title: Percutaneous exposure incidents in nurses: Knowledge, practice and exposure to hepatitis B infection: Percutaneous exposure incidents in nurses.
abstract: BACKGROUND
  Nurses are at risk of percutaneous exposure incidents (PEIs), which may lead to serious or even fatal blood-borne infections.
  
  
  OBJECTIVE
  To determine the prevalence of PEIs in the last year, among nurses and to assess their knowledge about and frequency of safe method of practice in exposure to blood-borne pathogens (especially, to HBV).
  
  
  METHODS
  A cross-sectional study in 2008 was conducted on 138 nurses working in general surgery and obstetrics/gynecology services of Qazvin University of Medical Sciences, Qazvin, Central Iran. A questionnaire for assessment of risk factors for contracting HBV infection was completed by nurses.
  
  
  RESULTS
  Overall, the prevalence of needle stick injury (NSI) and direct exposure to body fluids were 52.9% (95% CI: 44.5%-61.3%) and 65.4% (95% CI: 57.4% - 73.8%), respectively. There was no statistically significant difference between the two studied centers in terms of sharp injuries; however, the rate of repeated NSI (number per each year ≥3) and mucocutaneous exposures were significantly higher in the general surgery ward. The overall coverage of vaccination in the two studied centers was 96.3%, but the rate of accurate answers to many questions pertaining to knowledge and practice were less than 50%.
  
  
  CONCLUSIONS
  Nurses are still at significant risk for developing NSI and mucocutaneous exposure. Continuous educational programs (especially by highlighting the seriousness of the problem) are necessary for improving this situation because inadequate education might increase unsafely practice.
authors.affiliation: Faculty of Medicine, Tehran University of Medical Sciences, Tehran, IR Iran.
authors.forename: Navid
authors.initials: N
authors.lastname: Mohammadi
authors.forename: Abbas
authors.initials: A
authors.lastname: Allami
authors.forename: Rasoul
authors.initials: R
authors.lastname: Malek Mohamadi
references.citation: Curr Opin Infect Dis. 2005 Aug;18(4):331-6
references.pmid: 15985830
references.citation: Occup Med (Lond). 2000 Aug;50(6):383-6
references.pmid: 10994238
references.citation: Ann R Coll Surg Engl. 2009 Jan;91(1):12-7
references.pmid: 18990263
references.citation: PLoS One. 2007 Feb 07;2(2):e194
references.pmid: 17332844
references.citation: AAOHN J. 2005 Mar;53(3):117-33
references.pmid: 15789967
references.citation: Nurs Manage. 2002 Jun;33(6):36-8
references.pmid: 12050462
references.citation: Indian J Med Sci. 2006 Jun;60(6):227-32
references.pmid: 16790948
references.citation: J Infect. 2008 Nov;57(5):404-9
references.pmid: 18829116
references.citation: Infect Control Hosp Epidemiol. 1995 May;16(5):287-91
references.pmid: 7657977
references.citation: Int Arch Occup Environ Health. 2008 Jan;81(3):347-54
references.pmid: 17619897
references.citation: PLoS One. 2007 Aug 15;2(8):e753
references.pmid: 17710152
references.citation: Lancet. 2000 Feb 12;355(9203):561-5
references.pmid: 10683019
references.citation: Int J Infect Dis. 2004 Nov;8(6):325-7
references.pmid: 15494253
references.citation: Travel Med Infect Dis. 2007 Mar;5(2):79-84
references.pmid: 17298912
references.citation: J Surg Res. 2009 Jan;151(1):80-4
references.pmid: 18599085
references.citation: J Adv Nurs. 2003 Jan;41(2):187-94
references.pmid: 12519278
references.citation: Ann Epidemiol. 2007 Dec;17(12):988-92
references.pmid: 17923420
references.citation: East Mediterr Health J. 2006 Nov;12(6):768-74
references.pmid: 17333821
references.citation: BMC Infect Dis. 2010 Jan 15;10:9
references.pmid: 20078876
references.citation: Hepat Mon. 2010 Summer;10(3):176-82
references.pmid: 22308136
references.citation: Indian J Med Microbiol. 2010 Jan-Mar;28(1):17-20
references.pmid: 20061757
references.citation: J Pak Med Assoc. 2008 Feb;58(2):57-60
references.pmid: 18333520
references.citation: N Engl J Med. 2007 Jun 28;356(26):2693-9
references.pmid: 17596603
references.citation: Epidemiol Infect. 2004 Jan;132(1):27-33
references.pmid: 14979586
references.citation: Am J Infect Control. 2002 Feb;30(1):15-20
references.pmid: 11852411
references.citation: J R Soc Med. 2004 Jul;97(7):326-7
references.pmid: 15229257
references.citation: Braz J Infect Dis. 2005 Oct;9(5):384-9
references.pmid: 16410889
references.citation: MMWR Recomm Rep. 2001 Jun 29;50(RR-11):1-52
references.pmid: 11442229
references.citation: Infect Control Hosp Epidemiol. 2006 Feb;27(2):215-7
references.pmid: 16465645