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首页> 外文期刊>BMC International Health and Human Rights >Study of status of safe injection practice and knowledge regarding injection safety among primary health care workers in Baglung district, western Nepal
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Study of status of safe injection practice and knowledge regarding injection safety among primary health care workers in Baglung district, western Nepal

机译：尼泊尔西部巴格隆区安全注射实践状况和基层医疗人员注射安全知识的研究

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Background Unsafe injection practices and injection overuse are widespread in developing countries harming the patient and inviting risks to the health care workers. In Nepal, there is a dearth of documented information about injection practices so the present study was carried out: a) to determine whether the selected government health facilities satisfy the conditions for safe injections in terms of staff training, availability of sterile injectable equipment and their proper disposal after use and b) to assess knowledge and attitudes of healthcare workers in these health care facilities with regard to injection safety. Methodology A descriptive cross-sectional mixed type (qualitative and quantitative) survey was carried out from 18th May to 16th June 2012. In-depth interviews with the in-charges were conducted using a semi-structured questionnaire. Observation of the health facilities using a structured observation tool was done. The data were analysed manually by summarizing, tabulating and presenting in various formats. Results The in-charges (eight males, two females) who participated in the study ranged in age from 30 to 50?years with a mean age of 37.8?years. Severe infection followed by pain was the most important cause for injection use with injection Gentamicin being most commonly prescribed. New single use (disposable) injections and auto-disable syringes were used to inject curative drugs and vaccines respectively. Sufficient safety boxes were also supplied to dispose the used syringe. All health care workers had received full course of Hepatitis B vaccine and were knowledgeable about at least one pathogen transmitted through unsafe injection practices. Injection safety management policy and waste disposal guideline was not available for viewing in any of the facilities. The office staff who disposed the bio-medical wastes did so without taking any safety measures. Moreover, none of these staff had received any formal training in waste management. Conclusions Certain safe injection practices were noticed in the studied health care facilities but there remain a number of grey areas where unsafe practices still persists placing patient and health workers at risk of associated hazards. Training concentrating on injection safety, guidelines to dispose biomedical waste and monitoring of the activity is needed.
机译：背景技术不安全的注射方法和过度使用注射剂在发展中国家普遍存在，损害了患者的生命并给医护人员带来了风险。在尼泊尔，缺乏有关注射方法的书面信息，因此进行了本研究：a）从工作人员培训，无菌注射设备的可用性以及它们的使用方面确定选定的政府医疗机构是否满足安全注射的条件使用后应妥善处置; b）评估这些医疗机构中医护人员对注射安全性的知识和态度。方法学从2012年5月18日至2012年6月16日进行了描述性横断面混合式（定性和定量）调查。对负责人进行了深入采访使用半结构问卷进行。使用结构化观察工具对卫生设施进行了观察。通过汇总，制表和以各种格式显示来手动分析数据。结果参加研究的负责人（男8例，女2例）年龄在30至50岁之间，平均年龄为37.8岁。严重感染继之以疼痛是注射使用的最重要原因，而庆大霉素注射是最常用的处方。新的一次性（一次性）注射剂和自动禁用注射器分别用于注射治疗性药物和疫苗。还提供了足够的安全箱来处置用过的注射器。所有医护人员均已接受全程乙肝疫苗接种，并且至少了解通过不安全注射方法传播的至少一种病原体。在任何设施中都无法查看注射安全管理政策和废物处置指南。处理生物医学废物的办公室工作人员没有采取任何安全措施。此外，这些工作人员中没有一个接受过任何废物管理方面的正式培训。结论在研究过的医疗机构中注意到了某些安全注射操作，但是仍然存在许多灰色地带，仍然存在不安全操作，使患者和医护人员面临相关危险。需要集中培训注射安全性，处理生物医学废物的准则以及对活动的监控。

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