Needlestick injuries among obstetrics and gynecology trainees: A survey study

To assess characteristics, incidence, risk factors, and reporting rate of needlestick injuries (NSIs) among Obstetrics and Gynecology trainees. We performed a nationwide cross-sectional survey study. The 40-items survey Obstetrics Needlestick Injury Questionnaire (ONSI-Q) was used to investigate the...

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Veröffentlicht in:European journal of obstetrics & gynecology and reproductive biology 2021-04, Vol.259, p.67-74
Hauptverfasser: Franchi, Massimo, Garzon, Simone, Laganà, Antonio Simone, Baggio, Silvia, Cromi, Antonella, Ghezzi, Fabio, Scambia, Giovanni, Raffaelli, Ricciarda
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container_title European journal of obstetrics & gynecology and reproductive biology
container_volume 259
creator Franchi, Massimo
Garzon, Simone
Laganà, Antonio Simone
Baggio, Silvia
Cromi, Antonella
Ghezzi, Fabio
Scambia, Giovanni
Raffaelli, Ricciarda
description To assess characteristics, incidence, risk factors, and reporting rate of needlestick injuries (NSIs) among Obstetrics and Gynecology trainees. We performed a nationwide cross-sectional survey study. The 40-items survey Obstetrics Needlestick Injury Questionnaire (ONSI-Q) was used to investigate the prevalence of NSIs, participant attitudes, associated factors, and the NSI reporting rate among trainees in Obstetrics and Gynecology. The target responders were all trainees of Obstetrics and Gynecology training programs in Italy. The trainees were invited between September 2018 and December 2018 via a web-based platform. Among 1049 trainees, 1041 (99.2%) completed the survey. Out of 1041 trainees, 639 (61.4%) had at least one NSI, and 90.9% (581/639) experienced at least one during obstetric surgery. The number of NSIs increased with the year of training, with 2.48 NSIs per trainee in the fifth year. 90.6% (579/639) reported details about the most recent NSI, which was during obstetric surgery in 95.3% (552/579) of cases. 57.1% (315/552) experienced the most recent NSI during cesarean section, which was mainly inflicted by someone else (72.4%; 228/315). 42.9% (237/552) of NSIs were during perineal suture, and 84% (199/237) of them were self-inflicted. 77.9% (417/535) of trainees did not report the NSI. Associated factors were non-high-risk patients, self-inflicted NSI, and the first NSI. NSIs are frequent among Obstetrics and Gynecology trainees but not reported, and obstetric surgery is the primary source. These data support the European efforts to improve working practices' safety. The education about protective strategies and reporting should be a priority.
doi_str_mv 10.1016/j.ejogrb.2021.02.005
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subjects Cesarean Section
Cross-Sectional Studies
Female
Gynecology
Humans
Italy - epidemiology
Needlestick injuries
Needlestick Injuries - epidemiology
Obstetrics
Obstetrics and gynecology
Occupational-exposure
Postgraduate training
Pregnancy
Risk assessment
Surveys and Questionnaires
title Needlestick injuries among obstetrics and gynecology trainees: A survey study
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