Factors affecting occupational exposure to needlestick and sharps injuries among dentists in Taiwan: a nationwide survey.
Factors affecting occupational exposure to needlestick and sharps injuries among dentists in Taiwan: a nationwide survey.
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DOI：
10.1371/journal.pone.0034911
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发表时间：
2012
期刊：
影响因子：
3.7
通讯作者：
Huang CF
中科院分区：
文献类型：
--
作者：
Cheng HC;Su CY;Yen AM;Huang CF
虽然牙医的针刺伤和锐器损伤（NSIs）的风险是众所周知的，但大多数发表的论文只描述了职业暴露于NSIs的频率。关于评估导致接触国家统计机构的因素的报告较少。本研究旨在了解台湾地区牙医非感染性疾病的流行病学，并找出影响非感染性疾病的因素，以寻求预防策略。本研究以台湾地区60家医院、340家诊所的牙医为对象，进行全国性的调查。调查包括关于影响接触非传染性疾病的因素的问题，如牙医和设施的特点、对传染病的知识和态度以及与感染控制有关的做法。进行单变量和多变量逻辑回归分析，以确定风险因素与暴露于非传染性疾病之间的关联。在580名牙医中，共有434名（74.8%）返回了调查问卷，100名（23.0%）报告说他们每周经历过一次以上的NSI。我们的数据显示，职业性非传染性疾病的风险同样随着年龄的增长而增加。（比值比[OR]，3.18; 95%置信区间[CI]，1.62-6.25），执业年限更长（OR，2.57; 95%CI，1.41-4.69），在诊所工作（OR，1.73; 95% CI，1.08-2.77），对感染控制程序的依从性较低（OR，1.82; 95%CI，1.04-3.18），对血源性病原体认识不足（OR，1.67; 95%CI，1.04-2.67），并且更担心被血源性病原体感染（OR，1.82; 95%CI，1.05-3.13）。非传染性疾病的高发病率和感染控制程序的低遵守率大大增加了血液传播病原体感染的机会，并威胁到职业安全。本研究揭示了可能的影响因素，并有助于设计预防策略，职业暴露的非结构性物质。
Although the risks of needlestick and sharps injuries (NSIs) for dentists are well recognized, most papers published only described the frequency of occupational exposure to NSIs. Less has been reported assessing factors contributing to exposure to NSIs. The purpose of this study was to update the epidemiology of NSIs among dentists in Taiwan and identify factors affecting NSIs in order to find preventive strategies. A nationwide survey was conducted in dentists at 60 hospitals and 340 clinics in Taiwan. The survey included questions about factors supposedly affecting exposure to NSIs, such as dentist and facility characteristics, knowledge and attitudes about infectious diseases, and practices related to infection control. Univariate and multivariate logistic regression analyses were conducted to determine the association between risk factors and exposure to NSIs. In total, 434 (74.8%) of 580 dentists returned the survey questionnaires, and 100 (23.0%) reported that they had experienced more than one NSI per week. Our data showed that the risk of occupational NSIs is similarly heightened by an older age (odds ratio [OR], 3.18; 95% confidence interval [CI], 1.62–6.25), more years in practice (OR, 2.57; 95% CI, 1.41–4.69), working in clinics (OR, 1.73; 95% CI, 1.08–2.77), exhibiting less compliance with infection-control procedures (OR, 1.82; 95% CI, 1.04–3.18), having insufficient knowledge of blood-borne pathogens (OR, 1.67; 95% CI, 1.04–2.67), and being more worried about being infected by blood-borne pathogens (OR, 1.82; 95% CI, 1.05–3.13). High rates of NSIs and low compliance with infection-control procedures highly contribute to the chance of acquiring a blood-borne pathogen infection and threaten occupational safety. This study reveals the possible affecting factors and helps in designing prevention strategies for occupational exposure to NSIs.