Incidence of ambulatory care visits after needlestick and sharps injuries among Healthcare workers in taiwan: A nationwide populationbased study

Shyang Guang Wang, Chin Tun Hung, Shu Fen Li, Yu Chun Lu, Shu Chuan Chang, Horng Mo Lee, Lee Wen Pai, Fu I. Lai, Yu Wen Huang, Yueh Chin Chung

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Healthcare professionals have a high risk of needlestick and sharps injuries (NSIs), which have a high potential for disease transmission. Ambulatory care follow up is essential, but is usually overlooked. This study aimed to investigate the annual and cumulative (age-, sex-, and subtype-specific) incidences of ambulatory care visits after NSIs. This study was also designed to evaluate the incidences of blood-borne diseases associated with NSIs among Taiwanese health professionals in Taiwan between 2004 and 2010. Data were obtained from the National Health Insurance Research Database, which contains anonymized records representing approximately 99% of the Taiwan population. A total of 4443 nurse healthcare workers (NHCWs) and 3138 non-nurse healthcare workers (NNHCWs), including physicians, medical technologists, and other health professionals were included in this longitudinal study. Oddsratios (ORs) and 95% confidence intervals (CIs) were calculated. The Mantel-Haenszel method was used to adjust for sex, age, and type of affiliation. Results showed that the annual incidence of ambulatory care visits of NHCWs increased from 0.7% in 2004 to 1.9% in 2010; this incidence was significantly higher than that of NNHCWs (from 0.3% in 2004 to 0.5% in 2010) in any yearly comparison (p <0.05). The sex-adjusted 7-year cumulative incidence rate was 3.23 (95% Cl = 1.23-8.45) in males and 3.92 (95% Cl = 2.70-5.69) in females (p <0.05). The age-adjusted 7-year cumulative incidence rate was 2.74 (95% Cl = 1.99-3.77) and 2.14 (95% Cl = 1.49-3.07) in subjects <30 and >31 years old, respectively (p <0.0005). The affiliation-adjusted 7-year cumulative incidence rate was 1.89 (95% Cl = 1.21-2.94) in medical centers and 3.33 (95% Cl = 2.51-4.41) in nonmedical centers (p <0.01). In conclusion, NSIs increased steadily from 2004 to 2010 in Taiwan with NHCWs having higher NSIs incidences than NNHCWs. A routine ambulatory care visit after NSIs can prevent blood-borne transmission, especially for NHCWs. Educational programs may be helpful for reducing the incidence of NSIs and increasing ambulatory care visit ratios after NSIs.

Original languageEnglish
Pages (from-to)477-483
Number of pages7
JournalKaohsiung Journal of Medical Sciences
Volume30
Issue number9
DOIs
Publication statusPublished - 2014
Externally publishedYes

Fingerprint

Needlestick Injuries
Ambulatory Care
Taiwan
Delivery of Health Care
Incidence
Nurses
Medical Laboratory Personnel
Hematologic Diseases
Health
National Health Programs

Keywords

  • Ambulatory care visit
  • Epidemiology
  • Healthcare worker
  • Incidence
  • Needlestick and sharps injuries

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Incidence of ambulatory care visits after needlestick and sharps injuries among Healthcare workers in taiwan : A nationwide populationbased study. / Wang, Shyang Guang; Hung, Chin Tun; Li, Shu Fen; Lu, Yu Chun; Chang, Shu Chuan; Lee, Horng Mo; Pai, Lee Wen; Lai, Fu I.; Huang, Yu Wen; Chung, Yueh Chin.

In: Kaohsiung Journal of Medical Sciences, Vol. 30, No. 9, 2014, p. 477-483.

