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. 中华人民共和国卫生部. GBZ/T 213－2008 血源性病原体职业接触防护导则, 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. 解读乙型肝炎. 北京: 人民军医出版社, 2010.
6. 曹明霞. 血源性传播疾病与医务人员的职业防护. 护士进修杂志, 2003, 19(8): 31.
7. 殷大奎. 认清形势加强预防控制艾滋病. 中华预防杂志, 2000, 1(1): 35-38.
8. 李平. 某院 2011～2013 年血源性职业暴露监测分析. 现代医药卫生, 2014, 30(14): 2228-2229.
9. 徐世兰, 吴西亿, 饶莉, 等. 840 例医务人员锐器伤现状调查. 中国循证医学杂志, 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. Różańska A, Szczypta A, Baran M,et al. Healthcare workers’ occupational exposure to bloodborne pathogens: a 5-year observation in selected hospitals of the Małopolska province. Int J Occup Med Environ Health, 2014, 27(5): 747-756.
12. 黄继峥, 周晓平, 罗腾达, 等. 一所三级传染病医院连续 5 年医务人员血源性职业暴露特点. 中国感染控制杂志, 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. 陈燕玲. 预防乙型肝炎病毒职业暴露. 中华医院感染学杂志, 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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