Change in Medical Sharps Injury Characteristics During the COVID-19 Pandemic

Emine Sehmen, Esmeray Mutlu Yılmaz
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Abstract

Aim: Knowledge about the change in the frequency and characteristics of medical sharps injuries during the Coronavirus Disease–2019 (COVID-19) pandemic is very limited. This study aimed to compare the characteristics of medical sharps injuries experienced by healthcare staff before and during the COVID-19 pandemic. Material and Method: A total of 304 cases of medical sharps injuries suffered by hospital staff in our hospital between 2014 and 2022 were included in the study. Data regarding these accidents were obtained from accident files in the hospital archive. Results: The mean age of the staff exposed to the accident was 30.2±10.7 (range: 15-50) years, and 227 (74.7%) were women. During the pandemic, a 34.6% decrease was detected in the annual mean number of medical sharps injuries compared to before the pandemic. In cases during the pandemic, the annual mean rate of interns who had an accident decreased significantly compared to before the pandemic (43.7% vs. 18.8%), while the mean rate of nurses increased significantly (31.9% vs. 53.2%)(p<0.001), and the annual mean needle tip rate decreased significantly (83.0% vs. 68.0%)(p=0.035). Conclusion: The findings of the present study showed that there was a significant decrease in the number of medical sharps accidents during the pandemic compared to the pre-pandemic period, that the rate of nurses who were exposed to accidents increased significantly during this period, that there was a significant decrease in the rate of needle stick-related accidents, that there was a significant decrease in the accident rate in surgical wards and a significant increase in intensive care units.
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COVID-19 大流行期间医用利器伤害特征的变化
目的:关于冠状病毒病-2019(COVID-19)大流行期间医用利器损伤的频率和特征变化的知识非常有限。本研究旨在比较医护人员在 COVID-19 大流行之前和期间所经历的医疗利器损伤的特征:本研究共纳入了 2014 年至 2022 年期间我院医务人员遭受的 304 例医用利器伤害。这些事故的相关数据来自医院档案室的事故档案:受到事故伤害的员工平均年龄为(30.2±10.7)岁(范围:15-50),其中 227 人(74.7%)为女性。与大流行前相比,大流行期间医疗利器伤害的年平均数量下降了 34.6%。在大流行期间的病例中,与大流行前相比,实习生发生事故的年平均比率显著下降(43.7% 对 18.8%),而护士的平均比率显著上升(31.9% 对 53.2%)(P<0.001),针尖年平均比率显著下降(83.0% 对 68.0%)(P=0.035)。结论本研究结果表明,与大流行前相比,大流行期间的医用利器事故数量明显减少;在此期间,护士接触事故的比率明显增加;与针刺相关的事故率明显下降;外科病房的事故率明显下降,而重症监护病房的事故率明显上升。
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