Gabr Hala Marawan, El-Badry Aziza Saad, Younis Faten Ezzelarab
Department of Public Health and Community Medicine, Faculty of Medicine, Menoufia University, Menoufia, Egypt.
Int J Occup Environ Med. 2018 Apr;9(2):63-68. doi: 10.15171/ijoem.2018.1156.
Health care workers are at high risk of job-related blood-borne diseases due to needlestick injuries (NSIs).
To assess the risk factors associated with NSIs among health care workers in Menoufia governorate, Egypt.
This cross-sectional study was conducted on 2260 health care workers of 4 randomly chosen hospitals in Menoufia governorate. Using a predesigned data collection sheet, all staff members were asked about the occurrence of NSIs in the previous 3 months. The response rate was 95.3%. Logistic regression analysis was used to assess the factors associated with NSIs.
The risk of NSIs significantly increased with duration of work <15 years (OR 2.19, 95% CI 1.81 to 2.66), being female (OR 1.89, 95% CI 1.56 to 2.29), working as a paramedic (OR 1.49, 95% CI 1.03 to 2.25), working in surgical ward (OR 4.11, 95% CI 1.71 to 9.88), having more than 2 night shifts/month (OR 1.75, 95% CI 1.28 to 2.39), absence of educational sessions (OR 1.99, 95% CI 1.45 to 2.73), absence of hospital policies for NSIs (OR 2.23, 95% CI 1.99 to 2.49), absence of universal precautions (OR 1.66, 95% CI 1.10 to 2.50), recapping the needle after use (OR 2.63, 95% CI 2.12 to 3.26), recapping the needle with two hands (OR 3.08, 95% CI 2.04 to 4.65), not using protective clothes (OR 1.39, 95% CI 1.04 to 1.85), and increased working hours---8-12 hours (OR 2.14, 95% CI 1.34 to 3.44) and >12 hours (OR 2.28, 95% CI 1.17 to 4.44).
The risk of NSIs is still high among health care workers that underlines the importance of comprehensive educational sessions to decrease the risk of job-related blood-borne diseases.
由于针刺伤（NSIs），医护人员面临与工作相关的血源性疾病的高风险。
评估埃及梅努菲亚省医护人员中与针刺伤相关的危险因素。
本横断面研究对梅努菲亚省4家随机选取医院的2260名医护人员进行。使用预先设计的数据收集表，询问所有工作人员在过去3个月内针刺伤的发生情况。回复率为95.3%。采用逻辑回归分析评估与针刺伤相关的因素。
针刺伤风险随着工作年限<15年（比值比2.19，95%置信区间1.81至2.66）、女性（比值比1.89，95%置信区间1.56至2.29）、担任护理人员（比值比1.49，95%置信区间1.03至2.25）、在外科病房工作（比值比4.11，95%置信区间1.71至9.88）、每月超过2个夜班（比值比1.75，95%置信区间1.28至2.39）、缺乏教育课程（比值比1.99，95%置信区间1.45至2.73）、缺乏针刺伤医院政策（比值比2.23，95%置信区间1.99至2.49）、缺乏普遍预防措施（比值比1.66，95%置信区间1.10至2.50）、使用后重新盖帽（比值比2.63，95%置信区间2.12至3.26）、双手重新盖帽（比值比3.08，95%置信区间2.04至4.65）、不使用防护服（比值比1.39，95%置信区间1.04至1.85）以及工作时间增加——8至12小时（比值比2.14，95%置信区间1.34至3.44）和>12小时（比值比2.28，95%置信区间1.17至4.44）而显著增加。
医护人员中针刺伤风险仍然很高，这突出了全面教育课程对于降低与工作相关的血源性疾病风险的重要性。
