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Abiteboul - AFGRIS 2005O =2X( Accident exposant au sang : utilit du retour d exprience Exemple de l Hpital Bichat-Claude Bernard$f;0+(f p9Accident Exposant au Sang (AES)   ` Dfinition Tout contact... percutan (piqre, coupure) sur muqueuses (Sil, bouche) ou sur peau lse (eczma, coupure antrieure) Avec du sang ou un liquide biologique souill par du sang Accident de travail le plus frquent dans les Hpitaux Transmission potentielle du VIH, VHC, VHB, Paludisme, FHV&  $3n$3ngn:$3n7$3x=%3x f :6    ;    1  k7APrvention du risque Circulaire DGS/DH n 98/249 du 20 avril 1998*B(,  B  STRATGIE DE PRVENTION Doit tre dfinie par le chef d tablissement en concertation avec le CLIN, le mdecin du travail et le CHSCT ,rs l8\*7Le dispositif de gestion du risque li aux AES Bichat888 Surveillance des AES depuis 1990 Objectifs Guider la stratgie de prvention Disposer d un dispositif d alerte (Reprage rapide d un dysfonctionnement et prise de mesures correctrices) Evaluer l impact des mesures prises Mthode Questionnaire anonyme lors de la consultation Rseau AP-HP  CCLIN Paris-Nord  RAISIN (depuis 2004)!$ $D$M%$$$.$P7$Z! DJ$  e*   i42Le dispositif de gestion du risque li aux AES (2)333  Groupe pluridisciplinaire du CLIN depuis 1992 Composition Cadre Hyginiste responsable des AES Pharmacien responsable des DM Mdecin et IDE de Mdecine du Travail AES Responsable du Magasin Mdical Reprsentants des agents exposs : IDE mdecine et Ra, IBOD, Tech Lab Enseignant l IFSI& . Rle Analyse des AES Choix des matriels Enqute transversales annuelles Formation et information.$Z $Z$Z$Z]$Z. ]  *   z j52Le dispositif de gestion du risque li aux AES (3)333 RDispositif de prise en charge des AES systmatis depuis 1994 Mdecins rfrents d astreinte 24h/24 Conduite tenir diffuse dans tous les services (classeur, affiche)2>$l$>l % BEvolution du nombre des AES de 1990 2001 (effectifs ETP stables)C+   : u=ZEvaluation de l impact des actions menes (1)  $ Aprs une augmentation rgulire entre 1990 et 1994, les AES dclars ont diminu de 46% entre 1994 et 2001. Cette diminution est surtout due une dcroissance substantielle des expositions percutanes (APC) de 55% (1994 : 353 APC ; 2001 : 160 APC)$ (nEvolution des AES par type d exposition de 1994 2001  / z?^Quelques indicateurs d volution des pratiques0/*0 f0 Rsultats (3) La rduction des APC a port surtout sur les gestes intravasculaires (les plus risque de transmission) qui ont fait l objet d actions rptes de prvention : formation, dotation en matriels de scuritx$*4   _,LPrincipaux matriels en cause dans les expositions percutanes (1994 - 2001)M }@6Evolution des AES Bichat-Claude Bernard (1990-2003) 7Z7  . ~A<Principaux matriels en cause dans les piqres (1994 - 2003)==(= B ATTENTION Z   lLes piqres lors de gestes intravasculaires augmentent (46 en 2003, 34 en 2002, 19 en 2001, 24 en 2000, 28 en 1999) Augmentation nette des piqres lors des prlvements IV (1999 = 11 ; 2000: 5 ; 2001 = 10 ; 2002 = 19; 2003 = 22) Augmentation des piqres par matriel de scurit non ou mal activ Chez les IDEs, 1/3 piqres surviennent lors d injections SC APC par recapuchonnage = 25% !! Problme des stylos insuline Augmentation des APC en maternit (sages-femmes +++) La majorit des accidents surviennent chez des jeunes en formation ou de nouveaux embauchs7n>Z8P:PDP<P?n5n\x7>rD  <  ?wF  D   CActions proposes Mieux former les nouveaux intgrs Remise l embauche d un document d information par le mdecin du travail Formation pratique l utilisation des matriels de scurit rapidement aprs l arrive (1 sance/mois) Collaboration avec l IFSI Reprendre les problmes de scurisation des injections sous-cutanes des stylos insuline Mener une action spcifique pour les blocs Enqute d observation 2/02/04-2/04/04 : 78 interventions; 162 personnes observes Runion AES en Maternit et recommandations#ZZZCZ+Z~Z#C+~   D5Evolution des AES Bichat-Claude Bernard (1990-2004)6Z6b$*  ,   E<Principaux matriels