Jayanth S T, Kirupakaran H, Brahmadathan K N, Gnanaraj L, Kang G
Hospital Infection Control Committee, Christian Medical College, Vellore, Tamil Nadu-632 004, India.
Indian J Med Microbiol. 2009 Jan-Mar;27(1):44-7.
Accidental needle stick injuries (NSIs) are an occupational hazard for healthcare workers (HCWs). A recent increase in NSIs in a tertiary care hospital lead to a 1-year review of the pattern of injuries, with a view to determine risk factors for injury and potential interventions for prevention.
We reviewed 1-year (July 2006-June 2007) of ongoing surveillance of NSIs.
The 296 HCWs reporting NSIs were 84 (28.4%) nurses, 27 (9.1%) nursing interns, 45 (21.6%) cleaning staff, 64 (21.6%) doctors, 47 (15.9%) medical interns and 24 (8.1%) technicians. Among the staff who had NSIs, 147 (49.7%) had a work experience of less than 1 year (n = 230, 77.7%). In 73 (24.6%) of the NSIs, the patient source was unknown. Recapping of needles caused 25 (8.5%) and other improper disposal of the sharps resulted in 55 (18.6%) of the NSIs. Immediate post-exposure prophylaxis for HCWs who reported injuries was provided. Subsequent 6-month follow-up for human immunodeficiency virus showed zero seroconversion.
Improved education, prevention and reporting strategies and emphasis on appropriate disposal are needed to increase occupational safety for HCWs.
意外针刺伤是医护人员面临的职业危害。一家三级医院近期针刺伤事件增多，促使对损伤模式进行了为期1年的审查，以确定损伤的危险因素和潜在的预防干预措施。
我们回顾了为期1年（2006年7月至2007年6月）的针刺伤持续监测情况。
报告针刺伤的296名医护人员中，护士84名（28.4%），实习护士27名（9.1%），清洁人员45名（21.6%），医生64名（21.6%），实习医生47名（15.9%），技术人员24名（8.1%）。在发生针刺伤的工作人员中，147名（49.7%）工作经验不足1年（n = 230，77.7%）。73例（24.6%）针刺伤事件中，患者来源不明。回套针帽导致25例（8.5%）针刺伤，其他锐器处置不当导致55例（18.6%）针刺伤。对报告受伤的医护人员提供了暴露后即时预防措施。随后对人类免疫缺陷病毒进行的6个月随访显示血清转化率为零。
需要改进教育、预防和报告策略，并强调正确处置，以提高医护人员职业安全性。
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