Annals of Occupational and Environmental Medicine

The Korean Society of Occupational & Environmental Medicine (대한직업환경의학회)
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Epidemiological Characteristics and Scale for Needlestick Injury in Some University Hospital Workers

일부 대학병원 종사자들에서 주사침 상해의 역학적 특성과 규모

  • Yun, Yong-Hun (Occupational Safety & Health Research Institute, Korea Occupational Safety and Health Agency (KOSHA)) ;
  • Chung, Yun-Kyung (Occupational Safety & Health Research Institute, Korea Occupational Safety and Health Agency (KOSHA)) ;
  • Jeong, Jae-Sim (Department of Clinical Nursing, University of Ulsan) ;
  • Jeong, Ihn-Sook (College of Nursing, Pusan National University) ;
  • Park, Eun-Suk (Infection Control Office, Severance Hospital) ;
  • Yoon, Sung-Won (Infection Control Office, Samsung Medical Center) ;
  • Jin, Hye-Young (Infection Control Office, Ajou University Hospital) ;
  • Park, Jin-Hee (Department of Nursing, Woosuk University) ;
  • Han, Si-Hyun (Infection Control Office, Dankuk University Hospital) ;
  • Choi, Jeong-Hwa (Infection Control Office, Kunkuk University Hospital) ;
  • Choi, Hye-Ran (Infection Control Office, Asan Medical Center) ;
  • Han, Min-Kyung (Infection Control Office, Asan Medical Center) ;
  • Choi, Soon-Im (Keimyung University Dongsan Medical Center)
  • 윤용훈 (한국산업안전보건공단 산업안전보건연구원) ;
  • 정윤경 (한국산업안전보건공단 산업안전보건연구원) ;
  • 정재심 (울산대학교 임상전문간호학) ;
  • 정인숙 (부산대학교 간호대학) ;
  • 박은숙 (세브란스병원 감염관리실) ;
  • 윤성원 (삼성서울병원 감염관리실) ;
  • 진혜영 (아주대학교병원 감염관리실) ;
  • 박진희 (우석대학교 간호학과) ;
  • 한시현 (단국대학교병원 감염관리실) ;
  • 최정화 (건국대학교병원 감염관리실) ;
  • 최혜란 (아산의료원 감염관리실) ;
  • 한민경 (아산의료원 감염관리실) ;
  • 최순임 (계명대학교 동산의료원)
  • Published : 2011.12.31
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Abstract

Objectives: Based on multicenter research among tertiary hospitals in Korea, it was our intention to effectively contribute to the prevention of needlestick injuries by understanding the current state of the incidence rate of needlestick injuries and the related epidemiology with respect to medical institution and worker's characteristics. Methods: Ten hospitals were selected, with the research performed from July to September 2007. Data on cases of needlestick injuries were collected by hospital infection-controlling centers using a specifically developed website and a partially modified self-writing questionnaire based on the Exposure Prevention Information Network (EPINet). Results: During the study period, a total of 327 needlestick injury cases were reported, with an incidence of 10.56 cases per 100 patient beds per year. The existence of source of infection could not be confirmed in one third of the needlestick injuries. There were 4.07 incidences per 100 employees per year. The job with the highest incidence was medical doctor interns (18.66 cases), followed by clinical laboratory workers (7.12 cases) and registered nurses (6.66 cases). Conclusions: There was no difference in number of incidences according to the number of beds. The highest number of cases occurred in the registered nurse-group, but the incidence rate per healthcare worker was the highest in the medical doctor intern-group. Therefore, it is important to conduct research to identify the risk of the incidence with respect to different risk-groups. As a result of this research, it is suggest that a protective policy is required relating to needlestick injuries, regardless of the number of beds and potential cause of infection.

목적: 우리나라의 대표적인 3차 의료기관들을 포함한 다기관 연구를 바탕으로 의료기관 및 근로자의 특성에 따른 주사침 상해의 발병현황과 관련 역학을 파악하여, 효과적인 주사침 상해 예방에 기여하고자 하였다. 방법: 2007년 7월부터 9월까지 3개월간 전국 광역을 모두 포함하여 10개 병원을 선정하였다. 해당병원의 감염 관리실을 거점으로 하여 개발된 웹사이트를 통해 환례를 수집하였다. 조사항목은 국내외의 타당도 검증을 거친 EPINet을 근간으로 국내 상황에 맞게 일부 수정한 자가기입형 질문지를 이용하였다. 결과: 조사 기간 동안 총 327건의 주사침 상해가 보고되었다. 전체 연구대상의 100병상 당 연간 발생률은 10.56건 이었다. 조사된 주사침 상해의 약 1/3에서 주사침 상해 당시 및 추후 추적검사에서도 감염원을 밝혀내지 못하였다. 또한 근로자 100명당 연간 4.07건의 주사침 상해 발생률을 확인하였다. 발생률이 가장 높은 직종은 의사 인턴(18.66건)이었고 그 다음은 임상병리사(7.12건), 간호사(6.66건) 순이었다. 결론: 주사침 상해 발생률은 병상 수에 관계없었다. 환례만 집계했을 때에는 간호직이 가장 많았으나 근로자 100명당 발생률로 보면 의사 인턴에서 가장 많은 주사침 상해가 발생하였다. 향후 주사침 상해 연구 및 정책적 조사에서도 상해의 분모에 대한 정보를 반영하는 것이 필요하다. 주사침 상해 예방 및 관리 정책은 병상 수, 예상되는 감염원에 관계없이 모든 주사침 상해 위험에 대해 전반적으로 이루어져야 한다.

Keywords

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