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卡拉奇公立三级护理医院医护人员的针刺伤

Needle stick injuries among health care workers of public sector tertiary care hospitals of Karachi.

作者信息

Aslam Mubashir, Taj Tahir, Ali Arif, Mirza Waseem, Ali Hammad, Dar Mudassir Iqbal, Badar Nasira

机构信息

Department of Community Health Science, The Aga Khan University Hospital, Karachi.

出版信息

J Coll Physicians Surg Pak. 2010 Mar;20(3):150-3.

Abstract

OBJECTIVE

To estimate the frequency of needle stick injuries (NSI) among health care workers (nurses, student nurses and paramedical staff) in public hospitals of Karachi.

STUDY DESIGN

Cross sectional, observational.

PLACE AND DURATION OF STUDY

This study was conducted in three public tertiary care hospitals of Karachi, from November 2007 to January 2008.

METHODOLOGY

Data was collected by structured interview-based questionnaires in Urdu and English language. Questionnaire was designed to obtain information regarding demography, work experience, hepatitis vaccination status, and occurrence of needle stick injuries with associated factors. Needle stick injury that occurred in the previous month was the defined outcome. Data was entered in Epi Data and analyzed in SPSS version 15.

RESULTS

A total of 417 health care workers participated in the study. Mean age of the participants was 24+/-11 years. Estimated proportion of participants with history of at least one time NSI was found in 66%. Around 13% (n=54) had one or more NSI in the previous one month at work and half of them were affected by non-sterile needle. None of them sought medical care. Almost 90% of them were not wearing gloves or taking any other protective measures at the time of injury.

CONCLUSION

There can be serious consequences of needle stick injuries in public hospitals as large proportion of injuries involve non-sterile used needles and health care workers do not take appropriate measures of protection.

摘要

目的

评估卡拉奇公立医院医护人员(护士、实习护士和辅助医疗人员)针刺伤的发生率。

研究设计

横断面观察性研究。

研究地点及时间

本研究于2007年11月至2008年1月在卡拉奇的三家公立三级护理医院进行。

方法

通过基于结构化访谈的乌尔都语和英语问卷收集数据。问卷旨在获取有关人口统计学、工作经验、肝炎疫苗接种状况以及针刺伤的发生情况及其相关因素的信息。将前一个月发生的针刺伤定义为研究结果。数据录入Epi Data,并在SPSS 15版中进行分析。

结果

共有417名医护人员参与了该研究。参与者的平均年龄为24±11岁。发现有至少一次针刺伤史的参与者估计比例为66%。约13%(n = 54)的人在前一个月的工作中有一次或多次针刺伤,其中一半受到未消毒针头的影响。他们中无人寻求医疗护理。受伤时,几乎90%的人未戴手套或采取任何其他防护措施。

结论

公立医院针刺伤可能会带来严重后果,因为很大一部分伤害涉及未消毒的用过的针头,且医护人员未采取适当的防护措施。

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