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尼日利亚兽医针刺伤的患病率及其潜在风险

Prevalence of Needlestick Injury and Its Potential Risk among Veterinarians in Nigeria.

作者信息

Mshelbwala Philip Paul, Weese J Scott, Idris Jibrin Manu

机构信息

Department of Veterinary Medicine, Faculty of Veterinary Medicine, University of Abuja, Abuja, Nigeria.

Department of Pathobiology, Ontario Veterinary College, University of Guelph, Guelph, ON, Canada.

出版信息

Vet Med Int. 2016;2016:7639598. doi: 10.1155/2016/7639598. Epub 2016 Oct 17.

Abstract

A cross sectional study using multistage sampling method by means of structured interviewer administered questionnaire was designed to estimate the rate of occurrence of needlestick injuries among veterinarians involved in clinical practice and to evaluate needle handling practices and risk factors. The study was carried out during the months of August-November 2015. Out of the 215 veterinarians that participated in the survey, 171 (79.5%) reported to have suffered needlestick injuries (NSIs). In the multivariable model, only male sex (OR 2.8, 95% CI 1.4-6.0, and = 0.006) and working with poultry daily (OR 2.4, 95% CI 1.1-6.2, and = 0.036) were significantly associated with NSI. Most (111, 64.9%) veterinarians had discomfort including pain, headache, fever, worry, and local numbness from NSIs; however, none was hospitalised. Only 1 (0.6%) had lost time at work. The approach to needlestick injury avoidance was poor and most (98.8%) NSIs were not reported. The findings of this research call for comprehensive health and injection safety programs for veterinarians involved in clinical practice.

摘要

本研究采用多阶段抽样方法,通过结构化访谈问卷进行横断面研究,旨在估计临床执业兽医针刺伤的发生率,并评估针头处理操作及危险因素。研究于2015年8月至11月期间开展。在参与调查的215名兽医中,有171名(79.5%)报告曾遭受针刺伤(NSIs)。在多变量模型中,只有男性(比值比2.8,95%置信区间1.4 - 6.0,P = 0.006)以及每天从事家禽相关工作(比值比2.4,95%置信区间1.1 - 6.2,P = 0.036)与针刺伤显著相关。大多数(111名,64.9%)兽医因针刺伤出现不适,包括疼痛、头痛、发热、担忧和局部麻木;然而,无人住院治疗。只有1名(0.6%)因伤误工。预防针刺伤的措施欠佳,大多数(98.8%)针刺伤未报告。本研究结果呼吁为临床执业兽医制定全面的健康和注射安全计划。

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