Needlestick and sharps injuries among health care workers at public tertiary hospitals in an urban community in Mongolia (original) (raw)
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Jurnal Berkala Epidemiologi
Background: Needlestick and sharp injuries (NSIs) remain one of the main occupational hazards among health care workers (HCWs) that lead to blood-borne pathogen exposure. Purpose: This study examined the risk factors for NSIs among HCWs at a tertiary referral hospital in Bali. Methods: A case-control study was conducted at Sanglah General Hospital, Bali, involving 171 HCWs, divided into 81 cases and 90 control subjects. The sample was selected using a simple random sampling technique. Data were collected using questionnaires and analyzed using multiple logistic regression. Results: The majority of respondents had experienced NSIs once, in the morning shift, and had affected an individual’s hands. The most frequent activity leading to NSIs was giving an injection and most of the situations causing NSIs involved accidental self-action, and recapping needles. Factors associated with the incidence of NSIs were work career or experience of <5 years (p < 0.01; adjusted odds ratio [A...
American Journal of Infection Control, 1997
To study the epidemiology of needlestick and sharp injuries in a university hospital in a developing country, Jordan. Methods: A prospective study was undertaken of all needlestick and sharp injuries among workers at the Jordan University Hospital between 1993 and 1995. Health care workers were asked to report in person to the infection-control team to verify the incident and to respond to a questionnaire. Blood was obtained from patients and health care workers immediately and from the health care workers 6 months later for hepatitis B virus, hepatitis C virus, and HIV testing. Results: During the 3-year period, 248 health care workers had needlestick and sharp injuries. Of these, 34.6% were staff nurses, 19%, environmental workers, 15.7%, interns, 11.7%, residents, 8.5%, practical nurses, and 6% were technicians. The incidence density was highest for the interns followed by staff nurses and environmental workers. Of incidents, 22.6% occurred during blood drawing, 11.3% during placing intravenous lines, 8.5% during administration of medication, 11% during recapping the needle, 10.5% during needle disposal, 12.5% during garbage collection, and 5% were caused by a neglected needle. Only 117 patients were identified; 36 of 62 of these had positive results for hepatitis B surface antigen, and 8 of 13 for hepatitis C virus. Conclusion: Needlestick and sharp injuries occur frequently in developing countries. Safer disposal facilities and routine hepatitis B vaccine should be adopted. (AJIC Am J Infect Control 1997;25:322-9) Even though employee health issues were not addressed until lately, 1 infection control (IC)
Archives of Clinical Infectious Diseases, 2016
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.
2022
Needlestick and other sharp injuries (NSIs) are critical occupational hazard for healthcare workers. Exposure to blood and body fluids through NSIs increases the risk of transmission of blood-borne pathogens among them. The objectives of this study were to estimate the one-year incidence of NSIs and investigate its associated factors among the healthcare workers in Saudi Arabia. A cross-sectional online survey was conducted between October and November 2021. A total of 361 healthcare workers participated in the survey from all over Saudi Arabia. The one-year incidence of NSIs among healthcare workers is estimated at 22.2%. More than half of the injury event (53.8%) was not reported to the authority by the healthcare worker. Incidence of NSIs was highest among the physicians (36%) and is followed by nurses (34.8%), dentists (29.2%), and medical technologists (21.1%). The likelihood of injury is higher (OR: 2.51; 95% CI: 1.04, 6.03) among the works aged 26-30 years compared to the 20-25 years age group and the workers directly deal with needles or other sharp objects while working (OR: 5.90; 2.69, 12.97). The high incidence rate of injury and low reporting rate highlight the needs of an education program targeting healthcare providers with higher risk.
