Occupational exposure to sharps injuries among medical personnel in different positions at a hospital in Shandong province,China,2018-2023
10.11816/cn.ni.2025-246989
- VernacularTitle:2018-2023年山东省某医院不同岗位医务人员锐器伤职业暴露状况
- Author:
Yu DONG
1
;
Zhenghao WU
;
Fengyue ZHANG
;
Xinyu CAI
;
Ani SUN
;
Hongqing LIU
Author Information
1. 山东第二医科大学公共卫生学院,山东 潍坊 261053
- Publication Type:Journal Article
- Keywords:
Medical personnel;
Sharps injuries;
Retrospective analysis;
Occupational exposure;
Epidemiology
- From:
Chinese Journal of Nosocomiology
2025;35(15):2363-2367
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To analyze occupational exposure to sharps injuries among medical staff in different posi-tions in a three-A hospital.METHODS A retrospective collection of all sharps injury cases reported from 2018 to 2023 in a general hospital was conducted.The basic characteristics,high-risk links,involved instruments,post-exposure emergency treatment and follow-up situations were analyzed,while sharps injury characteristics of medi-cal staff in different positions were classified and discussed.RESULTS Over six years,340 sharps injuries occurred with the highest incidence among interns(2.70 cases/100 FTE·year)and the lowest among logistics staff(1.05 cases/100 FTE·year).Jun.was the month with the highest incidence,averaging 7.33 cases.High-risk links in-cluded instruments handling,placing instruments into sharp containers and removing needles from rubber or other barriers,accounting for 76.47%.Nurses experienced injuries mostly occurred in general wards and were related to scalp needles;doctors mostly occurred in operating rooms and were due to surgical instruments;interns were pri-marily injured by blood collection needles;pharmacists and medical technicians were related to ampoule handling;while logistical staff were mostly injured by hollow needles and glass fragments from waste disposal.Nurses and doctors were the main injured groups,with a higher incidence among females(25-<35 years)and males(less than five years of work experience).The exposure source was mainly hepatitis B virus(HBV)infection.Post-ex-posure treatment was primarily standardized emergency treatment,but a higher proportion of non-standardized treatment was observed among logistics staff.Follow-up reports showed that interns and logistical staff had lower submission rates and lower training coverage.CONCLUSIONS Significant differences exist in sharps injury charac-teristics among medical staff in different positions.Attention should be paid to position-specific high-risk links and instruments.Targeted training and occupational health management should be strengthened to effectively prevent occupational exposure.
