Kevitt F, Hayes B
Corporate Health Ireland, Dublin 1, Ireland,
Occupational Health Department, Beaumont Hospital, Dublin 9, Ireland.
Occup Med (Lond). 2015 Mar;65(2):135-8. doi: 10.1093/occmed/kqu182. Epub 2014 Dec 29.
Sharps injuries create a high volume of occupational health (OH) workload in the health care setting. The deadline for implementation of the European Sharps Directive was 11 May 2013.
To compare the epidemiology of sharps injuries reported in a large Irish teaching hospital in 2008-10 with those reported between 1998 and 2000.
We compared data from electronic and paper OH records of sharps injuries reported between 1 January 2008 and 31 December 2010 with those from a previous study of sharps injuries reported between 1 January 1998 and 31 December 2000.
A total of 325 sharps injuries were reported in 2008-10, compared with 332 in 1998-2000 (P = 0.568). Hepatitis B immunity in sharps injury recipients in 2008-10 was 87% compared to 86% in 1998-2000 (P = 0.32). Glove use was reported in 80% of reported injuries in 2008-10 compared with 74% in 1998-2000 (P = 0.32). In 2008-10, 49% of injuries occurred during disposal or following improper disposal of sharps, compared with 42% in 1998-2000.
There was no significant change in the epidemiology of sharps injuries reported between 2008 and 2010 compared with 1998-2000. Further education in standard precautions, safe disposal of sharps, the use of safety-engineered devices and the benefits of hepatitis B immunization is needed.
锐器伤在医疗环境中产生了大量的职业健康（OH）工作量。欧洲锐器指令的实施截止日期为2013年5月11日。
比较2008 - 2010年爱尔兰一家大型教学医院报告的锐器伤流行病学情况与1998年至2000年期间报告的情况。
我们将2008年1月1日至2010年12月31日期间报告的锐器伤的电子和纸质职业健康记录数据与之前一项关于1998年1月1日至2000年12月31日期间报告的锐器伤的研究数据进行了比较。
2008 - 2010年共报告了325例锐器伤，而1998 - 2000年为332例（P = 0.568）。2008 - 2010年锐器伤受伤者的乙肝免疫率为87%，而1998 - 2000年为86%（P = 0.32）。2008 - 2010年0年报告的损伤中有80%使用了手套，而1998 - 2000年为74%（P = 0.32）。2008 - 2010年，49%的损伤发生在锐器处理期间或不当处理之后，而1998 - 2000年为42%。
与1998 - 2000年相比，2008年至2010年报告的锐器伤流行病学情况没有显著变化。需要进一步开展关于标准预防措施、锐器安全处理、安全工程设备的使用以及乙肝免疫接种益处的教育。
