■针头和锐器伤(NSI)具有传播多种血源性病原体的风险,导致健康和经济负担。医疗保健工作者(HCWs)对NSI的漏报是一个全球关注的问题,及时治疗和并发症的预防依赖于适当的报告。漏报进一步阻碍了准确的监测和适当的资源分配,发达国家和发展中国家由于医疗保健政策的差异而面临差距。
■这项研究的目的是检查NSI和NSI漏报的流行病学,以及确定与NSI的发生和此类伤害的漏报相关的决定因素。
■于2022年1月15日至1月31日在甘肃省的医护人员(HCWs)中进行了回顾性在线调查。中国。
■共有来自各个机构的7,283名医护人员(HCWs)参加了这项研究。经过质量保证检查,最终分析中包括6,464(88.77%)个应答。结果显示,受访者中自我报告的针刺和锐器伤(NSI)发生率为32.86%,28.53%的国家统计机构未报告。与普遍的信念相反,与经验不足的同行相比,经验丰富的HCW表现出更高的NSI和漏报率。NSI和漏报的主要原因是浓度下降,没有感觉到患者具有传染性。多元回归分析揭示了训练频率的显著影响,职业,关于NSI发生的部门和服务年限。相反,NSI的报告主要受培训的影响,报销,职业,科室和医院等级。与没有训练的医护人员相比,每年接受3次以上培训的人NSI发病率降低12.16%(27.12%vs.39.28%,p<0.001),漏报率降低55.68%(14.61%与70.29%,p<0.001)。
■迫切需要加强监视,量身定制的培训计划,以及更有效的报告机制来应对这一重大的职业健康挑战。
Needlestick and sharp injuries (NSI) carry the risk of transmitting numerous bloodborne pathogens, leading to both health and economic burdens. The underreporting of NSIs among healthcare workers (HCWs) is a global issue of concern, as timely treatment and prevention of complications rely on proper reporting. Underreporting further impedes accurate surveillance and appropriate resource allocation, with developed and developing nations facing disparities due to differences in healthcare policy.
The purpose of this research is to examine the epidemiology of NSIs and NSI underreporting, as well as to identify the determinants associated with the occurrence of NSIs and the underreporting of such injuries.
A retrospective online survey was conducted from January 15 to January 31, 2022 among healthcare workers (HCWs) across Gansu Province,
China.
A total of 7,283 healthcare workers (HCWs) from various institutions participated in this study. After quality assurance checks, 6,464 (88.77%) responses were included in the final analysis. Results revealed a 32.86% self-reported needlestick and sharp injury (NSI) incidence among respondents, with 28.53% of NSIs going unreported. Contrary to common belief, more experienced HCWs exhibited higher rates of both NSIs and underreporting compared to their less experienced peers. The primary reasons cited for NSIs and underreporting were lapses in concentration and not perceiving patients as infectious. Multivariate regression analysis exposes the significant influence of training frequency, occupation, department and years of services on the occurrence of NSIs. Conversely, the reporting of NSIs is primarily influenced by training, reimbursement,occupation, department and hospital grade. Compared to HCWs with no training, those who received ≥3 training sessions per year showed a 12.16% lower NSI incidence (27.12% vs. 39.28%, p < 0.001) and a 55.68% lower underreporting rate (14.61% vs. 70.29%, p < 0.001).
There is a pressing need for enhanced surveillance, tailored training programs, and more efficient reporting mechanisms to combat this significant occupational health challenge.