重庆市武隆县医疗机构安全注射现况调查

A cross-sectional survey on injection safety in health facilities in Wulong county, Chongqing city

目的 了解重庆市武隆县医疗机构安全注射现况 ,为采取干预措施提供依据。方法用统一设计的调查表对注射服务机构和人员进行调查。结果 5 2 .2 % ( 12 2 3 )的医疗机构玻璃注射器消毒不合格、3 1.4% ( 11 3 5 )的医疗机构注射操作不正确、63 .6% ( 2 1 3 3 )的医疗机构直接丢弃用过的一次性注射器。存在以上至少 1种不安全注射行为的医疗机构有 77.1% ( 2 7 3 5 )。结论 青霉素皮肤过敏试验共用针管的不正确操作、医务工作者销毁注射器被刺伤、一次性注射器卫生质量管理空白是目前主要的不安全因素。培训医务人员的正确注射行为。

Objective To provide evidence for intervention measures on safe injection through a survey on the safety of injection in the health facilities in Wulong county, Chongqing city, China. Methods An investigation on injection safety was conducted among health care providers with a uniform questionnaire. Results Glass syringes which were not appropriately sterilized was found in 52.2% (12/23) of the health facilties. Injection practices were not correct in 31.4% (11/35) of the health facilities. Used disposable syringes were discarded directly without any disposal in 63.6% (21/33) of the health facilities. At least one of the unsafe injection practices mentioned above existed in 77.1% (27/35) of the health facilities. Conclusions The main unsafe factors in the practice of injection are included: the practice to change needle but not syringe in penicillin allergic test and the injuries caused by used disposable syringes in medical staff. The important measures to improve injection safety were to train the medical staff on the knowledge about safe injection and the risks caused by unsafe injection, and to equip the health facilities with safe tools to destroy the used disposable syringes.