The International Journal of Occupational and Environmental Medicine, 2018
Background: Health care workers are at high risk of job-related blood-borne diseases due to needlestick injuries (NSIs). Objective: To assess the risk factors associated with NSIs among health care workers in Menoufia governorate, Egypt. Methods: This cross-sectional study was conducted on 2260 health care workers of 4 randomly chosen hospitals in Menoufia governorate. Using a predesigned data collection sheet, all staff members were asked about the occurrence of NSIs in the previous 3 months. The response rate was 95.3%. Logistic regression analysis was used to assess the factors associated with NSIs. Results: The risk of NSIs significantly increased with duration of work <15 years (OR 2.19, 95% CI 1.81 to 2.66), being female (OR 1.89, 95% CI 1.56 to 2.29), working as a paramedic (OR 1.49, 95% CI 1.03 to 2.25), working in surgical ward (OR 4.11, 95% CI 1.71 to 9.88), having more than 2 night shifts/month (OR 1.75, 95% CI 1.28 to 2.39), absence of educational sessions (OR 1.99, 95% CI 1.45 to 2.73), absence of hospital policies for NSIs (OR 2.23, 95% CI 1.99 to 2.49), absence of universal precautions (OR 1.66, 95% CI 1.10 to 2.50), recapping the needle after use (OR 2.63, 95% CI 2.12 to 3.26), recapping the needle with two hands (OR 3.08, 95% CI 2.04 to 4.65), not using protective clothes (OR 1.39, 95% CI 1.04 to 1.85), and increased working hours-8-12 hours (OR 2.14, 95% CI 1.34 to 3.44) and >12 hours (OR 2.28, 95% CI 1.17 to 4.44). Conclusion: The risk of NSIs is still high among health care workers that underlines the importance of comprehensive educational sessions to decrease the risk of job-related bloodborne diseases.
2023
This study aims to assess the prevalence and contributing factors of needlestick and sharps injuries (NSIs) among healthcare workers (HCWs) at Bo Government Hospital, Southeast Sierra Leone. The primary objective is to identify key risk factors and evaluate the effectiveness of current safety protocols in reducing NSI incidents in the main operating theater and theater complex. A descriptive crosssectional study was conducted involving 60 randomly selected HCWs, including doctors, nurses, and support staff. Data were collected through structured interviews using a questionnaire that addressed demographics, knowledge of blood-borne diseases, adherence to standard precautions, and experience with NSIs. The data were analyzed using descriptive statistics to identify trends and associations between NSI occurrences and various occupational factors. The study revealed that 60% of the respondents had experienced NSIs, with a significant proportion attributing incidents to factors such as inadequate training, improper use of protective equipment, and high workload. Despite awareness of reporting mechanisms, only 40% of those affected reported their injuries to the appropriate authorities. The findings highlight the need for enhanced training programs, improved safety protocols, and more robust reporting systems to mitigate the risk of NSIs and ensure the safety of HCWs. This study underscores the urgent need for targeted interventions to reduce NSIs, thereby protecting HCWs from potential exposure to blood-borne pathogens and improving overall patient care quality in the hospital.
Cureus, 2023
Background Needlestick injuries (NSIs) and sharps injuries (SIs) remain significant hazards in most healthcare facilities that expose healthcare workers (HCWs) to blood-borne pathogens (e.g., HIV, hepatitis B, and hepatitis C). This study aims to review the incidence of NSIs and SIs in King Fahad Medical City (KFMC) and correlate this incidence with several parameters related to the event, including age, sex, length of work experience, type of injury, type of instrument causing the injury, type of activity during which the injury happened, nature of the job of the HCWs, and location within the hospital where the injury happened. Methodology This cross-sectional study involves all self-reported documents related to needlestick and sharp injuries among HCWs at King Fahad Medical City (KFMC) in Riyadh, Kingdom of Saudi Arabia, from January 2017 to December 2020. The data of 389 reports of needlestick and sharp injuries detailing incidence and site, shift, type, and instrument related to the incidents were reported to the infection control department for coding and analysis using the Statistical Package for the Social Sciences (SPSS) version 22 (IBM SPSS Statistics, Armonk, NY, USA). Results Our data showed that NSIs/SIs could be caused by a wide range of objects used by healthcare workers, including needles, suture needles, scalpels, and sharp devices. Remarkably, the most common cause of NSIs was handling the sharp object (38.8%), followed by disposing of the sharp object (19.3%). Furthermore, nurses were found to be the highest at-risk category of HCWs experiencing NSIs (49.9%), while medical waste handlers (1.5%) and dentists (1.3%) were least likely to incur injuries. Conclusion This study sheds some light on the incidence rates of NCIs and SIs at KFMC and correlates these rates with several demographical, occupational, and experiential parameters related to these events.
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.
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.
Needlestick and Sharp Object Injuries Among Health Care Workers in Hamadan Province, Iran
2012
Results: In this study, we detected 89 cases of needlestick injuries and exposure to septic body fluids in the health care centers. Nurses were the most exposed group (39.3%). The most exposed age group was 25-34 years (51.6%). Of those injured, 51.7% were evaluated for antibody titration after vaccination, and of them, 47.2% had titration above 10 mIU/mL and the remaining had titration below 10 mIU/mL.