Background\udHealth staff in Afghanistan may be at high risk of needle stick injury and occupational infection with blood borne pathogens, but we have not found any published or unpublished data.\ud\udMethods\udOur aim was to measure the percentage of healthcare staff reporting sharps injuries in the preceding 12 months, and to explore what they knew about universal precautions. In five randomly selected government hospitals in Kabul a total of 950 staff participated in the study. Data were analyzed with Epi Info 3.\ud\udResults\udSeventy three percent of staff (72.6%, 491/676) reported sharps injury in the preceding 12 months, with remarkably similar levels between hospitals and staff cadres in the 676 (71.1%) people responding. Most at risk were gynaecologist/obstetricians (96.1%) followed by surgeons (91.1%), nurses (80.2%), dentists (75.4%), midwives (62.0%), technicians (50.0%), and internist/paediatricians (47.5%). Of the injuries reported, the commonest were from hollow-bore needles (46.3%, n = 361/780), usually during recapping. Almost a quarter (27.9%) of respondents had not been vaccinated against hepatitis B. Basic knowledge about universal precautions were found insufficient across all hospitals and cadres.\ud\udConclusion\udOccupational health policies for universal precautions need to be implemented in Afghani hospitals. Staff vaccination against hepatitis B is recommended.
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机译：背景\ ud阿富汗的医务人员可能会发生针刺受伤和血液传播病原体职业感染的高风险，但我们尚未发现任何已发布或未发布的数据。\ ud \ udMethods \ ud我们的目标是衡量医护人员报告的百分比在过去的12个月内锐化伤员，并探索他们对通用预防措施的了解。在喀布尔的五家随机选择的政府医院中，共有950名员工参加了这项研究。数据使用Epi信息3进行了分析。\ ud \ udResults \ ud70％的工作人员（72.6％，491/676）报告说在过去12个月中有锐器受伤，而医院和干部之间的严重程度相似的是676（71.1％ ）人回应。风险最高的是妇科医生/妇产科医生（96.1％），其次是外科医生（91.1％），护士（80.2％），牙医（75.4％），助产士（62.0％），技术员（50.0％）和内科医生/儿科医生（47.5％） ）。在报告的伤害中，最常见的是空心针（46.3％，n = 361/780），通常在翻盖过程中。几乎四分之一（27.9％）的受访者未接种过乙型肝炎疫苗。在所有医院和干部中，普遍预防的基本知识均不足。\ ud \ ud结论\ ud在阿富汗医院应实施普遍预防的职业卫生政策。建议员工接种乙肝疫苗。
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