الفهرس 
Aim of the workOnly 14 pages are availabe for public view
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Abstract
This was a cross sectional study, during the period from May 2018 to May 2019, on 350 healthcare workers (doctors, nurses and laboratory technicians) from tertiary and secondary hospitals at Menoufia Governorate.
This study was done to estimate the occurrence and study the risk factors of NSSIs among HCWs in Menoufia Governorate hospitals, to detect HCV infection in the studied participants who reported exposures to NSSIs and weren‘t known to have HCV infection before the injury, and to assess the organizational safety climate in the studied hospitals.
Most of the studied participants were married females, from rural areas, with age equal to twenty nine years or more, had institute or university education and non-smokers.
About sixty four percent of the participants were from the University Hospitals, 22.6% from the Teaching hospital and 13.7% were from central hospital. More than half of them (51.7%) were nurses and laboratory technicians and 48.3% were physicians. Surgical departments constituted 35.4% and non-surgical constituted 64.6%
This study showed that:
Prevalence of needlesticks and sharps injuries (NSSIs) was 64%; of which more than 65% had two or more injuries in the last year.
Among the participants who experienced needlesticks and sharps injury in the last year, the commonest type of sharps was syringes followed by multiple sources with (33% and 25%; respectively).
Most of the injuries occurred after or during the use (93.4%) and only a few percent occurred before the use. Workload was incriminated as the cause of
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the injury by about 50 % of the participants, followed by multiple other causes (13.8%).
Based on univariate analysis, risk factors of needlestick and sharps injuries (NSSI) included being younger age and male, working at surgical departments, less work experience, having night shifts, longer working hours/week, using of sharps (syringes, surgical needles and scalpels) daily, higher number of sharps used, needle recapping and feeling secure after wearing personal protective equipment
After multivariate regression analysis using syringes daily, surgical job specialty, feeling secure after wearing personal protective equipment and recapping needles are independent predictors for occurrence of needlestick and sharps injuries with odds ratio (7.03, 6.27, 2.67 and 2.31; respectively).
Regarding organizational safety climate, the highest percentage of agree answers were on readily accessible sharps containers (81.1%) and open communication between healthcare workers and supervisors (78.9%). The highest percentage of disagree were on enough time in work to follow) universal precautions (87.6%) and encouragement of healthcare workers to become involved in safety and health matters (82.9%).
There was higher prevalence of NSSI in participants in hospital with moderate organizational safety climate scale than good one.
from this study it can be concluded that:
NSSI prevalence increases with younger age and in males.
Working in surgical department, having night shift, less work experience,having night shifts, higher number of patients and longer working hoursper week are associated with increased prevalence of NSSIs.
Daily using of syringes, surgical needles and scalpels increases the risk ofencountering NSSIs.
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NSSI prevalence is related to personal behavior like needle recapping andwearing personal protective equipment.
Higher prevalence of needlestick and sharps injuries occurs in participantsin hospital with moderate organizational safety climate scale than goodone.