Qazi Abdul Rafay, Siddiqui Furqan Ali, Faridi Salman, Nadeem Urooj, Umer Nida Iqbal, Mohsini Zainab Saeed, Edhi Muhammad Muzzammil, Khan Mehmood
Department of General Surgery, Liaquat National Hospital and Medical College, Karachi, Pakistan.
Liaquat National Hospital and Medical College, Karachi, Pakistan.
Patient Saf Surg. 2016 Sep 7;10(1):19. doi: 10.1186/s13037-016-0108-7. eCollection 2016.
Needle stick injuries (NSIs) have the potential of causing Hepatitis B and Hepatitis C, which is constantly adding to the burden of chronic liver disease in our country. It poses a risk to Health Care Workers (HCWs) and the patients they deal with. In order to limit the spread of these viruses, it is imperative that these HCWs be fully equipped with knowledge regarding prevention of NSIs and dealing with one, regardless of their designation. We therefore aimed to assess and compare the level of awareness about precautions for needle stick injuries amongst all those greatest at risk.
This was a cross- sectional study carried out at Liaquat National Hospital, Karachi, Pakistan. A 23 itemed self-administered questionnaire was given to hospital staff including doctors, lab technicians and nurses via convenience sampling, in various departments. Data was analyzed via SPSS 18 software and a p-value of <0.05 was considered significant.
A total of 198 responses were taken for this study, out of which 70 (35.4 %) were doctors, 70 (35.4 %) nursing staff and 58 (29.3 %) laboratory technicians. Of all HCWs, 101 (51 %) knew that the standard method of discarding needles is without recapping. 159 (80.3 %) were still recapping needles. 180 (90.9 %) HCWs were vaccinated against Hepatitis B. 36 (18.2 %) were aware that blood should be allowed to flow after an NSI and site of prick should be washed with an antiseptic.
The awareness was found to be very low amongst all HCWs. It should therefore be made compulsory for all HCWs to attend proper preparatory classes by the infection control department at the time of employment in order to improve the level of awareness and ensure safe practices.
针刺伤有可能导致乙型肝炎和丙型肝炎，这不断增加我国慢性肝病的负担。它对医护人员及其所护理的患者构成风险。为了限制这些病毒的传播，至关重要的是，这些医护人员无论其职级如何，都应充分具备预防针刺伤及应对针刺伤的知识。因此，我们旨在评估和比较所有高危人群对针刺伤预防措施的知晓水平。
这是一项在巴基斯坦卡拉奇利亚卡特国家医院开展的横断面研究。通过便利抽样，向包括医生、实验室技术员和护士在内的医院工作人员发放了一份包含23个条目的自填式问卷，涉及各个科室。数据通过SPSS 18软件进行分析，p值<0.05被视为具有统计学意义。
本研究共获得198份回复，其中70份（35.4%）来自医生，70份（35.4%）来自护理人员，58份（29.3%）来自实验室技术员。在所有医护人员中，101人（51%）知道丢弃针头的标准方法是不回套针帽。159人（80.3%）仍在回套针帽。180名（90.9%）医护人员接种了乙型肝炎疫苗。36人（18.2%）知道针刺伤后应让血液流出，并用消毒剂清洗针刺部位。
发现所有医护人员的知晓水平都很低。因此，应强制所有医护人员在入职时参加感染控制部门举办的适当预备课程，以提高知晓水平并确保安全操作。
