Needlestick and other potential blood and body fluid exposures among health care workers in British Columbia, Canada

Alamgir, Hasanat; Cvitkovich, Yuri; Astrakianakis, George; Yu, Shicheng; Yassi, Annalee

doi:10.1016/j.ajic.2007.03.005

Cited by 53 publications

(57 citation statements)

References 17 publications

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“…Even though the impact of healthcare wastes on healthcare workers is well described globally [20], less attention is given for waste collectors and countrywide official statistical data do not address the health and working condition of waste handlers [13,21]. In Ethiopia, studies [22,23] were done in some parts of the country were mainly focused in identifying blood borne pathogens such as hepatitis B and C. As a result, less attention was given to see the overall working conditions and factors exposing waste collectors for possible injuries and accidents.…”

Section: Introductionmentioning

confidence: 99%

Medical Waste Collectors in Eastern Ethiopia are Exposed to High Sharp Injury and Blood and Body Fluids Contamination

Alemayehu¹,

Worku²,

Assefa³

2016

J Prev Inf Cntrl

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Section: Introductionmentioning

confidence: 99%

Medical Waste Collectors in Eastern Ethiopia are Exposed to High Sharp Injury and Blood and Body Fluids Contamination

Alemayehu¹,

Worku²,

Assefa³

2016

J Prev Inf Cntrl

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“…The study of hollow-bore needles is particularly important due to the frequency with which they are involved in accidents and to the strong evidence shown in epidemiological studies of a higher rate of contamination related to accidents caused by this type of equipment [19][20][21] .…”

Section: Discussionmentioning

confidence: 99%

Quantification of HIV-1 viral RNA in the blood in needles used for venous puncture in HIV-infected individuals

Rossin

Machado

Junqueira

et al. 2011

Rev. Soc. Bras. Med. Trop.

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Introduction:Occupational HIV infection among healthcare workers is an important issue in exposures involving blood and body fluids. There are few data in the literature regarding the potential and the duration of infectivity of HIV type 1 (HIV-1) in contaminated material under adverse conditions. Methods: We quantified HIV-1 viral RNA in 25×8mm calibre hollow-bore needles, after punctures, in 25 HIV-1-infected patients selected during the sample collection. All of the patients selected were between the ages of 18 and 55. Five samples were collected from 16 patients: one sample for the immediate quantification of HIV-1 RNA in the plasma and blood samples from the interior of 4 needles to be analyzed at 0h, 6h, 24h, and 72h after collection. In nine patients, another test was carried out in the blood from one additional needle, in which HIV-1 RNA was assessed 168h after blood collection. The method used to assess HIV-1 RNA was nucleic acid sequence-based amplification. Results: Up to 7 days after collection, HIV-1 RNA was detected in all of the needles. The viral RNA remained stable up to 168h, and there were no statistically significant differences among the needle samples. Conclusions: Although the infectivity of the viral material in the needles is unknown, the data indicate the need to re-evaluate the practices in cases of occupational accidents in which the source is not identified. Keywords: Occupational exposure. Health personnel. Needlestick injuries. HIV-1 viral load. Polymerase chain reaction. RESUMO Introdução:A infecção ocupacional pelo HIV entre os trabalhadores de saúde é uma importante questão em exposições envolvendo sangue e fluidos corporais. Os dados na literatura são escassos quanto ao potencial infectivo do HIV-1 em material contaminado e o intervalo de tempo em que a infectividade é mantida em condições adversas. Métodos: Realizamos a quantificação de RNA viral do HIV-1 em agulhas ocas com calibre 25X8mm, após punções, em 25 pacientes infectados pelo HIV-1 selecionados durante coleta de sangue para exames. Todos os pacientes selecionados tinham idade variando entre 18 e 55 anos. De 16 pacientes foram coletadas 5 amostras: 1 amostra de sangue para quantificação imediata do RNA viral do HIV-1 no plasma e 4 agulhas para a análise ás 0h, 6h, 24h e 72h após a coleta. Em nove pacientes, um outro teste foi realizado no sangue de uma agulha adicional, na qual foi avaliada a presença de RNA viral do HIV-1 após 168h após a coleta do sangue. O método usado para avaliar o RNA do HIV-1 foi a amplificação baseada na sequência de ácidos nucléicos. Resultados: O RNA do HIV-1 foi detectado em todas as agulhas até o sétimo dia após a coleta. O RNA viral manteve-se estável até 168h após a punção, sem diferença estatisticamente significante entre as agulhas coletadas. Conclusões: Embora a infectividade do material viral nas agulhas seja desconhecido, os dados apontam necessidade de reavaliação das condutas em casos de acidente com fonte desconhecida. Palavras-chaves: Exposição ocupacional. Trabalhadore...

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“…Annually, 100000 healthcare workers are exposed to contaminated arterial catheters (Moro et al 2007). All healthcare workers, including physicians, dentists, nurses, lab technicians are exposed to sharp injuries (Alamgir et al 2008). Among all medical workers in hospitals, nurses are more exposed to HIV, HBV, and HCV due to frequent injections and direct contact with fluids of patients.…”

Section: Introductionmentioning

confidence: 99%

Needle-Stick, Sharp Injuries, and Its Related Factors among Nurses of Imam Reza Hospital, Kermanshah, Iran

Abdifard

Sepahvand

Aghaei

et al. 2015

JCCNC

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Background: Nurses are at risk of injuries caused by sharp instruments in hospitals. The objective of this study was to investigate the frequency of injuries due to sharp instruments and its relevant factors among nurses of Imam Reza Hospital, Kermanshah, Iran. Methods:This descriptive-analytic study was conducted on 258 nurses working at Imam Reza Hospital of Kermanshah, Iran, in 2013. The data collection measure was a researcher-made questionnaire, which its validity and reliability were verified. The obtained data were entered into SPSS, version 16 and were analyzed using the Chi-squared and ANOVA test at the significance level of P<0.05.Results: According to the findings, 73.3%(n=191) of nurses were exposed to sharp injuries at workplace. About 41.8% of cases occurred during the first year of nursing. Major injuries were caused by needle-sticks (73.3%) and then IV catheter (42.4%). About 43.5% of the observed injuries occurred while trying to recap the needle-sticks. Also, 38.52% of injured nurses performed the tests after injury screening, while 48.7% did nothing after being injured. Conclusion:With regard to the findings of this study, human and environmental factors are effective on these exposures and environmental factors are much effective than human factors. It seems necessary to train the personnel, observe general precautions, and change wrong behaviors namely needle re-capping.

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Needlestick and other potential blood and body fluid exposures among health care workers in British Columbia, Canada

Cited by 53 publications

References 17 publications

Medical Waste Collectors in Eastern Ethiopia are Exposed to High Sharp Injury and Blood and Body Fluids Contamination

Medical Waste Collectors in Eastern Ethiopia are Exposed to High Sharp Injury and Blood and Body Fluids Contamination

Quantification of HIV-1 viral RNA in the blood in needles used for venous puncture in HIV-infected individuals

Needle-Stick, Sharp Injuries, and Its Related Factors among Nurses of Imam Reza Hospital, Kermanshah, Iran

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