Meta-analysis of influencing factors of blood-borne exposure caused by sharp instrument injury in medical staff in China

Abstract

Abstract: Objective To understand the influencing factors of sharp instrument injuries among clinical medical staff in China,and to provide reference for the prevention and intervention of sharp instrument injuries among clinical medical staff in China. Methods The Chinese biomedical database（CBM）,VIP database,Wanfang database,China National Knowledge Infrastructure（CNKI）,Web of Science（WOS）,Cochrane,PubMed,Embase and other Chinese and English databases were searched from the establishment of the database to April 2024.The relevant research on sharp instrument injuries of clinical medical staff in China was independently screened by two analysts,and the literature was extracted and the quality of the literature was evaluated.RevMan 5.4 software was used to systematically evaluate the literature. Results A total of 38 articles were included,with a total sample size of 84 456 people,and 14 influencing factors were extracted.The results of meta-analysis showed that nurses（OR=1.55,95%CI：1.01-2.35）,overwork（OR=1.61,95%CI：1.40-184）,operating without gloves（OR=1.33,95%CI：1.01-1.76）,working environment（OR=1.99,95%CI：1.13-3.51）,working years（OR=1.23,95%CI：1.10-1.39）,department（surgical department）（OR=1.23,95%CI：1.10-1.39）,age 0-<30 years old（OR=1.96,95%CI：1.26-3.06）,frequent contact with sharp（OR=2.26,95%CI：1.75-2.91）,educational education（OR=0.85,95%CI：0.73-0.98）,professional title（OR=1.26,95%CI：1.03-1.55）,frequent participation invocational training（OR=0.50,95%CI：0.44-0.57）,strict compliance withoperation requirements（OR=0.73,95%CI：0.62-0.86）,whether hospitals have taken protective measures（OR=1.30,95%CI：1.12-1.51） were the influencing factors of sharp instrument injuries among medical staff in China（all P<0.05）. Conclusion Nurses,overloaded work（overtime）,operating without gloves,working environment,working years,department（surgical department）,age 0-<30 years old,frequent contact with sharp instruments,educational background and professional title are risk factors for sharp instrument injuries in medical staff,while frequent participation in vocational training,awareness of sharp instrument injuries and strict compliance with operational requirements are protective factors for sharp instrument injuries in medical staff.Hospitals and relevant departments can pay close attention to the above factors and do early prevention work to reduce the possibility of sharp instrument injuries among medical staff.

Key words: Medical staff, Sharp instrument injury, Bloodborne exposure, Influencing factors, Meta-analysis

CLC Number:

R181.2

ZHONG Zhongci, CHE Yizhan, BIAN Jia, HUA Chengfeng, DONG Lijuan. Meta-analysis of influencing factors of blood-borne exposure caused by sharp instrument injury in medical staff in China. [J]OCCUPATION AND HEALTH, 2025, 41(10): 1418-1424.

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