Department of Infection Control, Zhongshan Hospital, Fudan University, 180 Fenglin Road, Shanghai, China.
Department of Infection Control, The Second Affiliated Hospital, Xi'an Jiaotong University, 157 Xiwu Road, Xi'an, Shaanxi,China.
Sci Rep. 2017 Feb 16;7:42620. doi: 10.1038/srep42620.
A multi-center survey on sharp injuries (SIs) among hospital-based healthcare workers (HCWs) in seven provinces of China between August and December 2011 was performed. In each province, HCWs from at least 30 hospitals were surveyed by completing a SI report form adapted from the EPINet. The HCWs who declared SIs during the period were interviewed by local infection control practitioners. The survey included 361 hospitals and 206,711 HCWs, most of whom were nurses (47.5%) or doctors (28.4%). In the previous month, 17,506 SI incidents were declared by 13,110 (6.3%) HCWs, corresponding to 1,032 incidents per 1,000 HCWs per year and 121.3 per 100 occupied beds per year. The majority of the SIs was caused by a hollow-bore needle (63.0%). The source patient was identified in 73.4% of all SIs but only 4.4% of all exposures involved a source patient who tested positive for HBV (3.3%), HCV (0.4%) or HIV (0.1%). Only 4.6% of SIs were reported to the infection control team in the hospitals. In conclusion, the rate of SI among HCWs is high in China and SI represents a severe but largely neglected problem. Awareness and safety climate should be promoted to protect the safety of HCWs in China.
一项 2011 年 8 月至 12 月在中国七个省份针对医院医护人员（HCWs）锐器伤（SIs）的多中心调查显示，每个省份均有至少 30 家医院的 HCWs 通过填写一份从 EPINet 改编而来的锐器伤报告表接受调查。在此期间报告发生 SIs 的 HCWs 由当地感染控制从业者进行访谈。该调查包括 361 家医院和 206711 名 HCWs，其中大多数为护士（47.5%）或医生（28.4%）。在上个月，有 13110 名（6.3%）HCWs 报告了 17506 次 SIs，相当于每 1000 名 HCWs 每年发生 1032 次，每 100 张占用病床每年发生 121.3 次。大多数 SIs 是由空心针引起的（63.0%）。在所有 SIs 中，有 73.4%的源患者被识别，但只有 4.4%的所有暴露事件涉及乙型肝炎病毒（HBV）（3.3%）、丙型肝炎病毒（HCV）（0.4%）或人类免疫缺陷病毒（HIV）（0.1%）检测阳性的源患者。只有 4.6%的 SIs 向医院感染控制小组报告。总之，中国 HCWs 的 SIs 发生率较高，SIs 是一个严重但在很大程度上被忽视的问题。应提高认识和安全氛围，以保护中国 HCWs 的安全。
