Objective To investigate the occurrence and reporting of sharp injuries among health care workers (HCWs)at all levels of hospitals in Xuzhou City,provide evidences for formulating protective measures against sharp injuries and improving the reporting system.Methods From July to August 2016,13 hospitals in Xuzhou City were randomly selected by multi-stage stratified random sampling method,the general information,occurrence of sharp injuries,and reporting situation was performed questionnaire survey.Results A total of 2 694 valid question-naires were collected,incidence,case incidence,and reporting rate of sharp injuries were 10.32%,12.84%,and 30.64% respectively.Case incidence of sharp injuries among HCWs in primary,secondary,and tertiary hospitals were 44.83%,11.53%,and 12.52% respectively,case incidences of sharp injuries in different levels of hospitals were significantly different (χ2＝55.148,P＜0.001).The main opportunity for sharp injuries was when HCWs re-turned needle cap (79 cases,22.83%),the main device involving sharp injuries was hollow-bore needle (297 cases, 85.84%).Incidences of sharp injuries among HCWs receiving different training were significantly different (χ2＝66.760,P＜0.001).Conclusion Current situation of sharp injuries among HCWs in this region is not optimistic, there are some problems such as poor training efficacy,low reporting rate and low use rate of safety devices,effec-tive measures should be taken to establish an effective monitoring and tracking system for sharp injuries,so as to re-duce the occurrence of sharp injuries.%目的 调查徐州地区各级医院医务人员锐器伤发生及上报情况,为制定本地区锐器伤防护措施、完善上报制度提供依据.方法 2016年7—8月,采用多阶段分层随机抽样方法随机抽取徐州市 13 所不同级别医院的医务人员,对其一般资料、锐器伤发生及上报情况等进行问卷调查.结果 共收集 2 694 份有效问卷,医务人员锐器伤发生率为 10.32 %,例次发生率为 12.84%,上报率为 30.64%.医务人员锐器伤例次发生率一级医院为44.83%,二级医院为 11.53%,三级医院为 12.52%,不同级别医院锐器伤例次发生率比较,差异具有统计学意义(χ2＝55.148,P＜0.001).锐器伤发生时机主要为医务人员在回套针帽时(79 例次,22.83%),器具种类主要为中空针类(297例次,85.84%).参加培训情况不同的医务人员锐器伤发生率比较,差异具有统计学意义(χ2＝66.760,P＜0.001).结论 本地区医务人员的锐器伤现状不容乐观,存在培训效果欠佳,上报率较低且安全器具使用率不高等问题,应进一步采取有效措施,建立有效的锐器伤监测追踪系统以减少锐器伤的发生.
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