PDF(Pubmed)
Abstract：
BACKGROUND: Healthcare workers are at risk of occupational exposure to blood and other body fluids after sustaining needlestick injury which constitutes a risk for transmission of blood-borne pathogens such as Hepatitis B virus, Hepatitis C virus or Human Immune-deficiency Virus.
OBJECTIVE: To assess the prevalence, response, and associated factors of needlestick injury by medical sharps among healthcare workers in Orotta National Referral Hospital, Asmara, Eritrea.
METHODS: Cross sectional study was conducted between September and December 2017 among healthcare workers. This was a census study whereby a total of 383 healthcare workers who had contact with sharp medical equipment were taken as study population. An aided self-administered questionnaire, checklist and key informant interviews were used as data collection tools. Analysis was done using Statistical Package for Social Sciences, version 22. Bivariate and binary logistic regression analyses were carried out and the level of significance was set at P < .05.
RESULTS: The prevalence of needlestick injury 12 months preceding the study was 37.1% (134/361). Midwives had the highest occurrence (45%) among others while adult intensive care unit were found to have higher prevalence of needlestick injury (61.5%) as compared to the other sections. As an immediate response to needlestick injury, only 15.7% washed the injured part with soap and water. The factors associated with needlestick injury include age > 40 years (AOR = .314, p = .05), marital status (married (AOR = 0.595, p = .05)), additional duty that made healthcare workers rush during working hours (AOR = 2.134, p = .002) and back bone problem (AOR = 2.239, p = .002).
CONCLUSIONS: The overall finding of the study indicated that there was a great risk of contracting blood-borne infections among the healthcare workers especially midwives. Therefore, there is need for adequate supply of safety engineered devices, Hepatitis B vaccine, better reporting, and surveillance of needlestick injury cases at the hospital. Moreover, further research on assessment of the knowledge, attitude, and practice of healthcare workers toward occupational safety and health, particularly needlestick injury, is necessary.
OBJECTIVE: To assess the prevalence, response, and associated factors of needlestick injury by medical sharps among healthcare workers in Orotta National Referral Hospital, Asmara, Eritrea.
METHODS: Cross sectional study was conducted between September and December 2017 among healthcare workers. This was a census study whereby a total of 383 healthcare workers who had contact with sharp medical equipment were taken as study population. An aided self-administered questionnaire, checklist and key informant interviews were used as data collection tools. Analysis was done using Statistical Package for Social Sciences, version 22. Bivariate and binary logistic regression analyses were carried out and the level of significance was set at P < .05.
RESULTS: The prevalence of needlestick injury 12 months preceding the study was 37.1% (134/361). Midwives had the highest occurrence (45%) among others while adult intensive care unit were found to have higher prevalence of needlestick injury (61.5%) as compared to the other sections. As an immediate response to needlestick injury, only 15.7% washed the injured part with soap and water. The factors associated with needlestick injury include age > 40 years (AOR = .314, p = .05), marital status (married (AOR = 0.595, p = .05)), additional duty that made healthcare workers rush during working hours (AOR = 2.134, p = .002) and back bone problem (AOR = 2.239, p = .002).
CONCLUSIONS: The overall finding of the study indicated that there was a great risk of contracting blood-borne infections among the healthcare workers especially midwives. Therefore, there is need for adequate supply of safety engineered devices, Hepatitis B vaccine, better reporting, and surveillance of needlestick injury cases at the hospital. Moreover, further research on assessment of the knowledge, attitude, and practice of healthcare workers toward occupational safety and health, particularly needlestick injury, is necessary.
摘要：
背景：医护人员在遭受针刺伤后有职业暴露于血液和其他体液的风险，这构成了传播血液传播病原体如乙型肝炎病毒的风险，丙型肝炎病毒或人类免疫缺陷病毒。
目的：为了评估患病率，回应,Orotta国家转诊医院医护人员中医疗锐器针刺伤的相关因素，阿斯马拉,厄立特里亚。
方法：2017年9月至12月在医护人员中进行了横断面研究。这是一项人口普查研究，共有383名接触过锋利医疗设备的医护人员作为研究人群。一份辅助性的自我管理问卷，检查表和关键线人访谈被用作数据收集工具。使用社会科学统计软件包进行分析，版本22.进行双变量和二元逻辑回归分析，显著性水平设定为P<0.05。
结果：研究前12个月针刺伤的患病率为37.1%(134/361)。助产士的发生率最高（45％），而与其他部分相比，成人重症监护病房的针刺伤发生率更高（61.5％）。作为对针刺伤的即时反应，只有15.7%用肥皂和水清洗受伤部位。与针刺伤相关的因素包括年龄>40岁(AOR=.314，p=.05)，婚姻状况（已婚（AOR=0.595，p=0.05）），额外的职责，使医护人员在工作时间（AOR=2.134，p=.002）和背部骨骼问题（AOR=2.239，p=.002）。
结论：该研究的总体发现表明，医护人员尤其是助产士感染血液传播感染的风险很大。因此,需要足够的安全工程设备供应，乙型肝炎疫苗，更好的报告，以及医院对针刺伤病例的监测。此外，对知识评估的进一步研究，态度,以及医护人员对职业安全和健康的实践，尤其是针刺伤,是必要的。
目的：为了评估患病率，回应,Orotta国家转诊医院医护人员中医疗锐器针刺伤的相关因素，阿斯马拉,厄立特里亚。
方法：2017年9月至12月在医护人员中进行了横断面研究。这是一项人口普查研究，共有383名接触过锋利医疗设备的医护人员作为研究人群。一份辅助性的自我管理问卷，检查表和关键线人访谈被用作数据收集工具。使用社会科学统计软件包进行分析，版本22.进行双变量和二元逻辑回归分析，显著性水平设定为P<0.05。
结果：研究前12个月针刺伤的患病率为37.1%(134/361)。助产士的发生率最高（45％），而与其他部分相比，成人重症监护病房的针刺伤发生率更高（61.5％）。作为对针刺伤的即时反应，只有15.7%用肥皂和水清洗受伤部位。与针刺伤相关的因素包括年龄>40岁(AOR=.314，p=.05)，婚姻状况（已婚（AOR=0.595，p=0.05）），额外的职责，使医护人员在工作时间（AOR=2.134，p=.002）和背部骨骼问题（AOR=2.239，p=.002）。
结论：该研究的总体发现表明，医护人员尤其是助产士感染血液传播感染的风险很大。因此,需要足够的安全工程设备供应，乙型肝炎疫苗，更好的报告，以及医院对针刺伤病例的监测。此外，对知识评估的进一步研究，态度,以及医护人员对职业安全和健康的实践，尤其是针刺伤,是必要的。
