Yosef Tewodros, Asefa Adane, Amsalu Hailemariam, Setegn Alie Melsew, Habte Aklilu, Ashuro Zemachu, Tesfaw Aragaw, Shifera Nigusie
Department of Public Health, Mizan-Tepi University, Mizan Teferi, Ethiopia.
Department of Population Health, Deakin University, Waurn Ponds, Victoria, Australia.
Can J Infect Dis Med Microbiol. 2025 Feb 27;2025:3792442. doi: 10.1155/cjid/3792442. eCollection 2025.
Occupational needle stick and sharp injuries (NSSIs) are significant public health concerns in the healthcare systems of developing countries. In Ethiopia, healthcare facilities commonly underreport these incidents. Therefore, this study aimed to assess occupational exposure to NSSIs and utilization of postexposure prophylaxis (PEP) among healthcare professionals at Mizan-Tepi University Teaching Hospital (MTUTH) in southwest Ethiopia. A cross-sectional study was conducted among 196 healthcare professionals from September 1 to 15, 2021, at the MTUTH in southwest Ethiopia. The data were collected using a self-administered questionnaire. SPSS Version 21 was used for the data entry and analysis. Logistic regression was employed to identify the factors associated with the dependent variable, with significance set at < 0.05. The magnitude of NSSIs was 18.9% ( = 37/196; 95% CI 13.4%, 24.4%). The proportion of injured participants who underwent PEP was 43.2% ( = 16/37). Being married [AOR = 2.89, 95% CI (1.11, 7.48)] and not undergoing infection prevention (IP) training [AOR = 4.32, 95% CI (1.40, 13.4)] were associated with an increased likelihood of NSSIs. Conversely, having good knowledge of IP [AOR = 0.17, 95% CI (0.07, 0.42)] was linked to a decreased likelihood of NSSIs. Approximately one in five healthcare professionals experienced NSSIs. Factors associated with NSSIs include being married, receiving IP training, and possessing knowledge of IP. These findings underscore the importance of comprehensive IP training to enhance awareness of IP. Such interventions are critical for minimizing NSSIs and ensuring the safety of healthcare personnel.
职业性针刺和锐器伤（NSSIs）是发展中国家医疗系统中重大的公共卫生问题。在埃塞俄比亚，医疗机构通常对这些事件报告不足。因此，本研究旨在评估埃塞俄比亚西南部米赞-泰皮大学教学医院（MTUTH）医护人员的职业性NSSIs暴露情况以及暴露后预防（PEP）的使用情况。2021年9月1日至15日，在埃塞俄比亚西南部的MTUTH对196名医护人员进行了一项横断面研究。数据通过自行填写的问卷收集。使用SPSS 21版进行数据录入和分析。采用逻辑回归确定与因变量相关的因素，显著性设定为<0.05。NSSIs的发生率为18.9%（n = 37/196；95%CI 13.4%，24.4%）。接受PEP的受伤参与者比例为43.2%（n = 16/37）。已婚[AOR = 2.89，95%CI（1.11，7.48）]和未接受感染预防（IP）培训[AOR = 4.32，95%CI（1.40，13.4）]与NSSIs发生可能性增加相关。相反，对IP有良好了解[AOR = 0.17，95%CI（0.07，0.42）]与NSSIs发生可能性降低相关。大约五分之一的医护人员经历过NSSIs。与NSSIs相关的因素包括已婚、接受IP培训和对IP有了解。这些发现强调了全面IP培训以提高IP意识的重要性。此类干预措施对于减少NSSIs和确保医护人员安全至关重要。
