The prevalence and causes of needle stick injuries among the primary health care workers of Bahar city, Hamadan Province (original) (raw)
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Global Journal of Health Science, 2013
Background: Health care workers (HCWs) are at substantial risk of acquiring blood borne infections such as HIV, Hepatitis-B and Hepatitis-C through needle stick injuries (NSIs). This study aimed to assess the proportion of NSIs and their associated factors among HCWs and also to identify the areas in which preventive efforts might be directed to protect against this occupational hazard. Methodology: A cross-sectional study was conducted in two tertiary care hospitals of Pakistan representing both private and public health sector. A total of 497 HCWs (doctors and nurses) were interviewed using a structured questionnaire. Data was collected from January to May 2008. Results: Overall, 64% of the HCWs were exposed to at least one NSI during their career; among them 73% reported NSIs for two or more times. Factors found to be highly associated with NSIs were those practicing this occupation for more than five years (p < 0.001: OR = 5.92; 95% CI = 3.45-10.16) and working as nurse than doctor (p 0.001: OR = 2.12; 95% CI = 1.35-3.32). Having received booster dose of hepatitis B vaccine (p 0.02: OR = 1.85; 95% CI = 1.10-3.11), working in surgical specialty (p < 0.01: OR = 1.6; 95% CI = 1.09-2.51) and being a female (p 0.03: OR = 1.52; 95% CI = 1.04-2.22) were also found to be associated with NSIs. Most commonly reported reason for NSIs was injecting medicine and drawing blood (42%) followed by two-handed recapping of needle (37%). Only, 34% of study subjects were vaccinated against hepatitis B infection. Overall, HCWs had inadequate practices regarding standard precautions such as availability of gloves/protective cloths (40%) and infection control guidelines/protocols (10%) respectively in their working places. Conclusion: In addition to very high rates of NSIs, low safety practices including inadequate vaccination coverage, unavailability of infection control guidelines and other preventive facilities were reported in this study. Prevention of occupational infections among HCWs should be a priority. Formal training, by health authorities in the local area, about safe practices and availability of preventive facilities should be ensured regarding NSIs among HCWs.
Indian Journal of Community Health
Background: Because of the environment in which health care staff works, many they are at an increased risk of accidental needle stick injuries (NSI). NSI has been recognized as one of the potential occupational hazards for healthcare workers which results in transmission of blood borne pathogens such as HBV, HCV, and HIV/AIDS while performing their clinical activities in the Hospital. Aims & Objectives: To study the prevalence of needle stick injuries and knowledge and behavior of health care workers in a tertiary care centre. Material and Methods: A Hospital based cross sectional study was conducted among Health Care workers at a tertiary care hospital in 2016 at District Bathinda, Punjab. Results: A total of two hundred and eight (208) participants took part in the study from various departments. 58 health workers out of 208 i.e. 27% had NSI in the last 12 months. 84.1% of the health care workers were aware of the fact that HIV could transmitted by needle-stick injuries. While 55...
Needle stick injuries among health care workers of public sector tertiary care hospitals of Karachi
J Coll Physicians Surg …, 2010
Objective: To estimate the frequency of needle stick injuries (NSI) among health care workers (nurses, student nurses and paramedical staff) in public hospitals of Karachi. Study Design: Cross sectional, observational. Place and Duration of Study: This study was conducted in three public tertiary care hospitals of Karachi, from November 2007 to January 2008. Methodology: Data was collected by structured interview-based questionnaires in Urdu and English language.
