Massachusetts Department of Public Health Occupational Health Surveillance Program, Boston, Massachusetts 02108, USA.
Infect Control Hosp Epidemiol. 2011 Jun;32(6):538-44. doi: 10.1086/660012.
Sharps with engineered sharps injury protections (SESIPs) have been found to reduce risk of sharps injuries (SIs). We examined trends in SI rates among employees of acute care hospitals in Massachusetts, including the impact of SESIPs on SI trends during 2002-2007.
Prospective surveillance.
Seventy-six acute care hospitals licensed by the Massachusetts Department of Public Health.
Employees of acute care hospitals who reported SIs to their employers.
Data on SIs in acute care hospitals collected by the Massachusetts Sharps Injury Surveillance System were used to examine trends in SI rates over time by occupation, hospital size, and device. Negative binomial regression was used to assess trends.
During 2002-2007, 16,158 SIs among employees of 76 acute care hospitals were reported to the surveillance system. The annual SI rate decreased by 22%, with an annual decline of 4.7% (P < .001). Rates declined significantly among nurses (-7.2% per year; P < .001) but not among physicians (-0.9% per year; P = .553). SI rates associated with winged steel needles and hypodermic needles and syringes also declined significantly as the proportion of injuries involving devices with sharps injury prevention features increased during the same time period.
SI rates involving devices for which SESIPs are widely available and appear to be increasingly used have declined. The continued use of devices lacking SI protections for which SESIPs are available needs to be addressed. The extent to which injuries involving SESIPs are due to flaws in design or lack of experience and training must be examined.
带有工程化锐器损伤防护（SESIP）的锐器已被发现可降低锐器伤（SI）的风险。我们研究了马萨诸塞州急性护理医院员工的 SI 发生率趋势，包括 SESIP 对 2002-2007 年 SI 趋势的影响。
前瞻性监测。
马萨诸塞州公共卫生部许可的 76 家急性护理医院。
向雇主报告 SI 的急性护理医院员工。
使用马萨诸塞州锐器伤害监测系统收集的急性护理医院锐器伤害数据，按职业、医院规模和器械考察时间推移的 SI 发生率趋势。采用负二项回归评估趋势。
2002-2007 年期间，向监测系统报告了 76 家急性护理医院的 16158 例员工 SI。SI 年发生率下降了 22%，每年下降 4.7%（P<.001）。护士的发生率显著下降（每年减少 7.2%；P<.001），而医生的发生率没有显著下降（每年减少 0.9%；P=.553）。与此同时，带有锐器损伤预防功能的器械导致的 SI 发生率也显著下降，其中包括带翼的钢针和皮下注射针和注射器。
广泛应用 SESIP 且其使用量不断增加的器械导致的 SI 发生率有所下降。需要解决仍在使用缺乏 SI 防护的器械的问题。必须检查 SESIP 涉及的伤害是由于设计缺陷还是缺乏经验和培训所致。
