Needlestick Injuries Among French Medical Students

Rosenthal, Éric; Pradier, Christian; Keïta-Perse, Olivia; Altare, Jöelle; Dellamonica, P.; Cassuto, Jill‐Patrice

doi:10.1001/jama.281.17.1660

Cited by 34 publications

(33 citation statements)

References 8 publications

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“…Be that as it may, and for the relatively small sample size, 56.9% represents more than a half of the sample size. Global literature has reported a wide range, between 24% and 84% of sharp injuries [12,20,[28][29][30]. Occupational exposure to blood and body fluids is very high among HOs, and this is important because of the danger of cross-infection that this may pose.…”

Section: Discussionmentioning

confidence: 99%

Occupational exposure to sharp injuries among medical and dental house officers in Nigeria

Osazuwa-Peters¹,

Obarisiagbon²,

Azodo³

et al. 2013

International Journal of Occupational Medicine and Environmental Health

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Objective: Sharp injuries constitute important occupational exposure in hospital environment, and perhaps the newly graduated medical and dental students, known as House Officers, in the first twelve months of their practice, are the most vulnerable of all health workers. This study was designed to examine the nature and prevalence of occupational injuries among medical and dental house officers and factors associated with reporting these injuries. Materials and Methods: A self-administered questionnaire was used to obtain information on demography, types of exposure, and barriers to official reporting of occupational injuries. One hundred and forty-four medical and dental house officers in 3 government owned hospitals in Edo State, Nigeria participated in the study, between April and May, 2010. Descriptive and multivariable analyses were performed. Results: The overall response rate was 96%. Out of all participants, 69.4% were male; 82.6% were medical house officers. Prevalence of percutaneous injury was 56.9%; where needlestick injury constituted one-third of all injuries. Mean frequency of injury was 1.86±2.24, with medicals having more injuries (p = 0.043). The ward was the most common location for the injury and 14.8% of exposures occurred as a result of lapse in concentration. At least 77.0% did not formally report their injury and perceived low injury risk was the most common reason given (51.67%). Conclusion: This study shows that a substantial number of House Officers are exposed to occupational injuries and that the majority of them does not formally report these. Safer work environment may be achieved by implementing adequate educational programs tailored specifically to house officers, and policies encouraging exposure reporting should be developed.

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Section: Discussionmentioning

confidence: 99%

Occupational exposure to sharp injuries among medical and dental house officers in Nigeria

Osazuwa-Peters¹,

Obarisiagbon²,

Azodo³

et al. 2013

International Journal of Occupational Medicine and Environmental Health

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“…Other studies of medical students around the world also seem to support the high prevalence of sharp injuries among medical and dental students. NSIs among medical students has been reported internationally at the following rates: 24% in France, 20 30-33% in the United States of America (USA), 21,22 12-33% in England 23 and 35% in Singapore. 24 Of the 53 students who reported NSIs during our investigation, (approximately 0·23 NSI events per student per year), 60.3% (32/53) were 4 th year students and 39.7% (21/53) were 5 th year students.…”

Section: Discussionmentioning

confidence: 99%

A survey of needle sticks and other sharp injuries among dental undergraduate students

Jaber

2011

Int. j. infect. control

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Health-care workers (HCWs) including dental students are at occupational risk of exposure to blood-borne viruses (BBV) following needle sticks and sharp injuries (NSIs). The purpose of this study was to determine the prevalence of NSIs among dental students and evaluate the circumstances in acquiring such injuries. A survey was carried out of all clinical dental students in the College of Dentistry, Ajman University of Science and Technology, United Arab Emirate (UAE) by means of an anonymous self-administered questionnaire that asked questions on demography, number, type, level of knowledge of inoculation injuries and associated risks of exposure to BBV, management and reporting of such exposures. Of 230 dental students that responded to the questionnaire (response rate of 92 percent), 64 (27.9%) were males and 166 (72.1%) were females, 132 (57.3%) were 4 th year students and 98 (42.7%) from 5 th year students. Of the total sample, 53 students reported having had an inoculation injury, resulting in a 0.23 sharp injury events per student per year. Recapping a needle, administering local anesthesia and performing scaling and polishing procedures were the most important causes of NSIs among dental students (60.3%, 32/53). Despite a comprehensive educational programme and training for dental students, knowledge of inoculation injuries and associated issues remained inadequate. The findings of this study confirm that dental students experience NSIs but are not likely to report them, thus it is important that the principles of infection control training and reporting of all NSIs continue to be emphasized throughout undergraduate dental education.

