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M Gańczak

Publications and source records attributed to M Gańczak.

12 recordsLinked to original sources
PubMed2005

Surgical nurses and their concerns of acquiring HIV infection at the workplace.

A study was conducted to identify pertaining to the care of HIV infected patients among nurses in the County of West Pomerania. Most of the respondents (43.2%) were working in municipal hospitals, 38.7% in hospitals located in the country and 18% in academic hospitals. The responding nurses ranged in age from 20 to 58 (median 38 years). Median of work experience was 16 (1-28) years. The respondents were divided into 3 groups: A--the nurses who expressed serious concern about HIV infection, 62.9%; B--some degree of concern, 31.3%; C--not concerned, 4.3%. An HIV/AIDS workshop was attended by 74.6% of respondents from group A and 76.6% from group B (p > 0.85). The occupational exposure reported 49.5% nurses from group A, 39.9% from group B and 42.4% from group C (p > 0.3). The gloves were "always" used by 82.5% respondents from group A, 87.8% from group B and 76.9% from group C (p > 0.07). 79.9% of nurses from group A, 53.2% from group B and 42.3% (p < 0.0001) favored HIV antibodies testing of all patients.

Adult↗
PubMed2001

[HIV infection in the operating room conditions].

Several cases of occupational HIV transmission during surgical procedures have been reported all over the world in the last few years. Orthopaedic surgeons are at particularly high risk for blood contamination and skin injuries. This article addresses the risk of HIV transmission in the surgical setting with a focus on specific risk factors: the prevalence of the infection in general population, the stage of the disease, virulence, inoculum size, the nature and frequency of blood contacts. It also shows how the last two factors depend on surgical specialty, duration and kind of the procedure, role of each person, number of needles used and amount of blood loss. The recommended safer surgical techniques as well as personal protective equipment are presented as the strategy to prevent health care worker--to patient transmission. The importance of compliance with universal precautions is pointed as a way to achieve a successful outcome in preventing infection with HIV.

Disinfection↗
PubMed2001

[Hepatitis B virus vaccination among Polish surgeons from the county of Western Pomerania].

UNLABELLED: Orthopaedic surgeons are at risk of acquiring hepatitis B virus, so preventive measures, including the vaccination, are important. OBJECTIVE: To determine surgeons" prevention through vaccination against hepatitis B and to access the frequency of "sharps" injuries during surgery. METHODS: An anonymous questionnaire prepared by A. Lowenfels from New York Medical College, USA was distributed between May and July 2001 to 182 members of surgical staff. Twelve hospitals located in the city of Szczecin (4 academic, 4 municipal) as well as located within a 45-mile radius in the county of Western Pomerania, Poland took part. RESULTS: 9.3% of the surgeons who responded had been infected with hepatitis B virus (group I), 79.7% had been immunised against hepatitis B (group II). The rest 11%, mainly of the age > 47 years, had never been vaccinated nor infected (group III). The median number of puncture injuries was 10 per year and the number of hours spent in the operating room--59 per month. There was no statistically significant difference in the variables such as: sex, surgical status, sub-specialty or type of hospital between the groups. CONCLUSIONS: The coverage with the vaccine should be improved. A lot of surgeons who replied take high risk of percutaneous blood exposure and thus possibility of infection with HBV, but every tenth has never been vaccinated nor infected. The complete information on the risk of hepatitis B and on the safety and efficiency of active immunisation should be supplied not only among medical students, but surgical experienced staff as well.

Adult↗
PubMed2000

[HIV-testing of patients and operating room staff: myths and facts].

Orthopedic surgeons are at risk of acquiring HIV. Multi-center studies have estimated the risk of infection related with exposure to blood and other body fluids. New discussion concerning mandatory testing of patients who require invasive procedures has arisen as several reports on occupationally acquired HIV infections have been published. The case of the French surgeon highlighted the high risk of infection by blood-born pathogens related to certain surgical techniques. Cases of patients infected by HIV by medical personnel (by an American dentist and the mentioned before French surgeon) are also discussed. Basing on these two cases, the procedures with the highest infection risk are discussed, along with HIV testing policies towards surgeons of health care authorities in different countries. The importance of preventive measures, considering no cure for HIV infections is available is also stressed.

HIV Seropositivity↗
PubMedDate not supplied

[Intracranial tumors simulating neurological infections].

The clinical manifestations were analysed in 16 patients with expanding intracranial lesions hospitalized in the period from Jan 1 1980 to Aug 31 1990. They had been admitted to hospital with the diagnosis of suspected neuroinfection. The initial manifestations and abnormalities in neurological examination might have suggested inflammatory processes in the central nervous system. Only further diagnostic procedures, especially emergency ones such as angiography and CT of the brain made possible establishing of final diagnosis and qualifying the patient for surgical intervention. The authors stress that expanding intracranial lesions should be always taken into account in patients with clinical and CSF abnormalities persisting despite ruling out of neuroinfection.

Adolescent↗