Leigh J Paul, Wiatrowski William J, Gillen Marion, Steenland N Kyle
Center for Healthcare Policy and Research, Department of Public Health Sciences, University of California, Davis, CA 95616-8638, USA.
Am J Infect Control. 2008 Aug;36(6):414-20. doi: 10.1016/j.ajic.2007.07.020.
Physicians, nurses, and others are at risk of needlesticks, yet little national information is available regarding incidence across demographic and occupational categories.
Analysis was conducted on national data on occupational injuries for 1992-2003 from the Bureau of Labor Statistics (BLS). Because BLS data were limited to cases with 1 or more days of work loss, and reasons related to reporting of incidents, the data only reflected a subset of all needlesticks. Nevertheless, the data were internally consistent across categories so that relative magnitudes were reliable. Statistical tests for differences in proportions were conducted that compared needlesticks with all other occupational injuries and employment.
Cases with 1 or more days of work loss numbered 903 per year, on average, from 1992 through 2003. Women comprised 73.3% (95% CI: 72.5%-74.2%) of persons injured. For those reporting race, white, non-Hispanic comprised 69.3% of the total (95% CI: 68.1%-70.4%); black, non-Hispanic, 14.8% (95% CI: 13.9%-15.6%); and Hispanic, 13.8% (95% CI: 12.9%-14.6%). The age bracket 35 to 44 years had the highest percentage of injuries at 34.0% (95% CI: 33.1%-34.9%). Ages over 54 years reported smaller percentages of needlestick injuries than either all other injuries or employment. Occupations with greatest frequencies included registered nurses, nursing aides and orderlies, janitors and cleaners, licensed practical nurses, and maids and housemen. Occupations with greatest risks included biologic technicians, janitors and cleaners, and maids and housemen. Almost 20% (95% CI: 18.88%-20.49%) of needlesticks occurred outside the services industry. Seven percent (95% CI: 6.56%-7.53%) of needlesticks resulted in 31 or more days of work loss in contrast to 20.46% (95% CI: 20.44%-20.48%) of all other injuries.
In this nationally representative sample, the most frequent demographic and occupational categories were women; white, non-Hispanic; ages 35 to 44 years; and registered nurses.
医生、护士及其他人员面临针刺伤风险，但全国范围内关于不同人口统计学和职业类别的针刺伤发生率信息较少。
对美国劳工统计局（BLS）1992 - 2003年职业伤害的全国数据进行分析。由于BLS数据仅限于导致1天或以上工作损失的案例以及与事件报告相关的原因，这些数据仅反映了所有针刺伤案例中的一部分。尽管如此，各类别数据在内部是一致的，因此相对规模是可靠的。进行了比例差异的统计检验，将针刺伤与所有其他职业伤害及就业情况进行比较。
1992年至2003年期间，平均每年有1天或以上工作损失的案例为903例。受伤人员中女性占73.3%（95%置信区间：72.5% - 74.2%）。在报告种族的人员中，非西班牙裔白人占总数的69.3%（95%置信区间：68.1% - 70.4%）；非西班牙裔黑人占14.8%（95%置信区间：13.9% - 15.6%）；西班牙裔占13.8%（95%置信区间：12.9% - 14.6%）。35至44岁年龄组的受伤比例最高，为34.0%（95%置信区间：
