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De Carli, Gabriella; Agresta, Alessandro; Lecce, Maria Giuseppina; Marchegiano, Patrizia; Micheloni, Gianpaolo; Sossai, Dimitri; Campo, Giuseppe; Tomao, Paola; Vonesch, Nicoletta; Leone, Sara; Puro, Vincenzo

Prevention from Sharp Injuries in the Hospital Sector: An Italian National Observatory on the Implementation of the Council Directive 2010/32/EU before and during the COVID-19 Pandemic

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  • Medientyp: E-Artikel
  • Titel: Prevention from Sharp Injuries in the Hospital Sector: An Italian National Observatory on the Implementation of the Council Directive 2010/32/EU before and during the COVID-19 Pandemic
  • Beteiligte: De Carli, Gabriella; Agresta, Alessandro; Lecce, Maria Giuseppina; Marchegiano, Patrizia; Micheloni, Gianpaolo; Sossai, Dimitri; Campo, Giuseppe; Tomao, Paola; Vonesch, Nicoletta; Leone, Sara; Puro, Vincenzo
  • Erschienen: MDPI AG, 2022
  • Erschienen in: International Journal of Environmental Research and Public Health
  • Sprache: Englisch
  • DOI: 10.3390/ijerph191711144
  • ISSN: 1660-4601
  • Schlagwörter: Health, Toxicology and Mutagenesis ; Public Health, Environmental and Occupational Health
  • Entstehung:
  • Anmerkungen:
  • Beschreibung: <jats:p>Sharp injuries, determining the risk of bloodborne infections and psychological distress in healthcare workers, may be prevented by a set of strategies, legally enforced in Europe through the Directive 2010/32/EU. To assess its level of implementation in Italy, a national survey was conducted in 2017 and again in 2021, evaluating the progress and possible drawbacks of the COVID-19 pandemic. Altogether, 285 safety managers and 330 nurses from a representative sample of 97 and 117 public hospitals were interviewed using a standardized questionnaire. Knowledge of the Directive requirements decreased significantly, with &lt;60% of participants answering correctly in 2021, and nurses’ attendance in specific courses dropped to 25% in 2021 compared to 54% in 2017. Over 75% of hospitals introduced multiple safety-engineered devices (SED), though total replacement occurred in &lt;50% of cases; routine SED availability increased for blood collection (89%) and venous access devices (83%). Incorrect behaviors in handling sharps decreased significantly over time. Nurses’ HBV vaccination coverage was high (89% in both surveys); in the last year, 97% were vaccinated against COVID, and 47% against influenza. Average annual injuries per hospital did not increase significantly (32 in 2021 vs. 26 in 2017). In 2017, nurses’ perceived safety barriers were working in emergency situations (49%) and lack of resources (40%); in 2021, understaffing (73%), physical fatigue (62%), and handling difficulties while wearing full protective equipment (59%). Safety measures were implemented in Italian hospitals, and although the average injuries per hospital did not show a decrease, these measures could have helped protect healthcare workers during the pandemic, mitigating its potential impact on the increase in situations at risk of injury.</jats:p>
  • Zugangsstatus: Freier Zugang