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全球医护人员职业暴露于针刺伤的患病率:一项系统评价和荟萃分析。

Worldwide Prevalence of Occupational Exposure to Needle Stick Injury among Healthcare Workers: A Systematic Review and Meta-Analysis.

作者信息

Mengistu Dechasa Adare, Tolera Sina Temesgen, Demmu Yohannes Mulugeta

机构信息

Department of Environmental Health, College of Health and Medical Science, Haramaya University, Harar, Ethiopia.

出版信息

Can J Infect Dis Med Microbiol. 2021 Jan 29;2021:9019534. doi: 10.1155/2021/9019534. eCollection 2021.

Abstract

BACKGROUND

Healthcare workers are at high risk of occupational exposure to needle stick injury worldwide. Occupational exposure to needle stick injury represents the most common sources of infection such as hepatitis B virus, hepatitis C virus, and human immunodeficiency virus. Thus, this review aimed to determine the career time and previous one-year global pooled prevalence of occupational exposure to needle stick injury among healthcare workers.

METHODS

The review considered articles written in English language and published from 2012 to 2020. The articles were searched using nine electronic databases (PubMed, Google Scholar, CINAHL, MEDLINE, Cochrane library, Web of Science, SCOPUS, MedNar, and ScienceDirect) using a combination of Boolean logic operators (AND, OR, and NOT), Medical Subject Headings, and keywords. Quality assessment was performed to determine the relevance of the articles using Joanna Briggs Institute critical appraisal tools. Several steps of assessment and evaluation were taken to select and analyze the relevant articles.

RESULTS

The worldwide pooled prevalence of needle stick injuries among healthcare workers during career time and previous one year was 56.2% (95% CI: 47.1, 64.9) and 32.4% (95% CI: 22.0, 44.8), respectively. The career time pooled prevalence of needle stick injuries based on the socioeconomic development and study area was 54.8% and 55.1%, respectively, and one-year pooled prevalence of needle stick injury was 26.0% and 20.9%.

CONCLUSION

The review found a high prevalence of occupational exposure to needle stick injury among healthcare workers and suggests the need to improve occupational health and safety services in the healthcare systems.

摘要

背景

在全球范围内,医护人员面临职业性针刺伤的高风险。职业性针刺伤是感染乙型肝炎病毒、丙型肝炎病毒和人类免疫缺陷病毒等最常见的感染源。因此,本综述旨在确定医护人员职业性针刺伤的职业生涯期及前一年的全球综合患病率。

方法

本综述纳入了2012年至2020年发表的英文文章。使用九个电子数据库(PubMed、谷歌学术、CINAHL、MEDLINE、考克兰图书馆、科学引文索引、SCOPUS、MedNar和ScienceDirect),结合布尔逻辑运算符(AND、OR和NOT)、医学主题词和关键词进行文章检索。使用乔安娜·布里格斯循证卫生保健中心的严格评价工具进行质量评估,以确定文章的相关性。采取了几个评估和评价步骤来选择和分析相关文章。

结果

医护人员在职业生涯期和前一年针刺伤的全球综合患病率分别为56.2%(95%CI:47.1,64.9)和32.4%(95%CI:22.0,44.8)。基于社会经济发展和研究地区,针刺伤的职业生涯期综合患病率分别为54.8%和55.1%,针刺伤的一年综合患病率分别为26.0%和20.9%。

结论

本综述发现医护人员职业性针刺伤的患病率很高,并建议需要改善医疗系统中的职业健康和安全服务。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eaf6/7864758/77891acd1d65/CJIDMM2021-9019534.001.jpg

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