Mateen Farrah J, Grant Ian A, Sorenson Eric J
Department of Neurology, Mayo Clinic, Rochester, Minnesota, USA.
Muscle Nerve. 2008 Dec;38(6):1541-5. doi: 10.1002/mus.21118.
The objective of this study was to determine the self-reported prevalence of needlestick injuries among practicing electromyographers. In January 2008, an anonymous electronic survey was sent to all active members of the American Association for Neuromuscular and Electrodiagnostic Medicine (AANEM) who provided e-mail addresses to the Association. Eight hundred and eight members (56% neurologists, 43% physiatrists; 97% practicing physicians, 3% trainees) responded, with a response rate of 22% (808 of 3659). The mean number of years in practice, involving electromyography (EMG) at least 1 day per week, was 16 years. A majority of physicians (64%) reported at least one needlestick injury involving EMG, and 8% reported five or more injuries. Needlestick injuries involving patients with human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS), hepatitis B, and/or hepatitis C occurred in 1 of every 11 electromyographers. Nearly half of all respondents (44%) who experienced a needlestick injury stated that they did not report at least one injury event to official centers. Injuries were most likely to occur during a routine procedure (45%) or when a patient moved (26%). The most common preventable reason for injury was a perceived lack of time.
本研究的目的是确定执业肌电图检查医师自我报告的针刺伤发生率。2008年1月，向美国神经肌肉与电诊断医学协会（AANEM）所有提供电子邮件地址的活跃会员发送了一份匿名电子调查问卷。808名会员（56%为神经科医生，43%为物理治疗师；97%为执业医师，3%为实习生）回复了问卷，回复率为22%（3659人中的808人）。每周至少有1天从事肌电图（EMG）工作的平均执业年限为16年。大多数医生（64%）报告至少有一次涉及EMG的针刺伤，8%报告有五次或更多次针刺伤。每11名肌电图检查医师中就有1人发生过涉及感染人类免疫缺陷病毒/获得性免疫缺陷综合征（HIV/AIDS）、乙型肝炎和/或丙型肝炎患者的针刺伤。在所有经历过针刺伤的受访者中，近一半（44%）表示他们至少有一次损伤事件未向官方机构报告。针刺伤最有可能发生在常规操作过程中（45%）或患者移动时（26%）。造成针刺伤最常见的可预防原因是感觉时间不够。