Research output: Contribution to journalArticle

Wang, Shyang Guang ; Hung, Chin Tun ; Li, Shu Fen ; Lu, Yu Chun ; Chang, Shu Chuan ; Lee, Horng Mo ; Pai, Lee Wen ; Lai, Fu I. ; Huang, Yu Wen ; Chung, Yueh Chin. / Incidence of ambulatory care visits after needlestick and sharps injuries among Healthcare workers in taiwan : A nationwide populationbased study. In: Kaohsiung Journal of Medical Sciences. 2014 ; Vol. 30, No. 9. pp. 477-483.
@article{2193de80c35f4d0db262636b343afb63,
title = "Incidence of ambulatory care visits after needlestick and sharps injuries among Healthcare workers in taiwan: A nationwide populationbased study",
abstract = "Healthcare professionals have a high risk of needlestick and sharps injuries (NSIs), which have a high potential for disease transmission. Ambulatory care follow up is essential, but is usually overlooked. This study aimed to investigate the annual and cumulative (age-, sex-, and subtype-specific) incidences of ambulatory care visits after NSIs. This study was also designed to evaluate the incidences of blood-borne diseases associated with NSIs among Taiwanese health professionals in Taiwan between 2004 and 2010. Data were obtained from the National Health Insurance Research Database, which contains anonymized records representing approximately 99{\%} of the Taiwan population. A total of 4443 nurse healthcare workers (NHCWs) and 3138 non-nurse healthcare workers (NNHCWs), including physicians, medical technologists, and other health professionals were included in this longitudinal study. Oddsratios (ORs) and 95{\%} confidence intervals (CIs) were calculated. The Mantel-Haenszel method was used to adjust for sex, age, and type of affiliation. Results showed that the annual incidence of ambulatory care visits of NHCWs increased from 0.7{\%} in 2004 to 1.9{\%} in 2010; this incidence was significantly higher than that of NNHCWs (from 0.3{\%} in 2004 to 0.5{\%} in 2010) in any yearly comparison (p <0.05). The sex-adjusted 7-year cumulative incidence rate was 3.23 (95{\%} Cl = 1.23-8.45) in males and 3.92 (95{\%} Cl = 2.70-5.69) in females (p <0.05). The age-adjusted 7-year cumulative incidence rate was 2.74 (95{\%} Cl = 1.99-3.77) and 2.14 (95{\%} Cl = 1.49-3.07) in subjects <30 and >31 years old, respectively (p <0.0005). The affiliation-adjusted 7-year cumulative incidence rate was 1.89 (95{\%} Cl = 1.21-2.94) in medical centers and 3.33 (95{\%} Cl = 2.51-4.41) in nonmedical centers (p <0.01). In conclusion, NSIs increased steadily from 2004 to 2010 in Taiwan with NHCWs having higher NSIs incidences than NNHCWs. A routine ambulatory care visit after NSIs can prevent blood-borne transmission, especially for NHCWs. Educational programs may be helpful for reducing the incidence of NSIs and increasing ambulatory care visit ratios after NSIs.",
keywords = "Ambulatory care visit, Epidemiology, Healthcare worker, Incidence, Needlestick and sharps injuries",
author = "Wang, {Shyang Guang} and Hung, {Chin Tun} and Li, {Shu Fen} and Lu, {Yu Chun} and Chang, {Shu Chuan} and Lee, {Horng Mo} and Pai, {Lee Wen} and Lai, {Fu I.} and Huang, {Yu Wen} and Chung, {Yueh Chin}",
year = "2014",
doi = "10.1016/j.kjms.2014.05.004",
language = "English",
volume = "30",
pages = "477--483",
journal = "Gaoxiong yi xue ke xue za zhi = The Kaohsiung journal of medical sciences",
issn = "1607-551X",
publisher = "高雄醫學大學",
number = "9",

}

TY - JOUR

T1 - Incidence of ambulatory care visits after needlestick and sharps injuries among Healthcare workers in taiwan

T2 - A nationwide populationbased study

AU - Wang, Shyang Guang

AU - Hung, Chin Tun

AU - Li, Shu Fen

AU - Lu, Yu Chun

AU - Chang, Shu Chuan

AU - Lee, Horng Mo

AU - Pai, Lee Wen

AU - Lai, Fu I.

