Occurrence of Needlestick and Injuries among Health-care Workers of a Tertiary Care Teaching Hospital in North India.
Occurrence of Needlestick and Injuries among Health-care Workers of a Tertiary Care Teaching Hospital in North India.
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DOI：
10.4103/0974-2727.187917
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发表时间：
2017-01-01
影响因子：
1.1
通讯作者：
Singh, Sarman
中科院分区：
文献类型：
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作者：
Goel, Varun;Kumar, Dinesh;Singh, Sarman
简介：职业危害，如意外暴露于锋利，割伤，飞溅是常见的卫生保健工作者（HCWs）。目的和预防措施：确定自我报告的职业暴露于这些危害的发生率，并了解暴露后的流行做法。第二个目的是要知道的基线抗体水平对乙肝B病毒（HBV），丙型肝炎病毒（HCV），人类免疫缺陷病毒（HIV）后，立即这些accidents.METHODS：一项观察性前瞻性研究是在HCWs的三级保健学术卫生组织的北印度从2011年1月至2013年12月。在自我报告受伤时，进行了问卷调查。采集HCW和来源（如果确定）的血液样本，用于基线HBV、HCV和HIV血清标志物。结果：共报告476起伤害事件，其中476起发生于1998年，1999年发生于1999年，1999年发生于1999年。手指针刺伤是最常见的。医生的暴露率最高（73.7%），其次是护士（19.1%）。既往接种过疫苗的HCW中有相当数量（125，26.3%）的HCW具有B肝炎表面抗体（抗-HBs）滴度
INTRODUCTION: Occupational hazards such as accidental exposure to sharp, cuts, and splashes are common among health-care workers (HCWs).AIMS AND OBJECTIVES: To determine the occurrence of self-reported occupational exposures to these hazards and to know the prevalent practices following the exposure. The second aim was to know the baseline antibody levels against hepatitis B virus (HBV), hepatitis C virus (HCV), and human immunodeficiency virus (HIV) immediately after these accidents.METHODS: An observational prospective study was done in the HCWs of a tertiary care academic health organization of North India from January 2011 to December 2013. At the time of self-reporting of injury, a questionnaire was administered. Blood sample of HCWs and of the source, if identified, was collected for baseline HBV, HCV, and HIV serum markers. The exposed HCWs were followed up and repeat testing was done after 3-4 weeks for seroconversion up to 6 months.RESULTS: A total of 476 injuries were reported. Needlestick injury of fingers was the most common. Doctors were found to have the highest exposure rate (73.7%) distantly followed by nurses (19.1%). A significant number of the HCWs (125, 26.3%) vaccinated in past had hepatitis B surface antibody (anti-HBs) titers