Alshehri Sarah, Kayal Malik, Alahmad Almshhad Hawazen, Dirar Qais, AlKattan Wael, Shibl Atef, Ouban Abderrahman
Department of Immunology and Microbiology, Alfaisal University College of Medicine, Riyadh, SAU.
Department of Anatomical Sciences, Alfaisal University College of Medicine, Riyadh, SAU.
Cureus. 2023 Apr 25;15(4):e38097. doi: 10.7759/cureus.38097. eCollection 2023 Apr.
Background Needlestick injuries (NSIs) and sharps injuries (SIs) remain significant hazards in most healthcare facilities that expose healthcare workers (HCWs) to blood-borne pathogens (e.g., HIV, hepatitis B, and hepatitis C). This study aims to review the incidence of NSIs and SIs in King Fahad Medical City (KFMC) and correlate this incidence with several parameters related to the event, including age, sex, length of work experience, type of injury, type of instrument causing the injury, type of activity during which the injury happened, nature of the job of the HCWs, and location within the hospital where the injury happened. Methodology This cross-sectional study involves all self-reported documents related to needlestick and sharp injuries among HCWs at King Fahad Medical City (KFMC) in Riyadh, Kingdom of Saudi Arabia, from January 2017 to December 2020. The data of 389 reports of needlestick and sharp injuries detailing incidence and site, shift, type, and instrument related to the incidents were reported to the infection control department for coding and analysis using the Statistical Package for the Social Sciences (SPSS) version 22 (IBM SPSS Statistics, Armonk, NY, USA). Results Our data showed that NSIs/SIs could be caused by a wide range of objects used by healthcare workers, including needles, suture needles, scalpels, and sharp devices. Remarkably, the most common cause of NSIs was handling the sharp object (38.8%), followed by disposing of the sharp object (19.3%). Furthermore, nurses were found to be the highest at-risk category of HCWs experiencing NSIs (49.9%), while medical waste handlers (1.5%) and dentists (1.3%) were least likely to incur injuries. Conclusion This study sheds some light on the incidence rates of NCIs and SIs at KFMC and correlates these rates with several demographical, occupational, and experiential parameters related to these events.
背景 在大多数医疗保健机构中，针刺伤（NSIs）和锐器伤（SIs）仍然是重大危害，会使医护人员（HCWs）暴露于血源性病原体（如艾滋病毒、乙型肝炎和丙型肝炎）。本研究旨在回顾法赫德国王医疗城（KFMC）针刺伤和锐器伤的发生率，并将该发生率与事件相关的几个参数进行关联，这些参数包括年龄、性别、工作年限、损伤类型、造成损伤的器械类型、受伤时的活动类型、医护人员的工作性质以及医院内受伤发生的地点。
方法 这项横断面研究涉及沙特阿拉伯王国利雅得法赫德国王医疗城（KFMC）2017年1月至2020年12月期间所有医护人员自我报告的与针刺伤和锐器伤相关的文件。389份针刺伤和锐器伤报告的数据详细说明了事件的发生率、地点、班次、类型和相关器械，这些数据被报告给感染控制部门，以便使用社会科学统计软件包（SPSS）版本22（IBM SPSS Statistics，美国纽约州阿蒙克）进行编码和分析。
结果 我们的数据表明，针刺伤/锐器伤可能由医护人员使用的多种物品引起，包括针头、缝合针、手术刀和锐器。值得注意的是，针刺伤最常见的原因是处理锐器（38.8%），其次是丢弃锐器（19.3%）。此外，护士被发现是发生针刺伤风险最高的医护人员类别（49.9%），而医疗废物处理人员（1.5%）和牙医（1.3%）受伤的可能性最小。
结论 本研究揭示了法赫德国王医疗城针刺伤和锐器伤的发生率，并将这些发生率与这些事件相关的几个人口统计学、职业和经验参数进行了关联。
