牙科中的针刺伤害:是时候重新审视了
Journal of the American Dental Association (1939)
|August 2, 2023
概括
针刺伤害 (NSI) 对医疗保健工作者,特别是牙科学生和从业人员构成重大职业风险. 改善培训和遵守指南对于预防和管理这些血液传播病原体暴露至关重要.
科学领域:
- 职业健康 职业健康 职业健康
- 传染性疾病 传染性疾病
- 牙科医学 牙科医学
背景情况:
- 血液传播的病原体 (BBPs) 通过皮肤外伤,主要是针刺伤害 (NSI) 对医疗保健工作者构成重大风险.
- 牙科专业人员被确定为NSI的高风险群体,尽管报告率低,但牙科学生的受伤率特别高.
研究的目的:
- 审查牙医从业人员中关于针刺伤害 (NSI) 的文献.
- 识别牙科环境中NSI的原因,预防策略和管理协议.
- 突出在牙科教育和实践中与NSIs相关的流行和脆弱性.
主要方法:
- 在主要的电子数据库中进行了全面的文献搜索,包括PubMed,Web of Science,Google Scholar,Scopus,Embase和MEDLINE-Ovid.
- 专注于NSI,其原因,预防和管理的研究和文章被系统地审查.
主要成果:
- 在全球文献中,关于牙科从业者中NSI的流行情况存在很大的差距,并注意到广泛的报告不足.
- 牙科学生和经验较少的从业人员被确定为对NSI最脆弱的人群.
- 监管机构关于NSI预防和管理的指导方针和建议中观察到不一致.
结论:
- 针刺伤害对医疗保健工作者来说是一个关键的职业危险,牙医是一个特别高风险的群体.
- 牙科学生中NSI的高频率,加上报告率低,是令人担忧的.
- 有效预防和管理NSI需要对牙科保健工作人员进行全面培训,并遵守CDC,OSHA和ADA等组织的既定指南.
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