East African Medical Journal

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Risk Of Conjunctival Contamination From Blood Splashes During Surgery At The Kenyatta National Hospital, Nairobi

SWO Ogendo, MN Awori, MA Omondi, EM Mulatya, PW Mugo


Objectives: To determine the utilisation rate of design specific eye protection by surgeons and to assess the risk of conjunctival contamination with blood splashes during surgery.
Design: Cross sectional, observational study.
Setting: The theatre suite of Kenyatta National Hospital, Nairobi Subjects: Surgeons from all specialties operating in the theatre suite. Results: The minority of surgeons, 5.2% utilised protective eye goggles compared to 3.5% of assistants. Prescription eye spectacles were the most common form of eye protection at 41.9 and 20.9% respectively for surgeons and their assistants. The contamination rate for provided protective eye wear was 53.1% with the average number of droplets being 2.48 per procedure for the principal surgeon. The duration of surgery and the use of power tools influenced the contamination rate. 
Conclusions: The utilisation rate of design specific protective eye wear is low and with a significant risk of conjunctival contamination, changes in attitudes and practices are needed to increase utilisation.
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