Universal precautions and mortuary practitioners: influence on practices and risk of occupationally acquired infection

Embalming, the most common funeral practice in the United States, may expose the embalmer to infectious diseases and blood. We surveyed the 860 members of the National Selected Morticians in 1988 to estimate the incidence of self-reported occupational contact with blood and infectious disease, asses...

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Bibliographic Details
Published in:	Journal of occupational medicine Vol. 33; no. 8; p. 874
Main Authors:	Beck-Sagué, C M, Jarvis, W R, Fruehling, J A, Ott, C E, Higgins, M T, Bates, F L
Format:	Journal Article
Language:	English
Published:	United States 01-08-1991
Subjects:	Acquired Immunodeficiency Syndrome - epidemiology Acquired Immunodeficiency Syndrome - prevention & control Acquired Immunodeficiency Syndrome - transmission Adult Canada - epidemiology Communicable Disease Control - statistics & numerical data Embalming Health Knowledge, Attitudes, Practice Humans Incidence Male Mortuary Practice Occupational Diseases - epidemiology Occupational Diseases - prevention & control Prevalence Protective Clothing Surveys and Questionnaires United States - epidemiology Wounds, Penetrating - complications Canada United States
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Summary:	Embalming, the most common funeral practice in the United States, may expose the embalmer to infectious diseases and blood. We surveyed the 860 members of the National Selected Morticians in 1988 to estimate the incidence of self-reported occupational contact with blood and infectious disease, assess morticians' knowledge of acquired immunodeficiency syndrome (AIDS), determine their adherence to universal precautions, and identify predictors of practices designed to reduce risk of occupational exposure to infections. Of 539 (63%) respondents, 212 (39%) reported needle-stick injuries in the past 12 months, and 15 (3%) reported percutaneous exposures to the blood of a decedent with AIDS. Those rating the risk of occupationally acquired human immunodeficiency virus infection as very high or high (194/539 [36%]) were more likely to decline funerals of decedents with antemortem diagnosis of AIDS (59/194 [30%]) and/or to charge more for such funerals (133/194 [69%]) than those who rated the risk as low to moderate (31/345 [9%], 174/135 [51%]).
ISSN:	0096-1736
DOI:	10.1097/00043764-199108000-00012