Effect of the COVID-19 pandemic on occupational risk for bloodborne pathogen exposure among health care providers

IF 2.4 3区医学 Q2 INFECTIOUS DISEASES American journal of infection control Pub Date : 2024-11-15 DOI:10.1016/j.ajic.2024.11.007

Subhadra Mandadi MD , Mark E. Rupp MD , Barbara Wolford BSN, RN , Elizabeth Lyden MS , Rick Starlin MD

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Abstract

Background

The effect of COVID-19 (COrona VIrus Disease of 2019) pandemic on the rates and trends of needlestick and sharp injuries (NSSIs) and splash injuries (SIs) among health care providers (HCPs) is not well defined.

Methods

A retrospective study analyzed the rates of injuries among HCPs during the prepandemic (38 months) and pandemic (37 months) periods. Single interrupted time-series analysis (SITSA) was employed to assess the impact of the pandemic on injury rates.

Results

During the prepandemic and pandemic periods, 608 and 637 NSSIs and 137 and 120 SIs were reported, respectively. No statistically significant difference was identified in the median monthly rates of NSSIs (0.34 vs 0.37, P = .622) and SIs (0.075 vs 0.047, P = .094) per 1,000 inpatient days, nor their combined risk (0.439 vs 0.434, P = .449). The SITSA indicated a marginally significant trend during the pandemic, with a monthly 0.0028% decrease in NSSI/SI rates (P = .059). Subsequent SITSA revealed significant pandemic changes in NSSIs , with rates rising early (P = .016) and falling marginally later (P = .051).

Conclusions

We report no statistically significant difference in the rates of NSSIs/SIs between the prepandemic and pandemic periods. HCPs remain at risk for occupational injuries, emphasizing targeted training and well-designed infection control policies.

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COVID-19 大流行对医护人员接触血源性病原体职业风险的影响。

背景：COVID-19大流行对医疗保健提供者（HCPs）中的针刺和锐器损伤（NSSIs）和飞溅损伤（SIs）的发生率和趋势的影响尚不明确：一项回顾性研究分析了大流行前（38 个月）和大流行期间（37 个月）医护人员的受伤率。采用单次间断时间序列分析法（SITSA）评估大流行对受伤率的影响：结果：在大流行前和大流行期间，分别报告了 608 例和 637 例非急性损伤和 137 例和 120 例急性损伤。每 1000 个住院日的 NSSI（0.34 vs. 0.37；p=0.622）和 SI（0.075 vs. 0.047；p=0.094）每月中位数以及它们的综合风险（0.439 vs. 0.434；p=0.449）在统计学上没有明显差异。SITSA 显示，在大流行期间，NSSI/SI 率每月下降 0.0028%（p=0.059），趋势略微显著。随后的 SITSA 显示，在大流行期间，NSSI 的比率发生了显著变化，早期上升（p = 0.016），后期略有下降（p = 0.051）：我们的报告显示，在大流行前和大流行期间，NSSIs/SIs 的发生率没有明显的统计学差异。卫生保健人员仍然面临职业伤害的风险，因此应强调有针对性的培训和精心设计的感染控制政策。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American journal of infection control 医学-传染病学

CiteScore

7.40

自引率

4.10%

发文量

479

审稿时长

24 days

期刊介绍： AJIC covers key topics and issues in infection control and epidemiology. Infection control professionals, including physicians, nurses, and epidemiologists, rely on AJIC for peer-reviewed articles covering clinical topics as well as original research. As the official publication of the Association for Professionals in Infection Control and Epidemiology (APIC)