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埃塞俄比亚医护人员针刺伤和锐器伤的患病率及相关因素:一项系统评价和荟萃分析

Prevalence and associated factors of needlestick and sharp object injuries among healthcare workers in Ethiopia: a systematic review and meta-analysis.

作者信息

Kaweti Gudeta, Feleke Tihun

机构信息

Department of Social and Population Health, Yirgalem Hospital Medical College, Yirgalem, Ethiopia.

Hawassa College of Health Science, Research and Community Service Directorate, Hawassa, Ethiopia.

出版信息

Front Epidemiol. 2024 Jun 25;4:1385417. doi: 10.3389/fepid.2024.1385417. eCollection 2024.

Abstract

BACKGROUND

Needlestick and sharp object injuries affect healthcare workers. However, there are limitations in the evidence available for informed decision-making by stakeholders, as individual research shows inconsistent results. Therefore, this study aims to assess the pooled prevalence of needlestick and sharp object injuries and their associated factors.

METHODS

MEDLINE/PubMed, EMBASE, Web of Science, Google Scholar, and other databases were searched from 5 September 2023 to 10 October 2023 using the following search terms: "Prevalence" OR "Burden" OR "Magnitude" AND "Associated factors" OR "related factors" OR "Risk factors" OR "determinants" OR "Predictors" AND "Needle stick Injury" OR "Sharp Injury" OR "Health care Workers" OR " Health Care Personnel" OR "Nurses" OR "Professional" AND "Ethiopia".

RESULTS

The pooled prevalence of needle sticks and sharp objects injury was 40.5 (95% CI: 35.0, 45.9). Needle-stick (AOR, 2.3; 95% CI: 1.6, 3.3,  < 0.001], absence of routine precaution [AOR, 2.3; 95% CI: 1.1, 4.5,  < 0.01] and lack of training (AOR = 2.4; 95% CI: 1.4, 4.1,  < 0.001) had increased odds of needle-sticks and sharp objects injury.

CONCLUSION

Forty percent of healthcare workers in Ethiopia have experienced needlestick and sharp object injuries. The identified factors included recapping, absence of routine precautions, and lack of training.

SYSTEMATIC REVIEW REGISTRATION

PROSPERO, identifier (CRD42023462311).

摘要

背景

针刺伤和锐器伤会影响医护人员。然而,利益相关者在做出明智决策时可获取的证据存在局限性,因为个别研究结果不一致。因此,本研究旨在评估针刺伤和锐器伤的合并患病率及其相关因素。

方法

于2023年9月5日至2023年10月10日在MEDLINE/PubMed、EMBASE、Web of Science、谷歌学术及其他数据库中进行检索,检索词如下:“患病率”或“负担”或“规模”以及“相关因素”或“关联因素”或“危险因素”或“决定因素”或“预测因素”以及“针刺伤”或“锐器伤”或“医护人员”或“卫生保健人员”或“护士”或“专业人员”以及“埃塞俄比亚”。

结果

针刺伤和锐器伤的合并患病率为40.5(95%置信区间:35.0,45.9)。回套针帽(优势比,2.3;95%置信区间:1.6,3.3,P<0.001)、未采取常规预防措施(优势比,2.3;95%置信区间:1.1,4.5,P<0.01)和缺乏培训(优势比 = 2.4;95%置信区间:1.4,4.1,P<0.001)会增加针刺伤和锐器伤的发生几率。

结论

埃塞俄比亚40%的医护人员曾经历过针刺伤和锐器伤。已确定的因素包括回套针帽、未采取常规预防措施和缺乏培训。

系统评价注册

PROSPERO,标识符(CRD42023462311)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36ef/11232479/c725f62c3d40/fepid-04-1385417-g001.jpg

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