Incidence rate of needlestick and sharps injuries in 67 Japanese hospitals: a national surveillance study.

<h4>Background</h4>Determining incidence rates of needlestick and sharps injuries (NSIs) using data from multiple hospitals may help hospitals to compare their in-house data with national averages and thereby institute relevant measures to minimize NSIs. We aimed to determine the inciden...

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Autores principales: Toru Yoshikawa, Koji Wada, Jong Ja Lee, Toshihiro Mitsuda, Kiyoshi Kidouchi, Hitomi Kurosu, Yuji Morisawa, Mayumi Aminaka, Takashi Okubo, Satoshi Kimura, Kyoji Moriya
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spelling oai:doaj.org-article:d88f2baaabc9458da68eace36ac9c6082021-11-18T08:49:01ZIncidence rate of needlestick and sharps injuries in 67 Japanese hospitals: a national surveillance study.1932-620310.1371/journal.pone.0077524https://doaj.org/article/d88f2baaabc9458da68eace36ac9c6082013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24204856/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Determining incidence rates of needlestick and sharps injuries (NSIs) using data from multiple hospitals may help hospitals to compare their in-house data with national averages and thereby institute relevant measures to minimize NSIs. We aimed to determine the incidence rate of NSIs using the nationwide EPINet surveillance system.<h4>Methodology/principal findings</h4>Data were analyzed from 5,463 cases collected between April 2009 and March 2011 from 67 Japanese HIV/AIDS referral hospitals that participated in EPINet-Japan. The NSI incidence rate was calculated as the annual number of cases with NSIs per 100 occupied beds, according to the demographic characteristics of the injured person, place, timing, device, and the patients' infectious status. The NSI incidence rates according to hospital size were analyzed by a non-parametric test of trend. The mean number of cases with NSIs per 100 occupied beds per year was 4.8 (95% confidence interval, 4.1-5.6) for 25 hospitals with 399 or fewer beds, 6.7 (5.9-7.4) for 24 hospitals with 400-799 beds, and 7.6 (6.7-8.5) for 18 hospitals with 800 or more beds (p-trend<0.01). NSIs frequently occurred in health care workers in their 20 s; the NSI incidence rate for this age group was 2.1 (1.6-2.5) for hospitals having 399 or fewer beds, 3.5 (3.0-4.1) for hospitals with 400-799 beds, and 4.5 (3.9-5.0) for hospitals with 800 or more beds (p-trend<0.01).<h4>Conclusions/significance</h4>The incidence rate of NSIs tended to be higher for larger hospitals and in workers aged less than 40 years; injury occurrence was more likely to occur in places such as patient rooms and operating rooms. Application of the NSI incidence rates by hospital size, as a benchmark, could allow individual hospitals to compare their NSI incidence rates with those of other institutions, which could facilitate the development of adequate control strategies.Toru YoshikawaKoji WadaJong Ja LeeToshihiro MitsudaKiyoshi KidouchiHitomi KurosuYuji MorisawaMayumi AminakaTakashi OkuboSatoshi KimuraKyoji MoriyaPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 10, p e77524 (2013)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Toru Yoshikawa
Koji Wada
Jong Ja Lee
Toshihiro Mitsuda
Kiyoshi Kidouchi
Hitomi Kurosu
Yuji Morisawa
Mayumi Aminaka
Takashi Okubo
Satoshi Kimura
Kyoji Moriya
Incidence rate of needlestick and sharps injuries in 67 Japanese hospitals: a national surveillance study.
description <h4>Background</h4>Determining incidence rates of needlestick and sharps injuries (NSIs) using data from multiple hospitals may help hospitals to compare their in-house data with national averages and thereby institute relevant measures to minimize NSIs. We aimed to determine the incidence rate of NSIs using the nationwide EPINet surveillance system.<h4>Methodology/principal findings</h4>Data were analyzed from 5,463 cases collected between April 2009 and March 2011 from 67 Japanese HIV/AIDS referral hospitals that participated in EPINet-Japan. The NSI incidence rate was calculated as the annual number of cases with NSIs per 100 occupied beds, according to the demographic characteristics of the injured person, place, timing, device, and the patients' infectious status. The NSI incidence rates according to hospital size were analyzed by a non-parametric test of trend. The mean number of cases with NSIs per 100 occupied beds per year was 4.8 (95% confidence interval, 4.1-5.6) for 25 hospitals with 399 or fewer beds, 6.7 (5.9-7.4) for 24 hospitals with 400-799 beds, and 7.6 (6.7-8.5) for 18 hospitals with 800 or more beds (p-trend<0.01). NSIs frequently occurred in health care workers in their 20 s; the NSI incidence rate for this age group was 2.1 (1.6-2.5) for hospitals having 399 or fewer beds, 3.5 (3.0-4.1) for hospitals with 400-799 beds, and 4.5 (3.9-5.0) for hospitals with 800 or more beds (p-trend<0.01).<h4>Conclusions/significance</h4>The incidence rate of NSIs tended to be higher for larger hospitals and in workers aged less than 40 years; injury occurrence was more likely to occur in places such as patient rooms and operating rooms. Application of the NSI incidence rates by hospital size, as a benchmark, could allow individual hospitals to compare their NSI incidence rates with those of other institutions, which could facilitate the development of adequate control strategies.
format article
author Toru Yoshikawa
Koji Wada
Jong Ja Lee
Toshihiro Mitsuda
Kiyoshi Kidouchi
Hitomi Kurosu
Yuji Morisawa
Mayumi Aminaka
Takashi Okubo
Satoshi Kimura
Kyoji Moriya
author_facet Toru Yoshikawa
Koji Wada
Jong Ja Lee
Toshihiro Mitsuda
Kiyoshi Kidouchi
Hitomi Kurosu
Yuji Morisawa
Mayumi Aminaka
Takashi Okubo
Satoshi Kimura
Kyoji Moriya
author_sort Toru Yoshikawa
title Incidence rate of needlestick and sharps injuries in 67 Japanese hospitals: a national surveillance study.
title_short Incidence rate of needlestick and sharps injuries in 67 Japanese hospitals: a national surveillance study.
title_full Incidence rate of needlestick and sharps injuries in 67 Japanese hospitals: a national surveillance study.
title_fullStr Incidence rate of needlestick and sharps injuries in 67 Japanese hospitals: a national surveillance study.
title_full_unstemmed Incidence rate of needlestick and sharps injuries in 67 Japanese hospitals: a national surveillance study.
title_sort incidence rate of needlestick and sharps injuries in 67 japanese hospitals: a national surveillance study.
publisher Public Library of Science (PLoS)
publishDate 2013
url https://doaj.org/article/d88f2baaabc9458da68eace36ac9c608
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