Nadelstichverletzungen bei Studierenden der Humanmedizin

Abstract

The study aimsed at surveying and analysing the prevailing risks for medical students due to so-called needlestick injuries, I. e., injuries to the skin by handling sharp objects by which blood of patients can be transmitted to the health professional. After introducing preventive measures in a typical German university hospital, a total of 1 903 students of human medicine in their clinical period from 2009 to 2012 (from a total of 2 024 subjects - a rate of 94.0%) were questioned in detail about potential needlestick or other injuries related to their work. The results show that such injuries happen particularly during the clinical period of the medical studies: While only 20.6% of the students indicated a needlestick injury at the beginning of this period, half of the students (50.9%) had experienced at least one injury at the end of the clinical period. The activities mentioned most frequently were taking of blood samples and injections. Needlestick injuries happened most frequently in surgical units, in internal medicine, and in gynaecology. Accidents happened mostly during secondary employment, medical traineeship, or in the context of practical nursing. In consequence, measures for improvement of the primary prevention should start with training on the one hand: Only briefing seems to be insufficient - intensive exercises in using stick-proof instruments seems to be more promising. On the other hand, the comprehensive introduction of stick-proof instruments has to be supported.

Study-Related Work and Commuting Accidents among Students at the University of Mainz from 12/2012 to 12/2018: Identification of Potential Risk Groups and Implications for Prevention

“…This finding is consistent with the results of previous studies indicating that students of higher semesters are more prone to injuries because of having more clinical activities, which increases the possibility of injury [24,25]. NSIs happened most frequently in surgical units, in internal medicine, and in gynecology [23]. Our study as well as the reported findings of other groups demonstrate that NSIs are a prevalent matter among medical students.…”

“…In this context, Siegmann et al (2016) took a closer look at the time when NSIs occur during medical studies. While only 20.6% of the students indicated a NSI at the beginning of their studies, half of the students (50.9%) had experienced at least one injury at the end of the clinical period [23]. This finding is consistent with the results of previous studies indicating that students of higher semesters are more prone to injuries because of having more clinical activities, which increases the possibility of injury [24,25].…”

“…In addition, the American College of Surgeons (ACS) recommended the use of double gloving, hands-free zone, and blunt-tip suture needles for decreasing NSIs [26]. In contrast to that, a study on preventing NSIs among medical students at the University Medical Center Düsseldorf, Germany, showed that both intensive safety trainings of medical students as well as the implementation of so-called safe instruments did not led to a reduction in NSIs [23]. In conclusion, more research is needed to address the environmental and individual factors that might predict the occurrence of NSIs among medical students in order to create and implement efficient, target-group (students of higher semesters and of specific disciplines) and setting-specific prevention programs.…”

Needle Stick Injuries among Health Care workers in a Multispecialty Hospital: A Retrospective Study

“…Among medical students, the incidences of NSIs are more when they attend surgical departments than medical departments during their compulsory rotatory internship (Koenig et al, 1995;Birenbaum et al, 2002). Accidents are more common during the early period of their training/ internship which demands adequate training and sensitization (Siegmann et al, 2016).…”

Unfallmeldungen zu Nadelstichverletzungen bei Beschäftigten in Krankenhäusern, Arztpraxen und Pflegeeinrichtungen

“…Nadelstichverletzungen (NSV) zählen zu den häufigsten Arbeitsunfällen von Beschäftigten im Gesundheitsdienst. Verletzungen an mit Blut kontaminierten Kanülen bedeuten für die Betroffenen eine ernst zu nehmende Gefährdung durch blutübertragene Infektionen [3][4][5]. Die Angaben zur Häufigkeit von NSV variieren zwischen 1,4 und 9,5 pro 100 pflegerisch und/oder medizinisch tätigen Beschäftigten pro Jahr [6].…”