Incidence and patterns of needlestick injuries during intermaxillary fixation

Bali, Rishi; Sharma, Parveen; Garg, Amandeep

doi:10.1016/j.bjoms.2010.04.010

Cited by 32 publications

(16 citation statements)

References 22 publications

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“…Actual WSIs in pencil type twister (group A) group was 0.11 ± 0.66 and that in normal wire twister (group B) group it was 0.32 ± 0.466 which are close to the study figures of Bali et al [4] having 23.25 % incidence of wire stick injury which is also statistically significant (p = 0.000).…”

Section: Discussionsupporting

confidence: 83%

“…The use of an Erich bar for intermaxillary fixation, a common procedure in oral and maxillofacial surgery, carries a significant risk of perforation and other accidents due to rough edges of bars and stainless steel wires used for placement. According to Bali et al [4]. the needle stick injury rate during intermaxillary fixation is 23.25 %.…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of Two Different Methods of Arch Bar Application: A Comparative Prospective Study

Chhabra

Thapar

2014

J. Maxillofac. Oral Surg.

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Purpose To comparatively evaluate the efficacy of a pencil type wire twister and the normal wire twister in terms of various parameters during arch bars application. Method The study involved residents of the department enrolled in MDS course. Two study groups of 60 patients each were made by randomly selecting the patients from the outpatient department of Oral and Maxillofacial surgery who required arch bar application. Group A included the patients who underwent upper and lower arch bar application with the use of a pencil type twister and group B included patients who underwent arch bar application with a normal wire twister. All respondents were given a questionnaire after the completion of procedure involving the use of medical sharps. The paired samples t test was used for statistical analysis. Result Among group A, mean glove perforations, actual wire stick injuries, mean time taken to complete the procedure, mean wire breakage during the procedure was less than in group B. Comfort level of patients and Ease of operator while performing the procedure was more in group A than in group B. Frictional abrasion of the finger was not associated with the use of pencil type twister. Overall rating of the procedure was more in group A than group B.Conclusion The use of pencil type wire twister outweighs normal wire twister in various ways. It increases the overall efficacy of the operator during the procedure.

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Section: Discussionsupporting

confidence: 83%

Section: Introductionmentioning

confidence: 99%

Evaluation of Two Different Methods of Arch Bar Application: A Comparative Prospective Study

Chhabra

Thapar

2014

J. Maxillofac. Oral Surg.

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“…According to Bali et al, exposure to bloodborne pathogens during procedures conducted at night was significantly higher (47%) than during the day (18%) in a group of trainee surgeons. 18 A similar correlation can be seen in a study performed on a group of medical students and residents, where injuries at night happened 1.5 times more often than during daytime. 20 The other issue connected to injuries sustained at night are: less available occupational health advice and fewer co-workers, which can cause delayed PEP.…”

Section: Risk Factors For Exposuresupporting

confidence: 74%

“…wires for intermaxillary fixation). 18 In injury reports analyzed by Cleveland et al, exposures most often occurred during oral surgical (39%), restorative (21%), hygiene (15%) and "other" (25%) procedures. 6 Samaranayake and Scully confirm that procedures where the fingers are no longer visible to the operator are more risky for him.…”

Section: Risk Factors For Exposurementioning

confidence: 99%

“…20 The other issue connected to injuries sustained at night are: less available occupational health advice and fewer co-workers, which can cause delayed PEP. 18 Although it is recommended to start PEP as fast as possible, studies conducted by Chang et al reveal that the time between exposure to HBV and hepatitis B immunoglobulin (HBIG) injection is not relevant. 5 In the group of HCW who received an HBIG injection after more than 24 h, no cases of HBsAg-positive seroconversion were noted.…”

Section: Risk Factors For Exposurementioning

confidence: 99%

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What to do after needlestick injury?

Wąsacz¹,

Bereziewicz²,

Pytko-Polończyk³

2017

Dent. Med. Probl.

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Operating Room Protocols and Infection Control

Bali

2021

Oral and Maxillofacial Surgery for the Clinician

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In the modern day’s Oral and Maxillofacial surgical practice, complex surgical and aesthetical procedures are being carried out associated with an increased risk of infectious complications. Therefore, to ensure better outcomes of the surgical procedures, it is absolutely necessary that appropriate measures must be taken to decrease the incidence of associated infections. The practices to be carried out for infection control include proper scrubbing procedures for both patient and the operator, specific protocols to be followed by the operating personnel at the time of procedures, proper handling of the instruments and maintaining an aseptic environment throughout the procedure. The main aim of this chapter is to provide information on the preoperative, operative and post-operative protocols that should be adhered to improve the safety of the patients undergoing surgical procedures.

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Incidence and patterns of needlestick injuries during intermaxillary fixation

Cited by 32 publications

References 22 publications

Evaluation of Two Different Methods of Arch Bar Application: A Comparative Prospective Study

Evaluation of Two Different Methods of Arch Bar Application: A Comparative Prospective Study

What to do after needlestick injury?

Operating Room Protocols and Infection Control

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