Yadav Shilpi, Vyas Varsha, Hazari Shruti, Gehdoo R P, Patil Surekha
Asst. Professor in Anaesthesiology, DY Patil Deemed to be University School of Medicine, Navi Mumbai, Maharashtra, India.
Professor in Anaesthesiology, DY Patil Deemed to be University School of Medicine, Navi Mumbai, Maharashtra, India.
Indian J Anaesth. 2020 Apr;64(4):306-309. doi: 10.4103/ija.IJA_808_19. Epub 2020 Mar 28.
Needle stick injury (NSI) has a serious risk of transmission of various blood borne pathogens amongst healthcare personnel and more so in anaesthesiologists. This survey assessed the prevalence of NSI and awareness of safety protocols for its prevention amongst the anaesthesiologists from Maharashtra, India.
This self-administered survey was completed by 403 anaesthesiologists across Maharashtra from August 2019 to October 2019. The pre-validated and pretested 18-item questionnaire was administered using Google forms and the link was circulated amongst anaesthesiologists electronically. The questionnaire items included information on the awareness of safety protocols and immediate measure after NSI, knowledge of immunisation and safety practices followed in routine practice. Data were collected, tabulated and coded in Microsoft Excel. Descriptives are presented for the different items and prevalence of NSI. Comparison of prevalence of NSI in subgroups based on gender, period of experience and type of practice were analysed using Chi-square test.
The prevalence of NSI was 73.7% ( = 403) in anaesthesiologists with 71.1% ( = 235) in males and 77.4% ( = 168) in females. The anaesthesiologists from the medical schools had a prevalence of 75.0% ( = 148), those in private practice had a prevalence of 72.7% ( = 216), whereas those working in both medical school and private practice had a prevalence of 74.4% ( = 39). A greater prevalence was observed in those working for longer periods.
The prevalence of NSI's is alarmingly high amongst anaesthesiologists and there is an immediate need of creating awareness and practice safety protocols in routine practice. Training and education are required in the formative years of healthcare curriculum.
针刺伤（NSI）在医护人员中存在传播多种血源性病原体的严重风险，麻醉医生的风险更高。本调查评估了印度马哈拉施特拉邦麻醉医生中针刺伤的发生率及其预防安全规程的知晓情况。
2019年8月至2019年10月，马哈拉施特拉邦的403名麻醉医生完成了这项自填式调查。使用谷歌表单发放经过预验证和预测试的18项问卷，并通过电子方式将链接分发给麻醉医生。问卷项目包括安全规程知晓情况、针刺伤后的即时措施、免疫知识以及日常工作中的安全操作。数据在Microsoft Excel中收集、制表和编码。呈现不同项目的描述性统计结果以及针刺伤的发生率。使用卡方检验分析基于性别、工作年限和执业类型的亚组中针刺伤发生率的比较情况。
麻醉医生中针刺伤的发生率为73.7%（n = 403），男性为71.1%（n = 235），女性为77.4%（n = 168）。医学院的麻醉医生发生率为75.0%（n = 148），私人执业的为72.7%（n = 216），而在医学院和私人执业机构都工作的为74.4%（n = 39）。工作时间较长的人员中发生率更高。
麻醉医生中针刺伤的发生率高得惊人，迫切需要在日常工作中提高认识并实施安全规程。在医疗保健课程的形成阶段需要进行培训和教育。
