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2010 年都柏林实习医生在医院内使用和受伤的针具

Hospital-based needlestick use and injuries by Dublin interns in 2010.

机构信息

Department of Orthopaedic Surgery, Adelaide and Meath Incorporating National Children's Hospital, Tallaght, Dublin, Ireland.

出版信息

Ir J Med Sci. 2011 Jun;180(2):545-7. doi: 10.1007/s11845-010-0666-0. Epub 2011 Jan 5.

DOI:10.1007/s11845-010-0666-0
PMID:21207183
Abstract

BACKGROUND

Needlestick injuries (NSI) remain an occupational hazard for doctors. Previous reports suggested that needlestick practice among interns could be improved.

AIMS

We aimed to report the current occupational sharp practice and experience amongst a modern cohort of Irish interns.

METHODS

A self-designed questionnaire was distributed among interns at two Dublin-based teaching hospitals.

RESULTS

Thirty-one interns completed a self-designed questionnaire. Notably, only 26% routinely wore gloves when performing phlebotomy like tasks; 35% considered their training adequate; 26% had suffered a NSI within the first 8 months of work--over half occurred between 0000 and 0800 hours. There was a higher rate of reporting NSI than in historical reports.

CONCLUSION

Improvements have been made in occupational health management of NSI. However, practical preparation for internship continues to remain a concern. Efforts are needed to reduce unnecessary risk of suffering a NSI among our junior doctors.

摘要

背景

针刺伤(NSI)仍然是医生的职业危害。先前的报告表明,实习医生的针刺伤实践可以得到改善。

目的

我们旨在报告当前爱尔兰实习医生这一现代群体中的职业锐器操作和经验。

方法

在都柏林的两家教学医院的实习医生中分发了一份自行设计的问卷。

结果

31 名实习医生完成了一份自行设计的问卷。值得注意的是,只有 26%的人在进行类似静脉采血的操作时常规戴手套;35%的人认为他们的培训足够;26%的人在工作的头 8 个月内遭受过 NSI——超过一半发生在 0000 到 0800 小时之间。报告的 NSI 发生率高于历史报告。

结论

在 NSI 的职业健康管理方面已经取得了一些进展。然而,实习前的实际准备工作仍然令人担忧。需要努力减少我们的初级医生遭受 NSI 的不必要风险。

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Accidental hepatitis-B-surface-antigen-positive inoculations. Use of e antigen to estimate infectivity.意外的乙肝表面抗原阳性接种。使用e抗原评估传染性。
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Phlebotomy practices/needles stick injuries/hepatitis B status/among interns in a Dublin hospital.都柏林一家医院实习生的静脉穿刺操作/针刺伤/乙肝状况
Ir Med J. 1992 Sep;85(3):102-4.