Analysis of sharp instrument injuries among healthcare staff in a comprehensive teaching hospital from 2011 to 2014_West China Medical Journal

Authors：

WANG Yantong , QIAO Fu , HUANG Wenzhi , LI Leilei , ZENG Qinhui ,  YIN Weijia

Nosocomial Infection Management Department, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

YIN Weijia, Email: 525989261@qq.com

Keywords：

Sharp instrument injury; Health workers; Occupational protection

DOI：

10.7507/1002-0179.201701154

Video：

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Objective To investigate the occurrence of sharp instrument injuries among healthcare workers in a comprehensive teaching hospital and explore the risk factors, so as to provide scientific basis for the prevention approaches. Methods A total of 1 180 healthcare workers with sharp instrument injuries between 2011 and 2014 were included in the study. Occupational hematogenous exposure monitoring and protecting system for health workers was established and optimized. The report and treatment process was standardized. Targeted monitoring system of sharp instrument injuries was developed. Sharp instrument injuries between 2011 and 2014 were systematically collected and analyzed. Results Between 2011 and 2014, there were 1 180 health workers who had sharp instrument injuries. Health workers had the highest rate of exposure to hepatitis B virus(41.06%), followed by syphilis (13.35%). Syringe needles (27.54%), suture needles (24.15%) and scalp needles (19.58%) were the instruments that caused most of the injuries. We constructed occupational exposure records for all those with sharp instrument injuries, and performed regular follow-up. No hematogenous infections were found because of sharp instrument injuries. Conclusions Sharp instrument injuries are common in healthcare institutions. It is important to establish and perfect the occupational exposure monitoring and protecting system, so as to reduce the risk of occupational exposure for health workers in hospitals.

Citation： WANG Yantong, QIAO Fu, HUANG Wenzhi, LI Leilei, ZENG Qinhui, YIN Weijia. Analysis of sharp instrument injuries among healthcare staff in a comprehensive teaching hospital from 2011 to 2014. West China Medical Journal, 2017, 32(3): 348-351. doi: 10.7507/1002-0179.201701154 Copy

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1. ?中華人民共和國衛生部. GBZ/T 213－2008 血源性病原體職業接觸防護導則, 2009.
2. Gupta P. Needle Stick Injury–Consequences and Prevention. Healthmanagement, Issue dtd. 2006. .
3. Gershon RR, Vlahov D, Felknor SA,et al. Compliance with universal precautions among health care workers at three regional hospitals. Am J Infect Control, 1995, 23(4): 225-236.
4. Stringer B, Infante-Rivard C, Hanley J. Quantifying and reducing the risk of bloodborne pathogen exposure. AORN J, 2001, 73(6): 1135-1140, 1142-1143, 1145-1146.
5. 施光峰. 解讀乙型肝炎. 北京: 人民軍醫出版社, 2010.
6. 曹明霞. 血源性傳播疾病與醫務人員的職業防護. 護士進修雜志, 2003, 19(8): 31.
7. 殷大奎. 認清形勢加強預防控制艾滋病. 中華預防雜志, 2000, 1(1): 35-38.
8. 李平. 某院 2011～2013 年血源性職業暴露監測分析. 現代醫藥衛生, 2014, 30(14): 2228-2229.
9. 徐世蘭, 吳西億, 饒莉, 等. 840 例醫務人員銳器傷現狀調查. 中國循證醫學雜志, 2011, 11(6): 636-639.
10. Lee R. Occupational transmission of bloodborne diseases to healthcare workers in developing countries: meeting the challenges. J Hosp Infect, 2009, 72(4): 285-291.
11. Ró?ańska A, Szczypta A, Baran M,et al. Healthcare workers’ occupational exposure to bloodborne pathogens: a 5-year observation in selected hospitals of the Ma?opolska province. Int J Occup Med Environ Health, 2014, 27(5): 747-756.
12. 黃繼崢, 周曉平, 羅騰達, 等. 一所三級傳染病醫院連續 5 年醫務人員血源性職業暴露特點. 中國感染控制雜志, 2016, 15(2): 114-116.
13. Deuffic-Burban S, Delarocque-Astagneau E, Abiteboul D,et al. Blood-borne viruses in health care workers: prevention and management. J Clin Virol, 2011, 52(1): 4-10.
14. Wicker S, Cinatl J, Berger A,et al. Determination of risk of infection with blood-borne pathogens following a needlestick injury in hospital workers. Ann Occup Hyg, 2008, 52(7): 615-622.
15. 陳燕玲. 預防乙型肝炎病毒職業暴露. 中華醫院感染學雜志, 2007, 17(9): 1120-1121.

West China Medical Journal

Analysis of sharp instrument injuries among healthcare staff in a comprehensive teaching hospital from 2011 to 2014

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