Prevalence of Needlestick Injuries Among Healthcare Workers in the Accident and Emergency Department of a Teaching Hospital in Nigeria

A. Isara, KE Oguzie, OE Okpogoro
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引用次数: 27

Abstract

Background: Healthcare workers (HCWs) are continually exposed to hazards from contact with blood and body fluids of patients in the healthcare setting. Aim: To determine the prevalence of needlestick injuries (NSIs) and associated factors among HCWs in the Accident and Emergency Department of the University of Benin Teaching Hospital (UBTH), Benin City, Nigeria. Subjects and Methods: This was a cross-sectional study. Data were collected using a structured, self-administered questionnaire and analyzed using IBM SPSS version 20. Univariate, bivariate, and binary logistic regression analyses were done. The level of significance was set at P < 0.05. Results: The prevalence of NSIs 12 months preceding the study was 51.0% (50/98). Doctors 8/10 (80.0%) and nurses 28/40 (70.0%) had the highest occurrence. Recapping of needles 19/50 (38.0%) and patient aggression 13/50 (26.0%) were responsible for most injuries. The majority 31/50 (62.0%) of the injuries were not reported. The uptake of postexposure prophylaxis (PEP) was low 11/50 (22.0%). The factors that were significantly associated with NSI include age 30 years and above (odds ratio [OR] =0.28, confidence interval [CI] = 0.11–0.70), work duration of three years and above (OR = 0.29, CI = 0.11–0.75), and being a nurse (OR = 3.38, CI = 1.49–9.93) or a paramedic (OR = 0.18, CI = 0.06–0.52). Conclusion: The high prevalence of NSIs among the HCWs, especially in doctors and nurses is an indication that HCWs in UBTH are at great risk of contracting blood-borne infections. Efforts should be made to ensure that injuries are reported and appropriate PEP undertaken following NSIs.
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尼日利亚一所教学医院急诊科医护人员中针刺伤的发生率
背景:卫生保健工作者(HCWs)在卫生保健环境中不断暴露于接触患者血液和体液的危害。目的:了解尼日利亚贝宁市贝宁大学教学医院(UBTH)急诊科医护人员中针刺伤(nsi)的发生率及其相关因素。对象和方法:这是一项横断面研究。使用结构化的自我管理问卷收集数据,并使用IBM SPSS version 20进行分析。进行单因素、双因素和二元逻辑回归分析。P < 0.05为显著性水平。结果:研究前12个月nsi患病率为51.0%(50/98)。医生8/10(80.0%)和护士28/40(70.0%)发生率最高。针盖19/50(38.0%)和患者攻击13/50(26.0%)是造成损伤的主要原因。31/50(62.0%)的损伤未报告。暴露后预防(PEP)的吸收率低11/50(22.0%)。与NSI显著相关的因素包括年龄30岁及以上(优势比[OR] =0.28,可信区间[CI] = 0.11-0.70)、工作年限3年及以上(OR = 0.29, CI = 0.11-0.75)、护士(OR = 3.38, CI = 1.49-9.93)或护理人员(OR = 0.18, CI = 0.06-0.52)。结论:卫生保健工作者,尤其是医生和护士中nsi的高发表明,UBTH卫生保健工作者存在较大的血源性感染风险。应努力确保在nsi后报告伤害并采取适当的PEP。
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Annals of Medical and Health Sciences Research
Annals of Medical and Health Sciences Research HEALTH CARE SCIENCES & SERVICES-
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