AU - Huang, Yu Wen

AU - Chung, Yueh Chin

PY - 2014

Y1 - 2014

N2 - Healthcare professionals have a high risk of needlestick and sharps injuries (NSIs), which have a high potential for disease transmission. Ambulatory care follow up is essential, but is usually overlooked. This study aimed to investigate the annual and cumulative (age-, sex-, and subtype-specific) incidences of ambulatory care visits after NSIs. This study was also designed to evaluate the incidences of blood-borne diseases associated with NSIs among Taiwanese health professionals in Taiwan between 2004 and 2010. Data were obtained from the National Health Insurance Research Database, which contains anonymized records representing approximately 99% of the Taiwan population. A total of 4443 nurse healthcare workers (NHCWs) and 3138 non-nurse healthcare workers (NNHCWs), including physicians, medical technologists, and other health professionals were included in this longitudinal study. Oddsratios (ORs) and 95% confidence intervals (CIs) were calculated. The Mantel-Haenszel method was used to adjust for sex, age, and type of affiliation. Results showed that the annual incidence of ambulatory care visits of NHCWs increased from 0.7% in 2004 to 1.9% in 2010; this incidence was significantly higher than that of NNHCWs (from 0.3% in 2004 to 0.5% in 2010) in any yearly comparison (p <0.05). The sex-adjusted 7-year cumulative incidence rate was 3.23 (95% Cl = 1.23-8.45) in males and 3.92 (95% Cl = 2.70-5.69) in females (p <0.05). The age-adjusted 7-year cumulative incidence rate was 2.74 (95% Cl = 1.99-3.77) and 2.14 (95% Cl = 1.49-3.07) in subjects <30 and >31 years old, respectively (p <0.0005). The affiliation-adjusted 7-year cumulative incidence rate was 1.89 (95% Cl = 1.21-2.94) in medical centers and 3.33 (95% Cl = 2.51-4.41) in nonmedical centers (p <0.01). In conclusion, NSIs increased steadily from 2004 to 2010 in Taiwan with NHCWs having higher NSIs incidences than NNHCWs. A routine ambulatory care visit after NSIs can prevent blood-borne transmission, especially for NHCWs. Educational programs may be helpful for reducing the incidence of NSIs and increasing ambulatory care visit ratios after NSIs.

AB - Healthcare professionals have a high risk of needlestick and sharps injuries (NSIs), which have a high potential for disease transmission. Ambulatory care follow up is essential, but is usually overlooked. This study aimed to investigate the annual and cumulative (age-, sex-, and subtype-specific) incidences of ambulatory care visits after NSIs. This study was also designed to evaluate the incidences of blood-borne diseases associated with NSIs among Taiwanese health professionals in Taiwan between 2004 and 2010. Data were obtained from the National Health Insurance Research Database, which contains anonymized records representing approximately 99% of the Taiwan population. A total of 4443 nurse healthcare workers (NHCWs) and 3138 non-nurse healthcare workers (NNHCWs), including physicians, medical technologists, and other health professionals were included in this longitudinal study. Oddsratios (ORs) and 95% confidence intervals (CIs) were calculated. The Mantel-Haenszel method was used to adjust for sex, age, and type of affiliation. Results showed that the annual incidence of ambulatory care visits of NHCWs increased from 0.7% in 2004 to 1.9% in 2010; this incidence was significantly higher than that of NNHCWs (from 0.3% in 2004 to 0.5% in 2010) in any yearly comparison (p <0.05). The sex-adjusted 7-year cumulative incidence rate was 3.23 (95% Cl = 1.23-8.45) in males and 3.92 (95% Cl = 2.70-5.69) in females (p <0.05). The age-adjusted 7-year cumulative incidence rate was 2.74 (95% Cl = 1.99-3.77) and 2.14 (95% Cl = 1.49-3.07) in subjects <30 and >31 years old, respectively (p <0.0005). The affiliation-adjusted 7-year cumulative incidence rate was 1.89 (95% Cl = 1.21-2.94) in medical centers and 3.33 (95% Cl = 2.51-4.41) in nonmedical centers (p <0.01). In conclusion, NSIs increased steadily from 2004 to 2010 in Taiwan with NHCWs having higher NSIs incidences than NNHCWs. A routine ambulatory care visit after NSIs can prevent blood-borne transmission, especially for NHCWs. Educational programs may be helpful for reducing the incidence of NSIs and increasing ambulatory care visit ratios after NSIs.

KW - Ambulatory care visit

KW - Epidemiology

KW - Healthcare worker

KW - Incidence

KW - Needlestick and sharps injuries

UR - http://www.scopus.com/inward/record.url?scp=84923558876&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84923558876&partnerID=8YFLogxK

U2 - 10.1016/j.kjms.2014.05.004

DO - 10.1016/j.kjms.2014.05.004

M3 - Article

C2 - 25224772

AN - SCOPUS:84923558876

VL - 30

SP - 477

EP - 483

JO - Gaoxiong yi xue ke xue za zhi = The Kaohsiung journal of medical sciences

JF - Gaoxiong yi xue ke xue za zhi = The Kaohsiung journal of medical sciences

SN - 1607-551X

IS - 9

ER -