An Assessment of Sharp Injuries to Workers in a State Hospital/ Bir Devlet Hastanesinde Calisanlarda Meydana Gelen Kesici ve Delici Alet Yaralanmalarinin Degerlendirilmesi

Objective: Healthcare workers are at risk of occupational injury in terms of infections due to hepatitis B virus (HBV), hepatitis C virus (HCV) and human immunodeficiency virus (HIV) transmitted by blood and body fluids as a result of sharp injuries. In this study, it was aimed to analyze the sharp injuries registered in a second-stage hospital of a county and to determine the ratio of personal protective equipment usage. Methods: Between 2012 and 2016, records of sharp injuries reported at Seydisehir State Hospital in Konya were analyzed retrospectively. The data were expressed in numbers and percentages. Results: In a five-year period, sharp injuries were recorded in a total of 98 healthcare workers, with a mean age of 23.5 years. While the top three injured profession groups included nursing students (67.3%), nurses (17.3%) and cleaning personnel (8.2%), the most common reason of injury was recapping a used needle (41.9%). While 55.1% of the health personnel used personal protective equipment during the incident, 50% preferred single layer gloves. Of the source patients, serological status of 17.3% was unknown, while patients having a known serological status showed 4.1% HBsAg positivity, 2% anti-HCV positivity, and no anti-HIV positivity. HBV, HCV and HIV infection did not develop during the six-month follow-up of employees at risk. It was observed that those exposed to injury were 96.9% immune against HBV serologically. Conclusions: Although it was satisfactory that there were not any HBV, HCV or HIV infection incidences developing after a 6-month follow-up, standard precautions should be followed to avoid sharp injuries. In case of injury, all health personnel, especially doctors, should report about the incidents, and they should be followed-up and receive prophylaxis, if necessary. Klimik Dergisi 2017; 30(2): 78-82. Key Words: Sharp injuries, health personnel. Amac: Saglik calisanlari kesici ve delici alet yaralanmalari sonucunda hepatit B virusu (HBV), hepatit C virusu (HCV) ve "human immunodeficiency virus" (HIV) gibi kan ve vucut sivilariyla bulasan etkenlere bagli infeksiyonlar acisindan mesleki risk altindadir. Bu calismada bir ilcenin ikinci basamak hastanesinde kaydedilmis olan kesici ve delici alet yaralanmalarinin analiz edilmesi ve kisisel koruyucu ekipman kullanim oraninin belirlenmesi amaclanmistir. Yontemler: 2012-2016 yillari arasinda Seydisehir Ilce Devlet Hastanesi'nde bildirimi yapilmis kesici ve delici alet yaralanmalarinin kayitl