Biosafety in autopsy room: an systematic review
Bioseguridad en la sala de autopsia: una revisión sistemática
DOI:
https://doi.org/10.15446/rsap.v21n6.81593Palabras clave:
Autopsy, containment of bioharzads, biosafety (en)Autopsia, contención de riesgos biológicos, bioseguridad (es)
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Objective To discuss the risks related to the possibilities of accidents and contamination in autopsy rooms, especially the biological risk.
Methods This is an exploratory study. The databases Lilacs, MEDLINE and SciELO virtual library were searched; from 2000 until 2017; from the following inclusion criteria: articles available in full, in Portuguese, English and Spanish languages; and those that portrayed the central theme of the article.
Results 53 articles were analyzed, to following the sub-themes: chemical, ergonomic, biological and accident agents; exposure to radioactive materials; electrical and electronic equipment.
Conclusions The death cause is essential for epidemiological surveillance. The prevalence of diseases in the population poses risk to autopsy room professionals. Often these diseases are not detected before death; can coexist with other conditions and be ignored; or don’t have morphological evidence at autopsy. M.tuberculosis, hepatitis virus, HIV and prions were the main pathogens identified. They can be transmitted by blood and aerosols; but there are other risks such as sharps, chemicals and radioactive materials.
Objetivo Discutir los riesgos relacionados con las posibilidades de accidentes y contaminación en las salas de autopsias, especialmente el riesgo biológico.
Método Este es un estudio exploratorio. Se realizaron búsquedas en las bases de datos Lilacs, MEDLINE y la biblioteca virtual SciELO, desde 2000 hasta 2017, de los siguientes criterios de inclusión: artículos disponibles en su totalidad en portugués, inglés y español, y aquellos que retrataron el tema central del artículo.
Resultados Se analizaron 53 artículos, siguiendo los subtemas agentes químicos, ergonómicos, biológicos y de accidentes; exposición a materiales radiactivos; equipos eléctricos y electrónicos.
Conclusiones La causa de muerte es esencial para la vigilancia epidemiológica. La prevalencia de enfermedades en la población representa un riesgo para los profesionales de la sala de autopsias. A menudo, estas enfermedades no se detectan antes de la muerte; pueden coexistir con otras condiciones y ser ignoradas, o no se tiene evidencia morfológica en la autopsia. M. tuberculosis, virus de la hepatitis, VIH y priones fueron los principales patógenos identificados. Se pueden transmitir por sangre y aerosoles; pero existen otros riesgos como objetos punzantes, productos químicos y materiales radiactivos.
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