Assessment of the safety of injection practices and injection-related procedures in family health units and centers in Alexandria

Abstract

Indicators related to injection and injection-related practices that reflect risk to patients include deficiency of alcohol-based hand rub tools, nonadherence to hand hygiene before preparing an injection, and inadequate adherence to using a clean barrier when opening a glass ampule and use of gloves. Indicators that may reflect risk to patients and providers include inadequate injection safety training and incomplete hepatitis B vaccination of healthcare providers. Indicators that may reflect risk to providers include nonadherence to safety precautions related to injection practices, such as inadequate access to heavy gloves by staff handling healthcare waste.

Assessment of safe injection awareness and practices among healthcare providers at primary health care facilities

“…In our study, 15% of participants stated that they had at least one exposure to NSIs in the previous 6 months. This percentage is similar to that reported in Jazan [ 12 ] and Alexandria [ 13 ], but lower than those reported by other studies [ 1 , 9 , 14 ]. This could be attributed to the higher risks of exposure in hospitals due to higher rate of injections administered.…”

“…The percentage of injection providers who received full doses of hepatitis B vaccinations was similar to the one reported in a Saudi study in Jazan Region [ 13 ] and even higher than those reported by similar studies in different Egyptian regions [ 11 , 12 , 14 ] and in an Indian study [ 23 ]. However, full immunization of all health workers is needed and should be considered a fundamental right as Egypt has the highest rate globally for hepatitis B and C for the last 20 decades [ 22 ] with their life-long and life-threatening complications.…”

“…In practice, other steps for safe injection were fulfilled in variable percentages. Research show that implementation of safe injection varied significantly across different types of services [ 12 ]. The vaccination procedures were the most common activities observed, which are within the scope of services provided at PHC facilities as the same locations were conducted [ 12 , 13 ].…”

“…Research show that implementation of safe injection varied significantly across different types of services [ 12 ]. The vaccination procedures were the most common activities observed, which are within the scope of services provided at PHC facilities as the same locations were conducted [ 12 , 13 ]. Although some patients would bring with them their own new syringe especially for lab investigations, yet this is never observed at vaccination clinic.…”

Práctica de inyecciones seguras por parte del personal de la salud: revisión integrativa

“…Respecto a las prácticas documentadas en la literatura, el personal utiliza insumos provenientes de paquetes estériles, cerrados y desechables, y su preparación se lleva a cabo en espacios limpios. Son las acciones subsecuentes como el reúso de los dispositivos, la contaminación de los viales y soluciones y los lapsus en la técnica aséptica, los que afectan la seguridad del procedimiento y contradicen los estudios que arman que el personal posee los conocimiento adecuados (32,34,35,(38)(39)(40)42,45,(48)(49)(50).…”