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Incidence Rate of Needlestick and Sharps Injuries in 67 Japanese Hospitals: A National Surveillance Study

BACKGROUND: 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 usi...

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Autores principales: Yoshikawa, Toru, Wada, Koji, Lee, Jong Ja, Mitsuda, Toshihiro, Kidouchi, Kiyoshi, Kurosu, Hitomi, Morisawa, Yuji, Aminaka, Mayumi, Okubo, Takashi, Kimura, Satoshi, Moriya, Kyoji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3813677/
https://www.ncbi.nlm.nih.gov/pubmed/24204856
http://dx.doi.org/10.1371/journal.pone.0077524
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author Yoshikawa, Toru
Wada, Koji
Lee, Jong Ja
Mitsuda, Toshihiro
Kidouchi, Kiyoshi
Kurosu, Hitomi
Morisawa, Yuji
Aminaka, Mayumi
Okubo, Takashi
Kimura, Satoshi
Moriya, Kyoji
author_facet Yoshikawa, Toru
Wada, Koji
Lee, Jong Ja
Mitsuda, Toshihiro
Kidouchi, Kiyoshi
Kurosu, Hitomi
Morisawa, Yuji
Aminaka, Mayumi
Okubo, Takashi
Kimura, Satoshi
Moriya, Kyoji
author_sort Yoshikawa, Toru
collection PubMed
description BACKGROUND: 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. METHODOLOGY/PRINCIPAL FINDINGS: 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). CONCLUSIONS/SIGNIFICANCE: 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.
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spelling pubmed-38136772013-11-07 Incidence Rate of Needlestick and Sharps Injuries in 67 Japanese Hospitals: A National Surveillance Study Yoshikawa, Toru Wada, Koji Lee, Jong Ja Mitsuda, Toshihiro Kidouchi, Kiyoshi Kurosu, Hitomi Morisawa, Yuji Aminaka, Mayumi Okubo, Takashi Kimura, Satoshi Moriya, Kyoji PLoS One Research Article BACKGROUND: 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. METHODOLOGY/PRINCIPAL FINDINGS: 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). CONCLUSIONS/SIGNIFICANCE: 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. Public Library of Science 2013-10-30 /pmc/articles/PMC3813677/ /pubmed/24204856 http://dx.doi.org/10.1371/journal.pone.0077524 Text en © 2013 Yoshikawa et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited.
spellingShingle Research Article
Yoshikawa, Toru
Wada, Koji
Lee, Jong Ja
Mitsuda, Toshihiro
Kidouchi, Kiyoshi
Kurosu, Hitomi
Morisawa, Yuji
Aminaka, Mayumi
Okubo, Takashi
Kimura, Satoshi
Moriya, Kyoji
Incidence Rate of Needlestick and Sharps Injuries in 67 Japanese Hospitals: A National Surveillance Study
title 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_short 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
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3813677/
https://www.ncbi.nlm.nih.gov/pubmed/24204856
http://dx.doi.org/10.1371/journal.pone.0077524
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