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“…En este estudio, el empleo de las medidas de contención primaria no fue mayoritario en los estudiantes de tecnología médi-ca del área de laboratorio clínico, quienes manipulan sangre y/o suero de pacientes, lo cual aumenta el riesgo de exposición ocupacional a patógenos transmitidos por sangre ( 18,25 ).…”

Section: Discussionunclassified

“…En nuestro medio, debemos empezar a hacer estudios sistemáticos, con cuestionarios anónimos ( 7,9,10,(12)(13)(14)(15)(16)18,(21)(22)(23)(24) ), para conocer la verdadera frecuencia de los accidentes ocasionados por exposición a líquidos corporales en los estudiantes de la Facultad de Medicina San Fernando, al mismo tiempo que poner énfasis en la prevención de lesiones por pinchazos o cortes, a través de la educación y las prácticas seguras de trabajo para el manejo de agujas y sistemas relacionados ( [8][9][10]16,24 ). A pesar de ser una universidad pública con serias limitaciones económicas, la adhesión a las medidas de precaución universales no solo es necesaria e imprescindible para disminuir el riesgo de exposición ocupacional, sino también es posible.…”

Section: Discussionunclassified

“…El riesgo de exposición e infección por estos patógenos en los estudiantes es desconocido, debido a que muchos accidentes no son reportados ( 9,15,16 ). Sin embargo, no cabe duda que los riesgos de exposición ocupacional son altos en los estudiantes de medicina y ciencias de la salud, dada la necesidad de utilizar elementos punzocortantes, la manipulación de lí-quidos corporales, la inexperiencia, el escaso desarrollo de las habilidades manuales y el uso no muy difundido de las medidas de contención primaria ( 7,15,17,18 Es responsabilidad de las Facultades de Medicina brindar educación a los estudiantes sobre promoción, prevención y manejo de los accidentes biológicos, así como proveer de ambientes y condiciones adecuadas y seguras para el desarrollo de las actividades prácticas. Mientras la mayoría de las Escuelas de Medicina de los países desarrollados han implementado medidas de protección y prevención contra los accidentes biológicos ( 9,23,24 ), poco es lo que se ha avanzado en bioseguridad práctica en nuestro país ( 7,22 ).…”

Section: Introductionunclassified

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Medidas de protección contra agentes patógenos transmitidos por sangre, en estudiantes de pregrado

et al. 2013

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Objetivo: Medir la frecuencia del uso de barreras de protección, en estudiantes de pregrado de la Facultad de Medicina, durante su periodo de estudios en la Universidad y el hospital. Diseño: Estudio tipo encuesta. Lugar: Instituto de Medicina Tropical Daniel A. Carrión, Universidad Nacional Mayor de San Marcos. Participantes: Alumnos de la Escuela Académico Profesional de Tecnología Médica. Intervenciones: Se distribuyó un cuestionario a 68 alumnos de cuarto y quinto año de estudios de la Escuela Académico Profesional de Tecnología Médica, Área de Laboratorio Clínico, Facultad de Medicina de la Universidad Nacional Mayor de San Marcos. El cuestionario fue anónimo y recogió información sobre la edad, sexo y uso de las barreras de protección. Principales medidas de resultados: Empleo de guardapolvo, guantes, propipeta y mascarilla. Resultados: Sesenticinco estudiantes (95,5%) completaron el cuestionario. El uso de guardapolvo, guantes, propipeta y mascarilla fue 98,5%, 49,2%, 33,8% y 9,2% en la Universidad y 78,9%, 78,9%, 52,6% y 26,3% en el hospital, respectivamente. Conclusiones: El uso de barreras de protección es bajo. Los resultados del estudio apoyan la necesidad de una capacitación más cuidadosa de los estudiantes sobre las prácticas seguras de trabajo.

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Needlestick Injuries Among French Medical Students

Cited by 34 publications

References 8 publications

Occupational exposure to sharp injuries among medical and dental house officers in Nigeria

Occupational exposure to sharp injuries among medical and dental house officers in Nigeria

A survey of needle sticks and other sharp injuries among dental undergraduate students

Medidas de protección contra agentes patógenos transmitidos por sangre, en estudiantes de pregrado

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