HIV and Interventional Radiology: A National Survey of Physician Attitudes and Behaviors

Hansen, Margaret E.; Miller, George; Redman, Helen C.; Mclntire, Donald D.

doi:10.1016/s1051-0443(93)71842-4

Cited by 17 publications

(3 citation statements)

References 38 publications

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“…Most (.90%) interventional radiology physicians report having had at least one needlestick injury, and more than a third of injuries are not reported. The high incidence of needlestick injury found here is in contrast to results of prior survey studies in interventional radiology, which suggested that only half of physicians had sharps injuries (11,14). It is not clear whether the incidence has increased since those studies were published in 2003 and 1993.…”

Section: Discussioncontrasting

confidence: 99%

“…Prior studies showed that about half of needlestick injuries are not reported by interventional radiology physicians (14) and surgical trainees (15). Despite a nationwide effort to improve training and reporting, the finding here that There were 682 respondents who completed all of the following items on the survey, which were included for further analysis to determine which variables affected the likelihood of reporting.…”

Section: Resultsmentioning

confidence: 86%

“…Little is known about the prevalence and reporting practice of needlestick injury in interventional radiology. In one survey of 806 interventional radiology physicians, only half reported a needlestick injury; the study did not evaluate reporting practices (14). A study of 77 interventional radiology physicians reported that half experienced a needlestick injury and that compliance with standard precautions was poor, despite a high average hepatitis C viral load among the involved patients (11).…”

Section: Respondentsmentioning

confidence: 99%

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Needlestick Injuries in Interventional Radiology Are Common and Underreported

et al. 2017

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Purpose To determine the prevalence of and risk factors for needlesticks in interventional radiology physicians, as well as the attitudes, behaviors, and conditions that promote or interfere with reporting of these injuries. Materials and Methods A total of 3889 interventional radiologists from academic and private practice in the United States were surveyed by emailing all interventional radiologist members of the Society of Interventional Radiology, including attending-level physicians and trainees (April-August 2016). The institutional review board waived the need for consent. Questions inquired about the nature, frequency, and type of needlestick and sharps injuries and whether and to whom these incidents were reported. Stepwise regression was used to determine variables predicting whether injuries were reported. Results In total, 908 (23%) interventional radiologists completed at least a portion of the survey. Eight hundred fourteen (91%) of 895 respondents reported a prior needlestick injury, 583 (35%) of 895 reported at least one injury while treating an HIV-positive patient, and 626 (71%) of 884 reported prior training regarding needlestick injury. There was, on average, one needlestick for every 5 years of practice. Most needlestick or sharps injuries were self inflicted (711 [87%] of 817) and involved a hollow-bore device (464 [56%] of 824). Only 566 (66%) of 850 injuries were reported. The most common reasons for not reporting included perceived lack of utility of reporting (79 [28%] of 282), perceived low risk for injury (56 [20%] of 282), noncontaminated needle (53 [19%] of 282), too-lengthy reporting process (37 [13%] of 282), and associated stigma (23 [8%] of 282). Only 156 (25%) of 624 respondents informed their significant other. Stepwise regression assessing variables affecting the likelihood of reporting showed that male sex (P = .009), low-risk patient (P < .0001), self injury (P = .010), trainee status (P < .0001), and the total number of prior injuries (P = .019) were independent predictors of not reporting. Conclusion Needlestick injuries are ubiquitous among interventional radiologists and are often not reported. RSNA, 2017 Online supplemental material is available for this article.

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Section: Discussioncontrasting

confidence: 99%

Section: Resultsmentioning

confidence: 86%