Department of Pediatrics, Shamir Medical Center, Zerifin 70300, Israel.
Sackler School of Medicine, Tel Aviv University, Tel Aviv 69978, Israel.
Int J Qual Health Care. 2021 Feb 8;33(1). doi: 10.1093/intqhc/mzab009.
Needlestick and sharps injuries (NSIs) are known occupational risks among health-care workers. Reporting these injuries is important for early prevention and management of blood-borne infections. We investigated the prevalence and characteristics of NSIs and underreporting among hospital workers (HWs) from different sectors.
A single-center cross-sectional study, involving an anonymous survey delivered to 2205 HWs. The survey included demographic information about the worker and information about training, injuries and reporting.
Of the 844 HWs respondents (40%), NSIs occurred in 443 of them (53%); the majority were from needles (68%) and at bedside (51%). Significantly higher prevalences of injuries (P < 0.001) were noted among physicians (75%) and workers in their 40s (61%) and in the emergency and surgical departments (66% and 55%, respectively). NSIs were reported among 28% of workers who did not directly use needles. Underreporting was found in 46%, with a significant decrease in the report rate as the number of injuries increased (P < 0.001). Underreporting was significantly more common (P < 0.001) among physicians (59%), especially seniors (72%), workers without training about NSIs (59%), older age groups (56% in workers above 51 years, P = 0.003) and males (54%, P = 0.01). The highest underreporting rate was in injuries occurring in the operating room and the lowest in witnessed injuries occurring while passing a needle (82% vs. 31%, P < 0.001).
NSIs and underreporting are common among HWs from all sectors, including those who do not use needles. Improving preventive measures and reporting should be encouraged. We recommend reducing bedside procedures as possible and assigning two workers to procedures at risk for injuries, to increase the report rate.
针刺和锐器伤（NSI）是已知的医护人员职业风险。报告这些伤害对于早期预防和管理血源性感染非常重要。我们调查了来自不同部门的医院工作人员（HWs）的 NSI 发生率和漏报率。
一项单中心横断面研究，对 2205 名 HWs 进行了匿名调查。调查包括工人的人口统计学信息以及有关培训、伤害和报告的信息。
在 844 名 HWs 受访者中（40%），443 名（53%）发生了 NSI；大多数是由针头（68%）和床边（51%）引起的。医生（75%）和 40 多岁的工人（61%）以及急诊科和外科部门（66%和 55%）的受伤率显著更高（P<0.001）。在未直接使用针头的工人中，有 28%报告了 NSI。漏报率为 46%，随着受伤数量的增加，报告率显著下降（P<0.001）。漏报率在医生中（59%），特别是老年人（72%）、未接受过 NSI 培训的工人（59%）、年龄较大的工人（51 岁以上的工人中为 56%，P=0.003）和男性（54%，P=0.01）中更为常见。漏报率最高的是手术室发生的伤害，最低的是在传递针头时目击到的伤害（82%对 31%，P<0.001）。
所有部门的 HWs 都普遍存在 NSI 和漏报，包括不使用针头的 HWs。应鼓励改进预防措施和报告。我们建议尽可能减少床边操作，并为有受伤风险的操作分配两名工人，以提高报告率。
