Askarian Mehrdad, Malekmakan Leila
Department of Community Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Indian J Med Sci. 2006 Jun;60(6):227-32.
Medical, dental, nursing and midwifery students are at high risk for occupational exposure to blood-borne pathogens (BBPs) via sharp injuries such as needle stick injuries (NSIs).
The aim of this study was to determine the frequency of NSIs and the knowledge, attitude and practices of these students regarding their prevention.
The clinical students at Shiraz University of Medical Sciences, Iran, were eligible to participate in a survey conducted by a self-administered questionnaire in 2004, asking them about NSIs during their clinical training undergraduate years.
A cross-sectional study evaluated NSIs and practices regarding protective strategies against BBPs in medical, dental, nursing and midwifery students at Shiraz University, Iran, in 2004. These students completed a self-administered questionnaire.
The data were entered into a personal computer using Epi-Info (version 2000). Chi-square and Fisher's exact tests for categorical variables and student t-test for continuous variables were performed, where appropriate, using SPSS version 10. Alpha was set at the 5% level.
The questionnaire was completed by 688 (53%) students. 71.1% (489/688) of the students had NSIs that most commonly (43.6%) occurred in patient rooms. 82% (401/489) of NSIs were not reported. 87.8% (604/688) of the students received information about standard isolation precautions and 86.2% of them had been vaccinated against hepatitis B.
NSIs and non-reporting of NSIs were highly prevalent in these students. Education about the transmission of blood-borne infections, standard precautions and increasing availability of protection strategies must be provided.
医学、牙科、护理和助产专业的学生因针刺伤等锐器伤而面临职业暴露于血源性病原体（BBP）的高风险。
本研究的目的是确定针刺伤的发生频率以及这些学生在预防方面的知识、态度和做法。
伊朗设拉子医科大学的临床学生有资格参与2004年通过自填式问卷进行的一项调查，问卷询问他们在本科临床培训期间的针刺伤情况。
2004年在伊朗设拉子大学对医学、牙科、护理和助产专业学生进行了一项横断面研究，评估针刺伤及针对血源性病原体的防护策略的做法。这些学生完成了一份自填式问卷。
数据使用Epi-Info（2000版）录入个人电脑。在适当情况下，使用SPSS 10版对分类变量进行卡方检验和费舍尔精确检验，对连续变量进行学生t检验。显著性水平设定为5%。
688名（53%）学生完成了问卷。71.1%（489/688）的学生有针刺伤，其中最常见（43.6%）发生在病房。82%（401/489）的针刺伤未报告。87.8%（604/688）的学生接受了关于标准隔离预防措施的信息，其中86.2%接种了乙肝疫苗。
这些学生中针刺伤和未报告针刺伤的情况非常普遍。必须提供关于血源性病原体传播、标准预防措施以及增加防护策略可用性的教育。
