Linnemann C C, Cannon C, DeRonde M, Lanphear B
Infection Control Department, University of Cincinnati Hospital, Ohio.
Infect Control Hosp Epidemiol. 1991 Apr;12(4):214-9. doi: 10.1086/646327.
To evaluate the effect of infection control programs on reported needlestick injuries in a general hospital.
Surveillance of all reported needlestick injuries at the University of Cincinnati Hospital was maintained by the infection control department for five years, from 1985 through 1989. Data on individual workers were collected, tabulated on a monthly basis, and reviewed continually to monitor trends in injuries. During this time, the effects of each of three new infection control programs on reported injuries were evaluated sequentially.
A 700-bed general hospital that serves as the main teaching hospital of the University of Cincinnati.
All employees of University Hospital who reported to personnel health for management of needlestick injuries.
In 1986, an educational program to prevent injuries was initiated and continued throughout the surveillance period. In 1987, rigid sharps disposal containers were placed in all hospital rooms. In 1988, universal precautions were introduced with an intensive inservice.
Surveillance identified 1,602 needlestick injuries (320/year) or 104/1,000/year. After the educational program began, reported injuries increased rather than decreased, and this was attributed to increased reporting. Subsequently, after installation of the new disposal containers, reported injuries returned to the levels seen prior to the educational program, but recapping injuries showed a significant decrease from 63/year to 30, or 20/1,000/year to 10. This decrease was observed in nurses but not in other healthcare workers. After universal precautions were instituted, total injuries increased slightly, but recapping injuries remained at 50% of the levels reported prior to the use of rigid sharps disposal containers.
The three infection control programs failed to produce a major reduction in reported needlestick injuries, except for a decrease in recapping injuries associated with the placement of rigid sharps disposal containers in all patient rooms. These observations indicate that new approaches are needed to reduce needlestick injuries.
评估感染控制项目对一家综合医院上报的针刺伤的影响。
辛辛那提大学医院感染控制部门对1985年至1989年这五年间所有上报的针刺伤进行监测。收集个体工作人员的数据，每月制表，并持续审查以监测伤害趋势。在此期间，依次评估了三个新的感染控制项目对上报伤害的影响。
一家拥有700张床位的综合医院，是辛辛那提大学的主要教学医院。
大学医院所有因针刺伤向人员健康部门报告的员工。
1986年启动了一项预防伤害的教育项目，并在整个监测期间持续进行。1987年，在所有病房放置了坚固的锐器处理容器。1988年，引入了全面防护措施并开展了强化在职培训。
监测发现1602例针刺伤（每年320例），即每年每1000人中有104例。教育项目开始后，上报的伤害增加而非减少，这归因于报告的增加。随后，在安装新的处理容器后，上报的伤害恢复到教育项目之前的水平，但重新盖帽的伤害从每年63例显著下降到30例，即从每年每1000人中有20例下降到10例。这种下降在护士中观察到，但在其他医护人员中未观察到。实施全面防护措施后，总伤害略有增加，但重新盖帽的伤害仍保持在使用坚固锐器处理容器之前上报水平的50%。
这三个感染控制项目未能使上报的针刺伤大幅减少，除了与在所有病房放置坚固锐器处理容器相关的重新盖帽伤害有所减少。这些观察结果表明，需要新的方法来减少针刺伤。
