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02 - ACIDENTES COM MATERIAL PERFUROCORTANTE ENTRE TRABALHADORES DE CENTRAL DE MATERIAL E ESTERILIZAÇÃO: REVISÃO NARRATIVA

Doi: 10.47094/IVCOLUBRASC.2026/RS/2

PALAVRAS CHAVE: Riscos ocupacionais. Saúde do trabalhador. Enfermagem.

KEYWORDS: Occupational risks. Occupational health. Nursing.

ABSTRACT:
Introduction: The Central Sterile Supply Department (CSSD) carries out processing stages for healthcare products that can expose workers to biological materials and sharp or pointed instruments. Despite the significance of this risk, scientific literature focuses primarily on direct patient care sectors, with less attention paid to working conditions within CSSDs, particularly in dental services. Objective: To analyze what the literature describes regarding the occurrence of sharps-related accidents among CSSD workers, the associated factors, and the proposed preventive measures. Methodology: A narrative, descriptive, and qualitative review was conducted using the Virtual Health Library (VHL), SciELO, and PubMed databases, employing terms related to CSSD, workplace accidents, sharp objects/sharps, occupational risks, and nursing, in both Portuguese and English. Four studies directly related to the topic were analyzed, supplemented by health and occupational safety legislation. Results: The studies identified sharps-related accidents as significant events in this sector, linked to the volume of processed materials, work overload, exhaustion, work organization, and knowledge regarding the handling of healthcare products. In a study involving workers responsible for reprocessing dental instruments, the 12-month incidence of injuries was 21.7%, with the processing of more than one thousand items per day associated with a higher likelihood of an accident. The occurrence of injuries—even when gloves and auxiliary instruments are used—demonstrates that personal protective equipment (PPE) does not eliminate the risk. Underreporting was also identified, attributed to fear of repercussions, a lack of information, work overload, and the complexity of the reporting process. Training alone did not show a significant association with reduced risk; however, post-training evaluation was linked to a lower risk and a higher probability of accidents being reported. Conclusions: Preventing accidents in the Central Sterile Supply Department (CSSD) requires coordinated actions, including protocols for sorting and cleaning, the organization of material flow, capacity planning aligned with demand, ongoing education with practical assessment, and accessible incident reporting systems. There is a need for national studies that evaluate structural interventions and strategies for the identification and organization of instruments, particularly in outpatient dental care settings.

Autores

  • Fabiana Santos Do Rego Barros

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