Study On Current Situation And Influential Factors Of Safety Injection In HIV/AIDS Prevalence Area

Objective This study aims at investigating the current situation of safety injection in HIV/AIDS prevalence area, then finding out factors causing unsafe medical injection in the area, so as to provide the basic information for the coming one-year intervention and establishing a national model of safety injection system. Material and Methods Health facilities at prefecture, country and township levels, village or private clinics, and doctors and nurses of which, residents and AIDS patients were investigated. The moduses of field observation, interview, self-filling questionnaires were used. All data were analyzed by using the SPSS11.5. The methods were descriptive analysis and multinomial logistic regression. Results (1) There is not any health facility found to use the auto-disposable syringes for clinical therapy in the investigated area. (2) The knowledge on safey injection is better in doctors and nurses than in local residents and HIV/AIDS patients. The analysis on influential factors of the knowledge by multinomial logistic regression showed that gender is associated with health facility levels. In terms of the possibility to gain full marks, female doctors and nurses are better than the males, and doctors and nurses in high level health facility are better than the lowers. (3) Most of local residents and HIV/AIDS patients think that safety is the most important for them to select syringes. (4) A total of 69 nosocomial nurses (57.50%) suffered from sharp instrument injuries, and 58 nosocomial nurses (48.33%) exposed to blood or body fluid in 2005. Many of them did not take any action after the accidents. (5) The destruction, sterilization and management of used disposable syringes should still be strengthened in township and village hospitals/clinics. Suggestions The following items need to be considered for the next field intervention: ehancing the knowledge of safety injection, correcting wrong behavior, manageing used disposable syringes correctly,...