The prevalence of sharp injuries in the operative room among surgical residents and their behavior to them in the southern region of Saudi Arabia

S. Alqahtani, S. Al-Shehri, T. Alshehri, S. Al-zahrani, S. Alqahtani
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Abstract

Background: Residents of surgical specialties have a high risk of sharp injuries. The reporting behaviors have a critical step in prophylaxis and early treatment. Aim: The aim of this study is to assess the prevalence of sharp injuries in the operative room among surgical residents and their behavior. Methodology: A descriptive cross-sectional study was conducted including 166 surgical specialty residents who involved in operating procedures from seven hospitals in the southern region of Saudi Arabia. A self-administrating questionnaire about sharp injuries, predisposing factors for sharp injuries, and practice of universal precautions during the surgical procedures was used for data collection. The study questionnaire was developed by the researchers after intensive literature review and another research tool from a previous similar study which was conducted in King Abdul-Aziz University Hospital in Jeddah city of Saudi Arabia. Results: About 64% of the residents have had at least one sharp injury in the last year. Most of these injuries (53.3%) occurred while suturing and 76.6% claimed the reason was due to fatigue. Most of the recent injuries (86%) were self-induced injuries caused with a solid needle (65.4%). The most common action post the injury was replacing the gloves and the needle (36.7%). Only 9% of them have reported all of their injuries to the concerned authorities, and 56% claimed the reason that they were not bothered. About 75.3% of them were aware of their local policies. Conclusion: Sharp injuries and needlestick are common among surgical residents, but they have weak reporting behavior. More educational training program about the sharp-related safety program may improve their attitude and behavior regarding sharp injuries.
沙特阿拉伯南部地区外科住院医师手术室中锐器伤的发生率及其行为
背景:外科专业的住院医师有较高的锐器伤风险。报告行为是预防和早期治疗的关键一步。目的:本研究的目的是评估外科住院医师在手术室中锐器伤的发生率及其行为。方法:对来自沙特阿拉伯南部地区7家医院的166名外科专科住院医师进行了描述性横断面研究。一份关于锐器伤、锐器伤易感因素和手术过程中普遍预防措施的自我管理问卷用于数据收集。研究问卷是由研究人员在深入的文献综述和另一项研究工具之后制定的,该研究工具来自先前在沙特阿拉伯吉达市阿卜杜勒-阿齐兹国王大学医院进行的类似研究。结果:约64%的居民在过去一年中至少有过一次锐器伤。这些损伤大部分(53.3%)发生在缝合时,76.6%的原因是疲劳。近期损伤以实心针自伤为主(占65.4%),占86%。术后最常见的操作是更换手套和针头(36.7%)。只有9%的人向有关当局报告了他们所有的伤害,56%的人声称他们没有被打扰的原因。约75.3%的人了解当地的政策。结论:外科住院医师中锐器伤和针刺常见,但报告行为较弱。更多的锐器安全相关的教育培训项目可能会改善他们对锐器伤害的态度和行为。
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