Annals of Saudi Medicine, 2005
Background: Healthcare workers (HCW) such as medical, dental, nursing and midwifery workers are at high risk for occupational exposure to blood-borne pathogens such as hepatitis B virus (HBV), hepatitis C virus (HCV) and HIV through sharp injuries of needlestick. Objectives: The current study aimed to evaluate the prevalence of needlestick injuries (NSIs) among healthcare workers in Milad hospital in Tehran, Iran, from 2007 to 2011 and investigate the related factors of needle sticking in the hospital in order to decrease the risk of infectious diseases transmission due to needlestick injury. Methods: This retrospective cross-sectional study was performed among healthcare workers including nursing staff, physicians, gynecologist, laboratory staff, cleaners and garbage collectors in Milad hospital in Tehran, Iran, over a five-year period from 2007 to 2011. All of the NSIs data was obtained from infection control committee in Milad hospital. Questionnaire sheets were filled up and all of the information was rechecked one more time by experts. The information included demographic questions and NSI related questions. Vaccination for HBV and titer of hepatitis B surface antibody (anti-HBs) were recorded. The association between demographic and needlestick characteristics was tested through working shifts. Results: In the current study, 608 out of 3806 hospital staff including 209 (34.3%) male and 399 (65.7%) female had NSIs over a five-year period in Milad hospital. Most of the NSIs was observed in enrolled nurse, nursing sister and midwife groups 308 (50.7%) followed by servants 122 (20.1%) and the lowest was found in laboratory staff 14 (2.3%). Staff who worked in the internal medicine ward 95 (15.6%), emergency ward 72 (11.8%) and intensive care unit (ICU) 58 (9.5%) had experienced NSIs. There were uniform time patterns of NSIs by working shifts; therefore, the lowest number of the injuries occurred in the start of working shift (7:00 am, 01:00 pm and 07:00 pm) and increased along the time. Most of the NSIs occurred through taking blood and injection 182 (29.9%). Compared to NSI data by working shift, the greater number of the injuries occurred in the evening and night, but it was not statistically significant through needlestick characteristics (P value > 0.05). Conclusions: Nurses are at the highest risk for NSIs and servants the second. Staff training, proper use of protective equipment, proper disposal of infectious waste and vaccination of all staff against HBV might be effective measures towards reduction of the number of NSIs.
Study of needle stick injuries among health care workers at a tertiary care hospital
Indian Journal of Public Health, 2010
Hepatitis C and HIV are two of the most serious of the 20 blood-borne pathogens that health care workers are exposed to in their daily work caring for the worlds health. Personnel who regularly practice invasive procedures such as blood sample collection and starting intravenous lines are particularly at risk to percutaneous injuries 1. Needle stick injuries present the single greatest risk to medical personnel 2. Most people at risk for occupational exposures are in developing countries where there is paucity of standard reporting protocol 3. This study was undertaken to analyze the problem of needle stick injuries among health care workers at a tertiary care hospital. A cross-sectional study was conducted during June-August 2007 among health care workers at a tertiary care hospital in Goa to study the problem of needle stick injuries. The health care workers studied comprised of consultant doctors, resident doctors, interns, nurses, laboratory technicians, patient attendants and nursing
Medical Safety & Global Health, 2018
Background: In African countries including Ethiopia occupational exposure of needle stick and sharp injuries is higher than elsewhere and it is still a major public health problem. It accounts for 86% of all occupationally related infection transmissions; expose Health Professionals to more than 20 blood borne pathogens. In Dire Dawa, Ethiopia, the magnitude of needle stick and sharp injuries and its health impacts remain unknown. In addition, available statistics underestimate the severity of the problem because most health care workers do not report their injuries. Objective: To determine the prevalence and associated factors of needle stick and sharp injuries among health care workers of public health facilities, Dire Dawa. Methods: A facility based cross sectional study was conducted using quantitative methods on a samples of 305 health care workers from five selected health facilities of Dire Dawa. Results: Both the life time and the last 12 months prevalence of NSSI were 149(53.8%) and 75(26.6%), respectively. The prevalence of NSSIs among clinical nurses, laboratory technologist and midwifery was 57%, 46% and 20%, respectively. Among the 75 cases occurred in the last one year, 49(65.3%) did not report the incident due to absence of reporting protocol (53.1%), fear of isolation and/or discrimination (20.4%), too busy to report (16.3%) and that it was not important to report the incident (10.2%). Although 80% HCWs took HBV vaccine, only 45% completed the full dose. Both before (crude analysis) and after the results were adjusted for selected variables, profession of medical laboratory (p=0.037), sometimes use of personal protective equipment (p=0.001), sometimes recapping needles after use (p=0.001), inadequate availability of post exposure prophylaxis (p=0.011), and working more than 40 H a week (p=0.009)} were factors significantly associated with occupational exposure NSSI. Conclusion: This study revealed high prevalence of NSSIs in the study area. This suggests distribution of adequate safety materials and prophylaxis is mandatory. Exposure prevention among the HCWs must be all health facilities concern and completion of three doses of Hepatitis B must be reiterated. More importantly distribution of syringe and needles which sheath or retract after use, and replace the older one, can be cost effective intervention strategy.
