Faculty of Health, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Health Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Environ Health Prev Med. 2021 Apr 1;26(1):43. doi: 10.1186/s12199-021-00965-x.
Occupational contact with blood and body fluids poses a significant risk to healthcare workers. The aim of this systematic review is to investigate the epidemiology and risk factors affecting needlestick injuries (NSI) in healthcare personnel in Iran.
In March 2020, researchers studied six international databases such as Medline/PubMed, ProQuest, ISI/WOS, Scopus, Embase, and Google Scholar for English papers and two Iranian databases (MagIran and SID) for Persian papers. Joanna Briggs Institute (JBI) Critical Appraisal Checklist was used to assess quality of studies. The method of reporting was based on the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement.
A total of 43 articles were included in the analysis. Results showed that females (OR = 1.30, 95 % CI 1.06-1.58, P value = 0.009), younger age (OR = 2.75, 95 % CI 2.27-3.33, P value < 0.001, rotated shift workers (OR = 2.16, 95 % CI 1.47-3.15, P value < 0.001), not attending training courses (OR = 1.30, 95 % CI 1.07-1.56, P value = 0.006), working in the surgery ward (OR = 1.83, 95 % CI 1.33-2.50, P value < 0.001), less work experience (OR = 1.43, 95 % CI 1.04-1.95, P value = 0.025) apposed a greater risk factors for NSI among healthcare workers.
Based on the results of this review, factors such as young age, less work experience, work shift, and female gender are considered as strong risk factors for NSI injury in Iran. Preventive measures including education programs can reduce the burden of NSI among healthcare personnel.
职业性接触血液和体液会对医护人员构成重大风险。本系统综述旨在调查伊朗医护人员针刺伤（NSI）的流行病学和危险因素。
2020 年 3 月，研究人员研究了六个国际数据库，如 Medline/PubMed、ProQuest、ISI/WOS、Scopus、Embase 和 Google Scholar，以获取英文论文，以及两个伊朗数据库（MagIran 和 SID）以获取波斯语论文。采用 Joanna Briggs 研究所（JBI）Critical Appraisal Checklist 评估研究质量。报告方法基于系统评价和荟萃分析的首选报告项目（PRISMA）声明。
共有 43 篇文章纳入分析。结果表明，女性（OR = 1.30，95 % CI 1.06-1.58，P 值 = 0.009）、年龄较小（OR = 2.75，95 % CI 2.27-3.33，P 值 < 0.001）、轮班工作（OR = 2.16，95 % CI 1.47-3.15，P 值 < 0.001）、未参加培训课程（OR = 1.30，95 % CI 1.07-1.56，P 值 = 0.006）、在外科病房工作（OR = 1.83，95 % CI 1.33-2.50，P 值 < 0.001）、工作经验较少（OR = 1.43，95 % CI 1.04-1.95，P 值 = 0.025）的医护人员发生 NSI 的风险因素更大。
根据本综述的结果，年龄较小、工作经验较少、工作班次和女性等因素被认为是伊朗 NSI 损伤的强危险因素。包括教育计划在内的预防措施可以减轻医护人员 NSI 的负担。
