A LARGE-SCALE CROSS-SECTIONAL SURVEY ON NEEDLE-STICK INJURIES RELATED TO INJECTIONS OF ANTIDIABETICS IN CHINA- INCIDENCE AND INFECTION RATES
Author(s)
Zhao F1, Zhang M2, Xuan J3, Mo Y4, Huang J5, Liu Z6, Zhou L7, Xu Y8, Guo X9
1China-Japan Friendship Hospital, Beijing, China, 2Peking University People's Hospital, Beijing, China, 3Sun Yat-sen University, Guangzhou, China, 4Jiangsu Province Official Hospital, Nanjing, China, 5The Second Xiangya Hospital of Central South University, Changsha, China, 6The First Affiliated Hospital of Chongqing Medical University, Chongqing, China, 7Guangdong Second Provincial General Hospital, Guangzhou, China, 8Shaoyifu Hospital of Zhenjiang University, Hangzhou, China, 9Peking University First Hospital, Beijing, China
OBJECTIVES Needle-stick Injury (NSI) is one of the most common occupational hazards among healthcare workers (HCWs) with possible transmissions of more than 30 life-threatening blood-borne pathogens. With the large size of diabetes population in China, the burden of NSI related to antidiabetics (insulin) injections can be quite significant. Thus, it is important to identify the current situations of insulin-injections-related NSI among nurses in China. METHODS A cross-sectional national survey on antidiabetics-injection-related NSI was conducted in 339 hospitals across multiple tiers in 31 provinces of China via online questionnaire. The study utilized a combined method of stratified sampling, convenience sampling and cluster sampling to determine the respondents. The survey examined demographics, daily practice of injection, the incidence of antidiabetics-injection-related NSI and infection rates after antidiabetics-injection-related NSI. Proper statistical methods were applied based on data distribution and research purpose. RESULTS A total of 10447 questionnaires were collected with a qualified response rate of 94.5%. 39.05% of the respondents experienced antidiabetics-injection-related NSI in the past. The incidence of antidiabetics-injection-related NSI was 182.01 per 1000 person per year, while that of syringe and pen were 42.54 and 139.47 per 1000 person per year, respectively. NSI rates per 100,000 injections of insulin syringe and pen were 6.43 and 10.21, respectively. Endocrinology department had the highest antidiabetics-injection-related NSI incidence, reaching 357.79 per 1000 person per year. 84.13% and 81.10 % of the respondents chose recapping after syringe and pen injection respectively as the most frequent procedure leading to antidiabetics-injection-related NSI. Meanwhile, the infection rates of HBV, HCV and HIV after antidiabetics-injection-related NSI were 3.16%, 0.88%, 0%, respectively. CONCLUSIONS The incidence and infection rates of antidiabetics-injection-related NSI are significant among nurses in China. Hospital-administrators and decision-makers should raise awareness that modifying procedures, improving educations, and adapting safety-engineered device could potentially lower antidiabetics-injection-related NSI in HCWs in China.
Conference/Value in Health Info
2018-05, ISPOR 2018, Baltimore, MD, USA
Value in Health, Vol. 21, S1 (May 2018)
Code
PDB31
Topic
Epidemiology & Public Health
Disease
Diabetes/Endocrine/Metabolic Disorders