Study on needle stick injuries during surgery and blunt needle use for reducing occupational exposure and hygiene benefits.

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Bo Wang, Min Chen, Yan Wu, Xiaosai Qin, Manshi Meng
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引用次数: 0

Abstract

Background: The conventional round suture needle poses a significant risk of needle stick injuries among surgical physicians, identified as a global occupational hazard by the World Health Organization, increasing hospital costs and exposure to bloodborne pathogens. While novel blunt suture needles have shown promise in reducing these risks, their adoption is limited domestically, prompting a study to compare their efficacy against traditional sharp needles in reducing needle stick injuries among surgical physicians.

Objective: To investigate suture needle stick injuries among surgical doctors during operations and assess the application effectiveness of a novel blunt suture needle.

Methods: A total of 106 surgical department physicians from March 2021 to February 2023 participated in the study. After completing a questionnaire survey on suture needle injuries during surgery, the participants were divided into two groups. Over a 6-month intervention period, the control group used regular round needles while the study group utilized novel blunt suture needles. Subsequently, suture needle injury incidence rates and economic hygiene benefits were compared between the two groups.

Results: The suture needle injury questionnaire survey showed that over the past 6 months, among 106 surgical department physicians, 20 needle stick injuries occurred, yielding an incidence rate of 18.87%. The highest incidence (65.00%) was during suturing incisions longer than 10 cm, primarily when visibility was poor (70.00%). Surgeons linked most injuries (60.00%) to prolonged surgical duration causing fatigue. Although 85.00% detected injuries within 1 minute, only 40.00% were reported, often due to perceived reporting complexity. Following intervention, the study group had significantly fewer injuries per surgery and lower occupational exposure costs compared to the control group (p< 0.05).

Conclusion: Surgical department physicians commonly sustain suture needle injuries while suturing incisions of 5-10 cm length under poor visibility, exacerbated by prolonged surgical duration. Despite detecting most injuries within 1 minute, only 40% are reported. The implementation of novel blunt suture needles significantly decreases injury rates, resulting in reduced occupational exposure costs and favorable safety and economic hygiene outcomes.

研究手术中的针刺伤和钝针的使用,以减少职业暴露和卫生益处。
背景:传统的圆形缝合针在外科医师中造成针刺伤的风险很大,被世界卫生组织确定为全球性职业危害,增加了医院的成本和接触血源性病原体的机会。虽然新型钝缝合针有望降低这些风险,但在国内的应用却很有限,这促使我们开展一项研究,比较其与传统尖针在减少外科医师针刺伤方面的功效:调查外科医师在手术中被缝合针刺伤的情况,并评估新型钝头缝合针的应用效果:方法:2021 年 3 月至 2023 年 2 月期间,共有 106 名外科医师参与研究。在完成关于手术中缝合针损伤的问卷调查后,参与者被分为两组。在 6 个月的干预期内,对照组使用普通圆针,而研究组使用新型钝缝针。随后,比较了两组的缝合针损伤发生率和经济卫生效益:缝合针损伤问卷调查显示,在过去 6 个月中,106 名外科科室医生共发生 20 起针刺损伤,发生率为 18.87%。最高发生率(65.00%)是在缝合超过 10 厘米的切口时,主要是在能见度较低时(70.00%)。外科医生认为大多数损伤(60.00%)与手术时间过长导致疲劳有关。虽然 85.00% 的外科医生在 1 分钟内发现了受伤情况,但只有 40.00% 的外科医生报告了受伤情况,这往往是由于他们认为报告的复杂性所致。干预后,与对照组相比,研究组每次手术的受伤次数明显减少,职业暴露成本也更低(P< 0.05):结论:外科部门的医生在能见度较低的情况下缝合 5-10 厘米长的切口时,经常会发生缝合针受伤的情况,而手术时间过长则加剧了这种情况。尽管大多数损伤可在 1 分钟内发现,但报告的损伤仅占 40%。采用新型钝头缝合针可显著降低受伤率,从而降低职业暴露成本,取得良好的安全和经济卫生效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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