NEEDLESTICK INJURIES AMONG RESIDENT PHYSICIANS

被引：65

作者：

HEALD, AE ^{[1
]}

RANSOHOFF, DF ^{[1
]}

机构：

[1] YALE UNIV,SCH MED,DEPT INTERNAL MED,IE 61 SHM,POB 3333,NEW HAVEN,CT 06510

来源：

JOURNAL OF GENERAL INTERNAL MEDICINE | 1990年 / 5卷 / 05期

关键词：

AIDS; HIV; needlestick; occupational injury; resident physicians; workmen's compensation;

D O I：

10.1007/BF02599422

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Objective:To assess the frequency and causes of needlestick injuries in medical and surgical housestaff. Design:A retrospective survey. Setting:Urban university teaching hospital. Participants:386 housestaff; 221 responded. Intervention:Survey questionnaire. Main results:1) Frequency of needlestick: Of 221 respondents, 57 (26%) reported never having had a needlestick, while 164 (74%) reported at least one needlestick injury with a suture or hollow-bore needle. The average frequencies were 0.63 per resident-year among 149 non-surgical residents and 3.8 per resident-year among 72 surgical residents. Among residents in internal medicine, 12 of 78 needlestick injuries (15%) sustained were from patients documented to be HIV-positive. 2) Causes of needlestick: The causes of injury were assessed in detail in a sample of the 157 most recent needlestick injuries. Suturing was the cause in 35 of 61 (57%) surgical residents, while recapping needles was the cause in 36 of 96 (38%) non-surgical residents. Inexperience was not the cause of injury; in 94% of cases the residents felt comfortable performing the procedure, and in 74% of cases the residents had performed the procedure more than 50 times before. 3) Reporting of infury: Only 30 (19%) of 157 injuries were reported to the personnel health service, thus compromising documentation for potential workmen's compensation. Conclusions:Needlestick injuries are common among medical and surgical housestaff. Efforts should be made to prevent needlestick injuries and to report those that occur. © 1990 Society of General Internal Medicine.

引用

页码：389 / 393

页数：5

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