Erturk Sengel Buket, Tukenmez Tigen Elif, Bilgin Huseyin, Dogru Arzu, Korten Volkan
Infectious Diseases and Clinical Microbiology, Marmara University School of Medicine, Istanbul, TUR.
Infectious Diseases and Clinical Microbiology, Tuzla Training Hospital, Istanbul, TUR.
Cureus. 2021 Apr 6;13(4):e14318. doi: 10.7759/cureus.14318.
Background and objective Occupation-related injuries (ORIs) are undesirable and harmful situations among healthcare workers (HCWs) and may have serious consequences. In this study, we aimed to identify and analyze ORI incidences, risk groups, and the outcomes of a training program to prevent them. Materials and methods Between January 2011 and December 2019, HCWs who applied for infection prevention and control (IPC) due to ORIs (percutaneous needlestick and sharp-object injury or contact with blood or body fluids) were included in the study. Their characteristic features, vaccine histories, injury types, viral serologies, and administered prophylaxis were recorded. After 2014, a periodic ORI training program was started. We used joinpoint regression analysis to compare the ORI incidences before and after the education program. Results During the nine-year study period, 965 ORIs were registered. The mean age of HCWs was 39.3 ± 8.4 years, and 67.9% of them were female. The total injury incidence for all professions was 34.1 (95% CI: 33.1-37.5) per 1,000 HCWs. The injury incidences were significantly higher in nurses compared to other HCWs (p<0.01). Most of the injuries occurred in the ward setting (37%). HCWs were injured most commonly while administering treatment (36.7%). The trend analysis for the incidence of injuries showed no significant change throughout the study period. The trend in personal protective equipment (PPE) use showed a significant increase (annual percentage change: 1.7, p<0.01). Conclusions The major finding of this study with respect to its implication on the healthcare system is that nurses are an important risk group for ORIs. Although the ORI incidence did not change during the study period, a significantly increased use of appropriate PPE following a systematic training program implementation was observed.
背景与目的 职业相关损伤（ORI）在医护人员（HCW）中是不良且有害的情况，可能会产生严重后果。在本研究中，我们旨在识别和分析职业相关损伤的发生率、风险群体以及预防此类损伤的培训项目的效果。材料与方法 2011年1月至2019年12月期间，因职业相关损伤（经皮针刺和锐器伤或接触血液或体液）而申请感染预防与控制（IPC）的医护人员被纳入研究。记录他们的特征、疫苗接种史、损伤类型、病毒血清学以及所给予的预防措施。2014年后，启动了定期的职业相关损伤培训项目。我们使用连接点回归分析来比较教育项目前后职业相关损伤的发生率。结果 在九年的研究期间，共记录了965例职业相关损伤。医护人员的平均年龄为39.3±8.4岁，其中67.9%为女性。所有职业的总损伤发生率为每1000名医护人员34.1例（95%置信区间：33.1 - 37.5）。与其他医护人员相比，护士的损伤发生率显著更高（p<0.01）。大多数损伤发生在病房环境（37%）。医护人员在进行治疗时受伤最为常见（36.7%）。损伤发生率的趋势分析显示在整个研究期间没有显著变化。个人防护装备（PPE）的使用趋势显示有显著增加（年度百分比变化：1.7，p<0.01）。结论 本研究对医疗系统的主要发现是，护士是职业相关损伤的重要风险群体。尽管在研究期间职业相关损伤的发生率没有变化，但在实施系统培训项目后，观察到适当个人防护装备 的使用显著增加。
