医学生与住院医师锐器伤的回顾性分析

Harish Veerapalli, D. Haiduven
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摘要

背景:由于各种因素,包括缺乏经验、技能、技术专长和风险认知,医学生和住院医生发生锐器伤(SIs)的风险较高。这些个体暴露于血源性病原体(如乙型肝炎病毒、丙型肝炎病毒和人类免疫缺陷病毒)的风险更高。有大量关于专业人员/雇员的卫生保健工作者的si的研究,但对医科学生和住院医生的研究较少。目的:本回顾性分析的目的是分析锐伤与美国一所大学医学生/住院医师之间的各种因素和关系。方法:采用SPSS软件对2006年1月至2018年9月我院医学生和住院医师的锐器伤暴露日志进行分析。结果:住院医师的si发生率高于医学生。住院医师si患病率为10.99%,医学生患病率为2.22%。在医学生和住院医生中,si随着培训年数的增加而增加,特别是在第5年及之后的住院医生中。7月和9月的si频率最高。缝线针和空心针是医学生和住院医生中最常见的与si相关的医疗器械,而在住院医生中,手术刀刀片和手术器械也经常遇到。结论:医学院校和培训医院可以利用这些信息制定培训医学生和住院医师的计划和政策,以降低这些群体发生SIs的风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Retrospective analysis of sharps injuries among medical students and residents
Background: Medical students and residents are at higher risk of sharps injuries (SIs) as a result of various factors, including the lack of experience, skills, technical expertise and risk perception. SIs place these individuals at higher risk of exposure to blood-borne pathogens such as hepatitis B virus, hepatitis C virus and human immunodeficiency virus. There is a wealth of research regarding SIs among health-care workers who are professionals/employees, but not as much among medical students and residents. Aim: The aim of this retrospective analysis was to analyse the various factors and relationships between sharps injuries and medical students/residents at a University in the United States. Methods: The sharps injuries exposure logs of medical students and residents at the University, from 2006 January to September 2018, were analysed using SPSS software. Results: Residents had a higher rate of SIs versus medical students. The prevalence percentage of SIs among residents was 10.99%, whereas 2.22% in medical students. SIs increased with the number of training years among medical students and residents, especially among residents in and after their 5th year. July and September had the highest frequency of SIs. Suture and hollow-bore needles were the most common medical device associated with SIs among medical students and residents, whereas, among the residents, scalpel blades and surgical instruments were also frequently encountered. Conclusion: Medical schools and training hospitals could use this information to formulate plans and policies in the training of medical students and residents to reduce the risk of SIs among these groups.
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