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首页> 外文期刊>Occupational and environmental medicine >Sharps and needle-stick injuries among medical residents and healthcare professional students: pattern and reporting in Italy-a cross-sectional analytical study
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Sharps and needle-stick injuries among medical residents and healthcare professional students: pattern and reporting in Italy-a cross-sectional analytical study

机译：医疗居民和医疗保健专业学生中的尖锐和针刺损伤：意大利模式和报告 - 横断面分析研究

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Objectives Healthcare workers, in the course of their professional activity, are potentially exposed to chemical, physical and above all biological risks. The aims of our study were to investigate the extent and distribution of needle-stick and sharp injuries (NSIs) in healthcare students, the behaviours and circumstances most frequently associated with NSIs, the frequency of NSI reporting and the adherence to the post-exposure protocols. Methods This study involved, through an interviewer-administered structured questionnaire, undergraduate and postgraduate students attending postgraduate medical schools and healthcare professional schools who underwent occupational health visits between January 2015 and July 2018. Results Of the 642 students that participated in the study, 95 (14.8%) sustained an NSI during the traineeship and, of these, 59 (62.1%) reported the NSI to the occupational health service. NSIs were significantly more frequent in older subjects (chi(2)=9.853, p=0.020) and, among medical residents, in surgical residents (chi(2)=31.260, p<0.0001); moreover, occurrence of NSIs increased with increasing duration of traineeship (t=-2.051, p=0.041). Reporting of NSIs significantly increased with increasing age (chi(2)=12.543, p=0.006), with medical residents significantly under-reporting NSIs compared with undergraduate healthcare professional students (chi(2)=10.718, p=0.001) and among medical residents, those attending critical care units had the highest under-reporting (chi(2)=7.323, p=0.026). Conclusions The study showed remarkable under-reporting, as well as a lack of preparedness of students for NSI preventive and post-exposure effective measures. Our findings underline that healthcare student education should be reinforced to ensure that safe practices are carried out when needles and sharps are involved, as well as stressing the importance of NSI reporting and adherence to post-exposure prophylaxis protocols.
机译：目标医疗保健工人在他们的专业活动过程中可能暴露于化学品，身体和高于所有生物风险。我们的研究目的是探讨医疗保健学生的针刺和尖锐伤害（NSIS）的程度和分布，以及与NSI最常见的行为和情况，NSI报告的频率和遵守暴露后方案。方法采用采访者管理的结构调查问卷，上课和研究生学生参加了2015年1月和2018年7月的职业健康访问的研究生医学院和医疗保健专业学校。参加该研究的642名学生的结果95（ 14.8％）在培训期间维持NSI，其中59名（62.1％）向职业卫生服务报告了NSI。 NSIS在较旧的受试者中显着频繁（Chi（2）= 9.853，p = 0.020），并且在医学居民中，在外科居民中（Chi（2）= 31.260，P <0.0001）;此外，随着培训持续时间（T = -2.051，P = 0.041），NSI的发生增加。随着年龄的增长（Chi（2）= 12.543，p = 0.006），NSI的报告显着增加，与本科医疗保健专业学生相比，医疗居民明显下报NSIS（CHI（2）= 10.718，P = 0.001）和医疗居民，参加关键护理单位的人患有最高的报告量（Chi（2）= 7.323，P = 0.026）。结论该研究表明出于报告的卓越，以及学生对NSI预防和曝光后有效措施的准备。我们的调查结果强调，应加强医疗保健学生教育，以确保涉及针头和锐利的安全实践，并强调NSI报告和遵守曝光后预防议定书的重要性。

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