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医护人员针刺伤和锐器伤的模式及血清学特征:一项回顾性分析。

Pattern and serological profile of healthcare workers with needle-stick and sharp injuries: A retrospective analysis.

作者信息

Sharma Rakesh, Gupta Pratima, Jelly Prasuna

机构信息

College of Nursing, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.

Department of Microbiology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.

出版信息

J Family Med Prim Care. 2020 Mar 26;9(3):1391-1396. doi: 10.4103/jfmpc.jfmpc_1078_19. eCollection 2020 Mar.

Abstract

BACKGROUND

Needle-stick and sharp injuries (NSSIs) are very hazardous to healthcare workers (HCWs) working in any healthcare setting. The burden of NSSIs is more common in developing countries than in developed countries.

MATERIALS AND METHODS

A retrospective analysis was conducted in a multispeciality, tertiary level teaching medical institute. Total 78 NSSIs incidences from 2005 to 2013 were reviewed and included for the study. All the information were retrieved and entered in excel sheet for data analysis.

RESULTS

Total of 78 NSSIs cases were reported over a period of 9 years. Maximum incidences of NSSI were reported by nurses (61.5%). A higher proportion (41%) of cases occurred in critical units and emergency and the most common procedure (64.1%) was parenteral medication during which HCWs got NSSIs. Almost half (53.8%) of HCWs had received complete HBV vaccination. Out of 78, 40 HCWs only completed follow-up for 6 months and were found non-reactive for viral markers.

CONCLUSION

The healthcare workers who were involved in patient care are at risk to get NSSIs. The primary prevention of NSSIs is very important. Every institute should have policies on ongoing training programme, HBV vaccination protocol, smooth system of NSSIs reporting, post-exposure prophylaxis (PEP) facilities and follow-up of HCWs with NSSIs to prevent the occurrence.

摘要

背景

针刺伤和锐器伤对在任何医疗环境中工作的医护人员都非常危险。针刺伤和锐器伤在发展中国家比在发达国家更为常见。

材料与方法

在一所多专科、三级教学医学院进行回顾性分析。回顾并纳入了2005年至2013年期间共78例针刺伤和锐器伤事件进行研究。检索所有信息并输入电子表格进行数据分析。

结果

在9年期间共报告了78例针刺伤和锐器伤病例。护士报告的针刺伤和锐器伤发生率最高(61.5%)。较高比例(41%)的病例发生在重症监护病房以及急诊科,最常见的操作(64.1%)是注射药物时医护人员发生针刺伤和锐器伤。几乎一半(53.8%)的医护人员已完成全程乙肝疫苗接种。在78例中,只有40名医护人员完成了6个月的随访,结果发现其病毒标志物呈阴性。

结论

参与患者护理的医护人员有发生针刺伤和锐器伤的风险。针刺伤和锐器伤的一级预防非常重要。每个机构都应制定关于持续培训计划、乙肝疫苗接种方案、顺畅的针刺伤和锐器伤报告系统、暴露后预防(PEP)设施以及对发生针刺伤和锐器伤的医护人员进行随访的政策,以预防此类事件的发生。

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