Hosoglu Salih, Ahmad Zana, Tahseen Mohammed Sami, Diyar Zehra, Selbes Sami, Çolak Ali
Dicle University Hospital, Diyarbakır, Turkey.
J Infect Dev Ctries. 2014 Oct 15;8(10):1328-33. doi: 10.3855/jidc.4280.
The current status of percutaneous injury and mucous exposures (PMEs) of hospital workers and factors associated with the injuries have not been studied in Iraq. This study aimed to evaluate the epidemiology of PMEs with blood or body fluids that leads serious risks for healthcare workers (HCWs).
An analytic, cross-sectional survey study was conducted among HCWs in Erbil city center, Iraq. The study was performed at sevenhospitals, and 177 participants were included. The dependent variable was the occurrence of PMEs in the last year, and the independent variables were age, sex, occupation of HCWs, working site, and work duration.
A total of 177 HCW participants included 57 nurses/midwives (32.2%), 59 doctors (33.3%), 27 laboratory workers (15.3%), and 34 paramedics/multipurpose workers (19.2%) from seven hospitals. The study concluded that 67.8% of the participants reported at least one occupational PME in the last year. In all, 13.3/person/year PME incidents were reported for nurses, 9.74/person/year for paramedics/multipurpose workers, 6.71/person/year for doctors, and 3.37/person/year laboratory workers. The mean number of PME incidents was 8.91/person/year. HCWs showed 85.0% compliance with wearing mask in risky situations. The most dangerous action for occupational exposure was blood taking (39.0%). In the univariate analysis, none of the investigated variables were found to be significantly related to PME.
Occupational injuries and exposures in Iraqi HCWs are extremely common; awareness about protection is not sufficient. Nurses were found to be the highest risk group among HCWs. Preventive actions should be taken to avoid infection.
伊拉克尚未对医院工作人员的经皮损伤和黏膜暴露（PMEs）现状以及与这些损伤相关的因素进行研究。本研究旨在评估因接触血液或体液导致医护人员面临严重风险的PMEs的流行病学情况。
在伊拉克埃尔比勒市中心的医护人员中开展了一项分析性横断面调查研究。该研究在七家医院进行，纳入了177名参与者。因变量是过去一年中PMEs的发生情况，自变量是医护人员的年龄、性别、职业、工作地点和工作时长。
来自七家医院的177名医护人员参与者中，有57名护士/助产士（32.2%）、59名医生（33.3%）、27名实验室工作人员（15.3%）和34名护理人员/多用途工作人员（19.2%）。研究得出结论，67.8%的参与者报告在过去一年中至少发生过一次职业性PME。总体而言，护士的PME事件报告为13.3次/人/年，护理人员/多用途工作人员为9.74次/人/年，医生为6.71次/人/年，实验室工作人员为3.37次/人/年。PME事件的平均次数为8.91次/人/年。医护人员在危险情况下佩戴口罩的依从率为85.0%。职业暴露最危险的行为是采血（39.0%）。在单因素分析中，未发现所调查的变量与PME有显著关联。
伊拉克医护人员的职业损伤和暴露极为常见；防护意识不足。护士被发现是医护人员中风险最高的群体。应采取预防措施以避免感染。
