Global prevalence of percutaneous injuries among healthcare workers: A systematic review and meta-analysis
Background: Healthcare workers (HCWs) are at risk of occupational exposure to bloodborne pathogens through contact with human blood and other body fluids. This study was conducted to estimate the global and regional 1-year prevalence of percutaneous injuries (PCIs) among HCWs. Methods: We systematic...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Journal Article |
| Language: | English |
| Published: |
2018
|
| Subjects: | |
| Online Access: | http://hdl.handle.net/20.500.11937/97791 |
| _version_ | 1848766317071433728 |
|---|---|
| author | Auta, A. Adewuyi, Emmanuel Tor-Anyiin, A. Edor, J.P. Kureh, G.T. Khanal, V. Oga, E. Adeloye, D. |
| author_facet | Auta, A. Adewuyi, Emmanuel Tor-Anyiin, A. Edor, J.P. Kureh, G.T. Khanal, V. Oga, E. Adeloye, D. |
| author_sort | Auta, A. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Background: Healthcare workers (HCWs) are at risk of occupational exposure to bloodborne pathogens through contact with human blood and other body fluids. This study was conducted to estimate the global and regional 1-year prevalence of percutaneous injuries (PCIs) among HCWs. Methods: We systematically searched EMBASE, PubMed, CINAHL and PsychInfo databases for studies published from January 2008 to January 2018 that reported the prevalence of PCIs among HCWs. A random-effects meta-analysis was conducted to estimate pooled prevalence of PCIs among HCWs. Results: Of the 5205 articles identified, 148 studies from 43 countries met the inclusion criteria. The pooled global 1-year prevalence estimate of PCIs was 36.4% [95% confidence interval (CI): 32.9–40.0]. There were substantial regional variations in the 1-year prevalence of PCIs, ranging from 7.7% (95% CI: 3.1–12.4) in South America to 43.2% (95% CI: 38.3–48.0) in Asia. The estimates for Africa and Europe were comparable with values of 34.5% (95% CI: 29.9–39.1) and 31.8% (95% CI: 25.0–38.5), respectively. The highest 1-year prevalence by job category was among surgeons, at 72.6% (95% CI: 58.0–87.2). The estimates for medical doctors (excluding surgeons), nurses (including midwives) and laboratory staff (including laboratory technicians) were 44.5% (95% CI: 37.5–51.5), 40.9% (95% CI: 35.2–46.7) and 32.4% (95% CI: 20.9–49.3), respectively. PCIs commonly occurred among HCWs working in hospital (41.8%, 95% CI: 37.6–46.0) than non-hospital (7.5%, 95% CI: 5.9–9.1) settings. Conclusions: Our findings suggest high rates of PCIs among HCWs with direct patient care across many regions of the world. However, paucity of data from some countries was a major limitation. |
| first_indexed | 2025-11-14T11:49:13Z |
| format | Journal Article |
| id | curtin-20.500.11937-97791 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| language | eng |
| last_indexed | 2025-11-14T11:49:13Z |
| publishDate | 2018 |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-977912025-05-22T15:35:36Z Global prevalence of percutaneous injuries among healthcare workers: A systematic review and meta-analysis Auta, A. Adewuyi, Emmanuel Tor-Anyiin, A. Edor, J.P. Kureh, G.T. Khanal, V. Oga, E. Adeloye, D. Africa Asia Europe Hospitals Humans Needlestick Injuries Occupational Injuries Personnel, Hospital Prevalence Risk Management Skin Skin Humans Needlestick Injuries Prevalence Personnel, Hospital Hospitals Risk Management Africa Asia Europe Occupational Injuries Background: Healthcare workers (HCWs) are at risk of occupational exposure to bloodborne pathogens through contact with human blood and other body fluids. This study was conducted to estimate the global and regional 1-year prevalence of percutaneous injuries (PCIs) among HCWs. Methods: We systematically searched EMBASE, PubMed, CINAHL and PsychInfo databases for studies published from January 2008 to January 2018 that reported the prevalence of PCIs among HCWs. A random-effects meta-analysis was conducted to estimate pooled prevalence of PCIs among HCWs. Results: Of the 5205 articles identified, 148 studies from 43 countries met the inclusion criteria. The pooled global 1-year prevalence estimate of PCIs was 36.4% [95% confidence interval (CI): 32.9–40.0]. There were substantial regional variations in the 1-year prevalence of PCIs, ranging from 7.7% (95% CI: 3.1–12.4) in South America to 43.2% (95% CI: 38.3–48.0) in Asia. The estimates for Africa and Europe were comparable with values of 34.5% (95% CI: 29.9–39.1) and 31.8% (95% CI: 25.0–38.5), respectively. The highest 1-year prevalence by job category was among surgeons, at 72.6% (95% CI: 58.0–87.2). The estimates for medical doctors (excluding surgeons), nurses (including midwives) and laboratory staff (including laboratory technicians) were 44.5% (95% CI: 37.5–51.5), 40.9% (95% CI: 35.2–46.7) and 32.4% (95% CI: 20.9–49.3), respectively. PCIs commonly occurred among HCWs working in hospital (41.8%, 95% CI: 37.6–46.0) than non-hospital (7.5%, 95% CI: 5.9–9.1) settings. Conclusions: Our findings suggest high rates of PCIs among HCWs with direct patient care across many regions of the world. However, paucity of data from some countries was a major limitation. 2018 Journal Article http://hdl.handle.net/20.500.11937/97791 10.1093/ije/dyy208 eng unknown |
| spellingShingle | Africa Asia Europe Hospitals Humans Needlestick Injuries Occupational Injuries Personnel, Hospital Prevalence Risk Management Skin Skin Humans Needlestick Injuries Prevalence Personnel, Hospital Hospitals Risk Management Africa Asia Europe Occupational Injuries Auta, A. Adewuyi, Emmanuel Tor-Anyiin, A. Edor, J.P. Kureh, G.T. Khanal, V. Oga, E. Adeloye, D. Global prevalence of percutaneous injuries among healthcare workers: A systematic review and meta-analysis |
| title | Global prevalence of percutaneous injuries among healthcare workers: A systematic review and meta-analysis |
| title_full | Global prevalence of percutaneous injuries among healthcare workers: A systematic review and meta-analysis |
| title_fullStr | Global prevalence of percutaneous injuries among healthcare workers: A systematic review and meta-analysis |
| title_full_unstemmed | Global prevalence of percutaneous injuries among healthcare workers: A systematic review and meta-analysis |
| title_short | Global prevalence of percutaneous injuries among healthcare workers: A systematic review and meta-analysis |
| title_sort | global prevalence of percutaneous injuries among healthcare workers: a systematic review and meta-analysis |
| topic | Africa Asia Europe Hospitals Humans Needlestick Injuries Occupational Injuries Personnel, Hospital Prevalence Risk Management Skin Skin Humans Needlestick Injuries Prevalence Personnel, Hospital Hospitals Risk Management Africa Asia Europe Occupational Injuries |
| url | http://hdl.handle.net/20.500.11937/97791 |