Tully Phillip J, Boss Karen, Hiller Janet E
Discipline of Public Health, The University of Adelaide, Adelaide, South Australia 5005, Australia.
Asia Pac J Public Health. 2008;20(2):139-47. doi: 10.1177/1010539507312235.
To examine sharps injury and body fluid exposure among health care workers, a descriptive epidemiological study was conducted in a 1000-bed tertiary hospital between 2000 and 2003 using surveillance data of all reported sharps injuries and body fluid exposures. A total of 640 sharps injuries and body fluid exposures were reported from hospital and nonhospital staff, although no seroconversions to HIV, hepatitis B virus, or hepatitis C virus were observed during the study period. Nurses reported 47% of sharps injuries and 68% of body fluid exposures, medical staff reported 38% and 16%, and other nonmedical staff notified 5% and 4%, respectively, while nonhospital staff reported the rest. Hollow-bore needles accounted for 56% of sharps injuries, while 11% of the incidents were sustained during recapping and inappropriate disposal. Further research into Australian work practices, disposal systems, education strategies, and the use of safety sharps should be emphasized to implement strategies to reduce work-related injuries among health care workers.
为了调查医护人员中的锐器伤和体液暴露情况，2000年至2003年期间，在一家拥有1000张床位的三级医院开展了一项描述性流行病学研究，使用了所有报告的锐器伤和体液暴露的监测数据。医院和非医院工作人员共报告了640起锐器伤和体液暴露事件，不过在研究期间未观察到HIV、乙型肝炎病毒或丙型肝炎病毒血清转化情况。护士报告了47%的锐器伤和68%的体液暴露事件，医务人员报告的比例分别为38%和16%，其他非医务人员报告的比例分别为5%和4%，其余由非医院工作人员报告。空心针导致的锐器伤占56%，而11%的事件发生在重新盖帽和不当处置过程中。应着重对澳大利亚的工作流程、处置系统、教育策略以及安全锐器的使用进行进一步研究，以实施减少医护人员工作相关伤害的策略。
