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Impact of infection control educational activities on rates and frequencies of percutaneous injuries (PIs) at a tertiary care hospital in Saudi Arabia

机译:感染控制教育活动对沙特阿拉伯一家三级医院的经皮损伤率和发生频率的影响

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Objective: To study the impact of educational activities on the rates and frequencies of percutaneous injuries (PIs) at a tertiary care hospital in Saudi Arabia. Methods: PI surveillance is a routine activity in King Abdulaziz Medical City (a 900-bed teaching tertiary health care hospital) in Riyadh using the Exposure Prevention Information Network (EPINet) data collection tool. From 2001 through 2003, educational activities were conducted for health care workers (HCWs) to prevent PIs. The education included lectures on the risk of unsafe practices that may lead to PIs and how to avoid them. Data from before (1997-2000) and after (2004-2008) the intervention were imported from our surveillance system and statistically analyzed. Results: The total overall rate of PIs per 1000 HCWs was significantly lower in the post-intervention period than in the pre-intervention period (14 vs. 32.8/1000 HCWs, respectively). The rates of PIs among nurses and housekeepers showed a significant decrease (15 vs. 37.6/1000 HCWs and 10 vs. 34.5/1000 HCWs, respectively). The frequency of PIs in the emergency department (ED) and intensive care units (ICUs) showed a significant decrease (3.4% for both vs. 12.4% and 13.7%, respectively). PIs associated with devices, such as needles on IV lines, IV catheters, lancets and suture needles, showed a significant decrease. PIs occurring during device disassembly and from inappropriately discarded devices also decreased significantly. Conclusion: The educational program reduced some categories of PIs, including the overall rate, the rate among nurses and housekeepers, the frequency in the ED and ICUs and the frequency among needles on IV lines, IV catheters, lancets and suture needles. Other PI categories did not change significantly.
机译:目的:研究教育活动对沙特阿拉伯一家三级医疗医院经皮损伤(PIs)的发生率和频率的影响。方法:PI监视是使用暴露预防信息网络(EPINet)数据收集工具在利雅得阿卜杜勒-阿齐兹国王医学城(拥有900张床的三级医疗保健医院)的一项常规活动。从2001年到2003年,针对医护人员开展了预防PI的教育活动。该教育包括关于可能导致PI的不安全操作风险以及如何避免PI的讲座。从我们的监视系统中导入干预之前(1997-2000年)和之后(2004-2008年)的数据并进行统计分析。结果:干预后期间,每1000例HCW的PI总体总比率明显低于干预前(分别为14例vs.32.8 / 1000 HCW)。护士和管家的PI比率显着下降(分别为15对37.6 / 1000 HCW和10对34.5 / 1000 HCW)。急诊科(ED)和重症监护病房(ICU)的PI发生率显着下降(两者分别为3.4%和12.4%和13.7%)。与设备相关的PI(例如IV线上的针,IV导管,刺血针和缝合针)显示出明显的下降。在设备拆卸过程中以及因丢弃不当设备而产生的PI也显着降低。结论:该教育计划减少了某些类别的PI,包括总发生率,护士和管家的发生率,ED和ICU的发生频率以及IV线,IV导管,刺血针和缝合针的频率。其他PI类别没有明显变化。

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