Needlestick and sharps injuries in an Indonesian tertiary teaching hospital from 2014 to 2017: a cohort study

Abstract

ObjectiveNeedlestick and sharps injuries among healthcare workers (HCWs) pose significant occupational health problems. We aim to provide incidence and other epidemiological aspects of needlestick and sharp injuries (NSSIs) among HCWs in a tertiary teaching hospital in Indonesia, to inform the evaluation of NSSIs prevention programme.MethodsA cohort study was conducted at Cipto Mangunkusumo Hospital in Jakarta. We analysed data of the sharps injury programme at the hospital between January 2014 and December 2017. Incidence of NSSIs was calculated per 1000 person-years (1000-PY).ResultsOver the 4-year period, a total of 286 NSSIs were reported. The mean NSSIs incidence rate for 4 years was 13.3/1000-PY, peaking in 2015 (15.5/1000-PY) then decreasing afterward. Most NSSIs were experienced by nurses (42.7%), but the highest incidence was among midwives (18.9/1000-PY), followed by nurses, medical students and medical doctors (15.2/1000-PY, 12.6/1000-PY and 11.8/1000-PY, respectively). The devices causing the highest proportion of NSSIs were hollow-bore needles (66.8%), followed by suture needles (14.3%) and solid needles (10.8%). 9.4% of NSSIs were related to insulin pen injection. Of all the incidents, 31.3% occurred during surgical procedures, 25.9% during blood collections, 14.3% during administering injection of drugs and 13.3% during waste cleaning.ConclusionIn conclusion, this study showed varied incidences of NSSI among different occupations, with the highest among midwives and nurses. Many unsafe work practices still continue, which is of utmost concern. We suggest opportunities for prevention including training and cultivating safer workplace practices.

Needlestick and Sharp Injuries Prevalence and Hepatitis B Vaccination Among Healthcare Workers: A cross sectional study in Six District Hospitals (Yaounde, Cameroon)

“…The oftenurgent nature of the care administered in these departments and the stress that can result could explain the frequent occurrence of accidental occupational injuries. This result was in agreement with those obtained in YUTH [38], Indonesia (31.3 %) [32] and Ethiopia [10] which found, surgical department workers were the most affected by percutaneous AEB.…”

Analysis of factors associated with needlestick injuries of clinical nurses by applying a human factor analysis and classification system: A nationwide cross‐sectional survey

“…In addition, this study showed that syringe needles were the most common instrument causing NSIs in clinical nurses, followed by scalp needles. This result was consistent with Yunihastuti et al (2020) and Zhang et al (2015). The possible reason is that safe needles have not been entirely popularised in China, and the frequency of using unsafe needles is still high.…”

Knowledge, Attitude, and Practice About Needle Stick Injury Towards Prevention and Management Among Clinical Students at Private University in Cyberjaya, Malaysia

“…According to a survey conducted among nurses working in public hospitals in Malaysia, 86.5% of participants reported having good practices after completing the course and being aware of the NSI SOP and hospital policies (Yazid et al, 2023). In contrast, a prior study discovered that although NSIaffected nurses had attended NSI training sessions before the incident, their practice was still low (Yunihastuti et al, 2020). Thus, stricter enforcement of the knowledge and practice of universal precaution is needed as 80% of the incidences are preventable (Zaidi et al, 2010).…”