en cause dans les piqres (1994 - 2004)==(= x>^Quelques indicateurs d volution des pratiques 0/*0 r:0bjectifs pour 2005 - 2006 Amlioration de la formation la prvention des AES des jeunes Formation la prvention des AES lors des gestes risque l embauche (gestion des risques) Flash d infos annuel pour les 3 annes de l IFSI Revoir certains matriels Needle-pro Lunettes de protection Enqute auprs des cadres pour identifier leurs besoins et les axes d amlioration possible Restitution des rsultats de l enqute d observation mene en bloc opratoire janvier mars 2004 (131 personnes observes - 78 interventions)@P" ZP " n" PZ@   D4Y*   g2 Conclusion  Matriser les AES demande : une approche pluridisciplinaire au plus prs du terrain un retour des informations aux interesss une action sur la dure Les AES les plus dangereux ont t rduits MAIS : l effort doit tre poursuivi : injections SC, blocs plus d 1/3 des AES sont encore vitables de nouveaux risques mergent : stylos insuline... Accidents avec matriels de scurit Turn-over croissant des personnels : nouveaux modes de formationnzP2x P?PP;PAPz2 ?  ;  A  bs       8 /& ) n o ` ` ̙33` 333MMM` ff3333f` f` f` 3>?" dd@,|?" dd@   " @ ` n?" dd@   @@``PR    @ ` ` p>> /'(    6y "`00  i1Cliquez pour modifier le style du titre du masque22 j  S 4Alogoblanc"x.  0|"  ` T4me Congrs 20  21 octobre 2005 St Denis:+ 2   & +   0h "   \*   H  0޽h ? ̙33 (Masques Diapositives2 0 P B(     01 P0   T*    0d  0  V*  d  c $ ?a  >  0g I @  vCliquez pour modifier les styles du texte du masque Deuxime niveau Troisime niveau Quatrime niveau Cinquime niveau4w   6dl P   T*    6o    V*  H  0޽hr ? ̙3380___PPT10.>0p `(    0~ P0   T*    0  0  V*    6@ P   T*    6    V*  H  0޽hr ? ̙3380___PPT10.>  <40,(  ,x ,c $@    , 0̐   TD. ABITEBOUL Service de Sant au Travail Hpital Bichat-Claude Bernard, Paris GERESU IU xxH , 0޽h ? ̙33#  2*p(  ^  6?``^  6?`  C xgֳgֳ ? P     C xgֳgֳ ?P0  *P |H  0޽h ? ̙33y___PPT10Y+D=' = @B +    <(  ~  s *xXPP    ~ s *Y  H  0޽h ? ̙33 XP@(    0p P Programme de prvention du risque li aux AES 1. Vaccination des personnels contre l Hpatite B 2. Application des prcautions standards 3. Utilisation de matriels de scurit 4. Complter par des mesures spcifiques (blocs opratoires) 5. Dispositif de prise en charge aprs AES 6. 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ABITEBOUL .@Times New Romanww0- .F2 C*Service de Sant au Travail Hpital Bichat          . . 2 e- . .'2 oClaude Bernard, Paris    . .2 @GERES.--"System 0-&TNPP &՜.+,0    $ Affichage l'cranBichat Claude Bernardon# Times New RomanArial WingdingsMasques DiapositivesGraphique Microsoft Graph 2000Graphique Microsoft Graph 97Document Microsoft WordGraphique Microsoft GraphPrsentation PowerPoint Accident Exposant au Sang (AES)BPrvention du risque Circulaire DGS/DH n 98/249 du 20 avril 1998Prsentation PowerPoint8Le dispositif de gestion du risque li aux AES Bichat3Le dispositif de gestion du risque li aux AES (2)3Le dispositif de gestion du risque li aux AES (3)CEvolution du nombre des AES de 1990 2001 (effectifs ETP stables).Evaluation de limpact des actions menes (1)8Evolution des AES par type dexposition de 1994 20010Quelques indicateurs dvolution des pratiquesRsultats (3)MPrincipaux matriels en cause dans les expositions percutanes (1994 - 2001)7Evolution des AES Bichat-Claude Bernard (1990-2003) =Principaux matriels en cause dans les piqres (1994 - 2003) ATTENTIONActions proposes6Evolution des AES Bichat-Claude Bernard (1990-2004)=Principaux matriels en cause dans les piqres (1994 - 2004)0Quelques indicateurs dvolution des pratiques0bjectifs pour 2005 - 2006 Conclusion Polices utilisesModle de conceptionServeurs OLE incorporsTitres des diapositives_Qcrenerene  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#%&'()*+-./01238Root EntrydO)PicturesCurrent User,SummaryInformation(TPowerPoint Document(GucDocumentSummaryInformation8$Root EntrydO) '<@PicturesCurrent User/SummaryInformation(T      !"#%&'()*+8_QcAdminAdmin