Weinstein S A
Infect Control. 1985 Jan;6(1):41-3. doi: 10.1017/s0195941700062494.
Needle/syringe disposal in health care facilities should comply with current CDC, JCAH, and EPA recommendations. Most state laws require that needle/syringes be rendered inoperable for future use. However, this does not necessarily mean that needles have to be broken or bent. Needles/syringes that are placed in a puncture and leak-proof container that are eventually autoclaved or incinerated should satisfy the intent of these regulations. It must be emphasized that currently no data are available from controlled studies examining the effect, if any, of these devices on the incidence of needle-transmissible infections. However, common sense dictates that the new disposable containers are easier and safer to use and therefore should contribute to decreasing the incidence of needle puncture accidents among health care workers. A comprehensive program aimed at minimizing needle-stick accidents should address not only disposal devices and their accessibility at key locations, but also periodic inservice education.
医疗机构中的针头/注射器处置应符合疾病控制与预防中心(CDC)、医疗组织联合委员会(JCAH)和美国环境保护局(EPA)当前的建议。大多数州法律要求使针头/注射器无法用于未来使用。然而,这并不一定意味着必须折断或弯曲针头。置于防穿刺、防渗漏容器中并最终进行高压灭菌或焚烧的针头/注射器应符合这些规定的意图。必须强调的是,目前尚无对照研究的数据来检验这些装置对经针头传播感染发生率的影响(若有影响的话)。然而,常识表明新的一次性容器使用起来更简便、更安全,因此应有助于降低医护人员针刺事故的发生率。一个旨在尽量减少针刺事故的综合计划不仅应涉及处置装置及其在关键位置的可及性,还应包括定期在职教育。