Khurram Muhammad, Ijaz Khushnood, Bushra Hamama Tul, Khan Naveed Younas, Bushra Hafsa, Hussain Wajahat
Department of Medicine, Rawalpindi Medical College, Rawalpindi.
J Pak Med Assoc. 2011 Jan;61(1):63-5.
To document frequency, nature and predisposing factors for needlestick injuries (NSI) in doctors working at tertiary care hospitals of Rawalpindi.
This cross sectional survey was conducted at Department of Medicine, Rawalpindi Medical College from July 2009 to April 2010. Five hundred doctors working at various tertiary care hospitals of Rawalpindi were contacted. Each doctor was provided a specifically designed proforma focusing on number, nature, and predisposing factors for NSI which was defined as percutaneous injury caused by hollow-bore needles, suturing needles, scalpel blades and lancets. Frequency and percentage of collected data was sought.
Out of 500, 61.8% (n = 309) doctors returned the filled proformas. Females were 50.8% (n = 158). History of NSI was present in 85.1% (n = 263) participants of which most common was from syringe needle (47.52%; n = 125), surgical stitch needle (20.9%; n = 55), and surgical blade (9.5%; n = 25). Most of NSI took place while recapping needles (33%; n = 87), surgical procedures (27.7%; n = 73), and drawing blood samples (26.2%; n = 69). Majority of these doctors 42.5% (n = 112) attributed NSI to stress, 37.6% (n = 99) to over work, and 19.7% (n = 52) to carelessness.
NSI due to syringe and surgical stitch needle are very frequent in doctors working at various tertiary care hospitals of Rawalpindi. Most of these are sustained while recapping needle and surgical procedures in stressful and overworked circumstances.
记录拉瓦尔品第三级护理医院医生针刺伤（NSI）的发生频率、性质及诱发因素。
本横断面调查于2009年7月至2010年4月在拉瓦尔品第医学院内科进行。联系了在拉瓦尔品第各三级护理医院工作的500名医生。为每位医生提供了一份专门设计的表格，重点关注针刺伤的数量、性质及诱发因素，针刺伤定义为由空心针、缝合针、手术刀刀片和柳叶刀引起的经皮损伤。收集数据的频率和百分比。
500名医生中，61.8%（n = 309）返回了填写好的表格。女性占50.8%（n = 158）。85.1%（n = 263）的参与者有针刺伤史，其中最常见的是注射器针头（47.52%；n = 125）、手术缝合针（20.9%；n = 55）和手术刀刀片（9.5%；n = 25）。大多数针刺伤发生在重新盖帽时（33%；n = 87）、手术过程中（27.7%；n = 73）和采集血样时（26.2%；n = 69）。这些医生中，42.5%（n = 112）将针刺伤归因于压力，37.6%（n = 99）归因于工作过度，19.7%（n = 52）归因于粗心。
在拉瓦尔品第各三级护理医院工作的医生中，因注射器和手术缝合针导致的针刺伤非常频繁。大多数针刺伤是在压力大、工作过度的情况下重新盖帽和手术过程中发生的。