The Prevalence of Needle sticks injuries among health care workers at a hospital in Tehran
Needle stick injuries (NSIs) are one of the most significant and preventable hazards in relation to Healthcare workers (HCWs). Such injuries have been shown to be of high prevalence within developing countries. To determine the prevalence and circumstances pertaining to the occurrence of NSIs among HCWs employed at a special hospital. The study conducted was a cross-sectional study on HCWs and was carried out in one of Tehran's special hospitals in the year 2012. In this study, in order to identify and determine hazardous potential due to needle stick, HFMEA method was chosen. This resulted in the collection of 240 valid and reliable questionnaires. The validity and reliable nature of the questionnaires was confirmed by experts and by means of the test re-test method. The gathered data was analyzed with SPSS software, version 16.From the analysis of the data it was shown that, a total of 97 (40.42%) HCWs had suffered NSIs in the last year. The patient ward showed the highest prevalence of NSIs (47.42%) in the hospital. Nurses had the highest risk of suffering NSIs (56.7%) in comparison with the other occupational groups. All in all 175 NSIs occurred for the 240 HCWs trialed during the selected period of clinical practice. Of those that received injuries, only roughly 1 in 3 (38.14%) reported it to their infection control officer. Just over a quarter (26.80%) of the injured HCWs used post exposure prophylaxis (PEP) against HIV. Almost all (88.75%) of the HCWs had received a safe injection course. In general, NSIs and their subsequent underreporting are commonplace among hospital healthcare professionals. Significantly, more than two-thirds of the injured HCWs did not use post-exposure prophylaxis (PEP) against HIV. Improved prevention and reporting strategies are needed if the occupational health and safety of healthcare workers is to improve.
Needle stick injuries in healthcare workers of a secondary Care Hospital, Pakistan
The Professional Medical Journal, 2020
… Needle Stick Injury (NSI) is a percutaneous piercing wound typically dealing with sharps. Needle stick injuries are the most common health care workers issue worldwide. The causes include various factors like type and design of needle, recapping activity, handling/ transferring specimens, collision between HCWs or sharps, during clean-up, manipulating needles in patient line related work, passing/handling devices or failure to dispose of the needle in puncture proof containers. NSIs may transmit other bacterial, fungal, or viral infections, including blastomycosis, cryptococcosis, diphtheria, herpes, malaria, mycobacteriosis, spotted fever and syphilis. Objectives: To determine frequency of needle stick injury among health care workers. Study Design: Cross-sectional study. Setting: District Headquarter Hospital Layyah. Period: Jan to March 2019. Material & Methods: Sample size was 161. A structured pre-tested questionnaire containing both open and close-ended questions was administered during the period of Jan-March 2019. Results: Out of 161 participants, 114 (70.8%) reported having a needle stick injury at least once during their clinical practice and the frequency of NSIs was significantly higher among nurses (76.7%) as compared to Doctors (50%), Laboratory staff (45.5%) and waste handlers (70.8 %). Conclusion: Study concludes that in absence of the routine collection of accurate data on NSIs, small studies have been useful in highlighting which groups of HCWs are most at risk from NSIs.
Introduction: Needle stick injuries are most common occupational hazards health care workers are faced with. These injuries usually occur during activities such as transfusion, blood sampling, needle disposal, waste collection, transferring body fluids and transferring blood. Injuries due to contact with contaminated needles, may have serious physical and psychological consequences. Objectives: To estimate the prevalence of Needle stick injuries among Health care workers and reporting of needle injuries among health worker. Materials & method: A cross sectional study was conducted among 120 health workers by pre tested structured questionnaire. Results: The prevalence of needle stick injury in the present study found to be 76.7%. Conclusion: High prevalence of needle sticks injury was observed in the present study.