Ministry of Public Health, Kabul, Afghanistan.
BMC Infect Dis. 2010 Jan 30;10:19. doi: 10.1186/1471-2334-10-19.
Health staff in Afghanistan may be at high risk of needle stick injury and occupational infection with blood borne pathogens, but we have not found any published or unpublished data.
Our aim was to measure the percentage of healthcare staff reporting sharps injuries in the preceding 12 months, and to explore what they knew about universal precautions. In five randomly selected government hospitals in Kabul a total of 950 staff participated in the study. Data were analyzed with Epi Info 3.
Seventy three percent of staff (72.6%, 491/676) reported sharps injury in the preceding 12 months, with remarkably similar levels between hospitals and staff cadres in the 676 (71.1%) people responding. Most at risk were gynaecologist/obstetricians (96.1%) followed by surgeons (91.1%), nurses (80.2%), dentists (75.4%), midwives (62.0%), technicians (50.0%), and internist/paediatricians (47.5%). Of the injuries reported, the commonest were from hollow-bore needles (46.3%, n = 361/780), usually during recapping. Almost a quarter (27.9%) of respondents had not been vaccinated against hepatitis B. Basic knowledge about universal precautions were found insufficient across all hospitals and cadres.
Occupational health policies for universal precautions need to be implemented in Afghani hospitals. Staff vaccination against hepatitis B is recommended.
阿富汗的卫生工作人员可能面临很高的针刺伤害和职业性血液传播病原体感染风险，但我们没有发现任何已发表或未发表的数据。
我们的目的是测量在过去 12 个月内报告锐器伤害的医护人员比例，并探讨他们对普遍预防措施的了解。在喀布尔的五所随机选定的政府医院，共有 950 名工作人员参与了这项研究。数据使用 Epi Info 3 进行分析。
73%的工作人员（72.6%，491/676）在过去 12 个月内报告了锐器伤害，在 676 名做出回应的医院和工作人员中，医院和工作人员之间的水平非常相似。风险最高的是妇科/产科医生（96.1%），其次是外科医生（91.1%）、护士（80.2%）、牙医（75.4%）、助产士（62.0%）、技师（50.0%）和内科/儿科医生（47.5%）。报告的伤害中，最常见的是空心针（46.3%，n=361/780），通常是在重新套帽时发生。几乎四分之一（27.9%）的受访者没有接种乙型肝炎疫苗。在所有医院和工作人员中，普遍预防措施的基本知识都被发现不足。
阿富汗医院需要实施普遍预防措施的职业健康政策。建议对工作人员进行乙型肝炎疫苗接种。
