Mehrdad Ramin, Meshki Mansooreh, Pouryagub Gholamreza
Department of Occupational Medicine, Center for Research on Occupational Diseases, Tehran University of Medical Sciences, Tehran, Iran.
Int J Prev Med. 2013 Nov;4(11):1236-42.
One of the serious occupational concerns in health care workers (HCWs) is exposure to blood/body fluids that can transmit blood borne pathogens such as human immunodeficiency virus and hepatitis B and C viruses. We are reporting the effects of training course and surveillance on the rate of needle stick injuries (NSIs) among HCWs at an educational hospital in Iran.
To evaluate the effects of training course on the rate of NSIs and its reporting.
We selected two hospitals (A&B) based on their similarities in wards and facilities then asked the managers of these two hospitals to participate in our study. We established a new occupational health center and conducted a training course at hospital A on 2010 and compared it with control group (hospital B). The data from 2009 to 2011 was collected, analyzed to compare pre and post intervention rates.
DURING STUDY PERIOD NURSES SUSTAINED THE HIGHEST NUMBER OF INJURIES (HOSPITAL A: n=80; 66.1% and hospital B: n=64; 35.4%). The incidence rate of NSIs in hospital A was 7.16 NSI/100FTE/YEAR before the intervention which was increased to 12.06 after the intervention. In hospital B this rate was 6.05 during three years.
The study revealed remarkable increase in the incidence rate of NSIs after the intervention. This is being achieved by meticulous surveillance, training course and improving awareness.
医护人员面临的一个严重职业问题是接触可能传播血源性病原体（如人类免疫缺陷病毒、乙型和丙型肝炎病毒）的血液/体液。我们报告了在伊朗一家教学医院开展培训课程和监测对医护人员针刺伤发生率的影响。
评估培训课程对针刺伤发生率及其报告情况的影响。
我们根据两家医院（A和B）病房和设施的相似性进行选择，然后邀请这两家医院的管理人员参与我们的研究。我们设立了一个新的职业健康中心，并于2010年在医院A开展了培训课程，并将其与对照组（医院B）进行比较。收集了2009年至2011年的数据，进行分析以比较干预前后的发生率。
在研究期间，护士遭受针刺伤的人数最多（医院A：n = 80；66.1%，医院B：n = 64；35.4%）。医院A在干预前针刺伤的发生率为7.16例/100全时当量/年，干预后增至12.06例。医院B在三年中的发生率为6.05例。
研究显示干预后针刺伤的发生率显著增加。这是通过细致的监测、培训课程和提高意识实现的。
