25" "paginaInicial" => "430" "paginaFinal" => "433" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9343630" "web" => "Medline" ] ] ] ] ] ] ] ] 26 => array:3 [ "identificador" => "bib27" "etiqueta" => "27." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A review of sharps injuries and preventative strategies" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "J.C. Trim" 1 => "T.S.J. Elliott" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Hosp Infect" "fecha" => "2003" "volumen" => "53" "paginaInicial" => "237" "paginaFinal" => "242" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12660120" "web" => "Medline" ] ] ] ] ] ] ] ] 27 => array:3 [ "identificador" => "bib28" "etiqueta" => "28." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Comprehensive prevention of occupational blood exposures: lessons from other countries" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "L.A. Chiarello" 1 => "D.M. Cardo" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1086/501804" "Revista" => array:6 [ "tituloSerie" => "Infect Control Hosp Epidemiol" "fecha" => "2000" "volumen" => "21" "paginaInicial" => "562" "paginaFinal" => "563" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11001258" "web" => "Medline" ] ] ] ] ] ] ] ] 28 => array:3 [ "identificador" => "bib29" "etiqueta" => "29." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Exposiciones ocupacionales a sangre y material biológico en los trabajadores sanitarios (EPINETAC 1998-2000)" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "M. Campins Martí" 1 => "A. García de Codes" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:4 [ "titulo" => "Estudio y seguimiento del riesgo biológico en el personal sanitario. Proyecto EPINETAC, 1998-2000" "paginaInicial" => "31" "paginaFinal" => "72" "serieFecha" => "2002" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/02139111/0000002000000005/v1_201301241603/S0213911106715230/v1_201301241603/es/main.assets" "Apartado" => array:4 [ "identificador" => "764" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Originales" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/02139111/0000002000000005/v1_201301241603/S0213911106715230/v1_201301241603/es/main.pdf?idApp=WGSE&text.app=https://gacetasanitaria.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213911106715230?idApp=WGSE" ]
Información del artículo
ISSN: 02139111Idioma original: Español
DOI:10.1157/13093206
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