Department of Community Medicine, Shiraz Nephro-Urology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Global Health Academy, Nuvance Health, and the University of Vermont Larner College of Medicine, Vermont, United States.
BMC Health Serv Res. 2023 May 23;23(1):521. doi: 10.1186/s12913-023-09465-w.
Needle stick injury (NSI) is the most common cause of infection with blood-borne pathogens (BBP) among healthcare workers (HCWs). This study aimed to assess the prevalence of NSI and it's contributing factors among HCWs of hemodialysis (HD) units in southwest Iran.
A cross-sectional study was performed in 13 HD centers in Shiraz, Iran. A total of 122 employees were enrolled in our study. We used self-administrated questionnaires to collect data about demographics, experiences regarding NSIs, and general health status. The statistical tests used in this study were Chi-square and Independent T-test. A P-value < 0.05 is considered significant.
The mean age of the study population was 36.1 ± 7.8 years (72.1%: women). Exposure to NSIs was reported by 23.0% of them at least once during the previous six months. NSI prevalence was significantly higher among those with higher age (p = 0.033), work experience > 10 years (p = 0.040), and those who graduated earlier (p = 0.031). The intravenous injection was the most common procedure leading to NSI, and being in a hurry was the most common cause. The average general health was 3.7 ± 3.2, higher among those not exposed to NSI (p = 0.042).
NSI is a prevalent hazard in HCWs of HD units. The high rate of NSI and unreported cases, besides the lack of adequate information, indicates the necessity of implementing protocols and strategies for improving the safety of this personnel. It is difficult to compare the result of this study with those performed among HCWs in other settings; hence, further studies are needed to determine whether HCWs of these units are more exposed to NSIs.
针刺伤（NSI）是医护人员（HCWs）中最常见的血源性病原体（BBP）感染原因。本研究旨在评估伊朗西南部血液透析（HD）单位 HCWs 中 NSI 的患病率及其相关因素。
在伊朗设拉子的 13 个 HD 中心进行了一项横断面研究。共有 122 名员工参与了我们的研究。我们使用自我管理的问卷收集有关人口统计学、NSI 经验和一般健康状况的数据。本研究中使用的统计检验是卡方检验和独立 T 检验。P 值<0.05 被认为具有统计学意义。
研究人群的平均年龄为 36.1±7.8 岁（72.1%：女性）。在过去六个月中，他们中有 23.0%至少报告过一次 NSI。年龄较大（p=0.033）、工作经验>10 年（p=0.040）和毕业较早的人（p=0.031）的 NSI 患病率明显更高。静脉注射是导致 NSI 的最常见操作，匆忙是最常见的原因。平均一般健康评分为 3.7±3.2，未接触 NSI 的人更高（p=0.042）。
NSI 是 HD 单位 HCWs 中普遍存在的危害。NSI 的高发生率和未报告的病例，以及缺乏足够的信息，表明有必要实施协议和策略，以提高这些人员的安全性。由于难以将本研究的结果与其他环境中的 HCWs 进行比较，因此需要进一步研究以确定这些单位的 HCWs 是否更容易受到 NSI 的影响。
