Occupational exposure to sharps injury among healthcare providers in Ethiopia regional hospitals

Sharew, Nigussie Tadesse; Mulu, Getaneh Baye; Gizachew, Kefyalew Dagne

doi:10.1186/s40557-017-0163-2

Cited by 27 publications

(32 citation statements)

References 24 publications

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“…Nurses in both facilities had the highest exposure see Table 4. This is consistent with many other studies; 62.6% of nurses in a study in Ethiopia had been exposed to blood/body fluids [21]. Another study on blood and body fluid exposure in African health care system revealed a high prevalence of HCWs over a 12 month period with a range of 33.9% in South Africa to 60.7% in Northern Africa as the highest, however very few studies have been conducted on Body fluid exposure between 2000 -2017 in African [22].…”

Section: Discussionsupporting

confidence: 92%

Evaluation of Occupational Health and Infection Control Practices in Some Federal Medical Centers (FMCs) in Southern Nigeria

Allen

Nwaogazie

Douglas

2019

JSRR

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The hospital is a high risk environment for the transmission of infections to health care workers, visitors, patients and the surrounding community. Healthcare workers are exposed to a variety of hazards which predisposes these “indispensable carers” to various life threatening infections and diseases. This study is aimed at evaluating the occupational hygiene and infection control practices in Federal Medical Center (FMC) Owerri and FMC Yenayoa, both located within southern Nigeria. Descriptive cross sectional study using a structured questionnaire and walk-through safety checklist was employed. A total of 379 healthcare workers were selected through disproportionate stratified sampling from the two facilities. The questionnaires were self-administered and analyzed using SPSS Version 22.0. Frequencies, chi-square were computed and multivariable logistic regression analysis was used to identify the predisposing factors to which health workers are exposed; 60.7% of respondents were male, dominant age group; 30 – 39yrs, nurses represented a larger proportion (34.8%) of healthcare workers in this study; 51.7% and 48.3% of respondents in FMC Yenagoa and FMC Owerri respectively had a good knowledge of hazards and controls. There was a significant difference with chi-square as, 9.710 p-Value <0.008. Good level of attitude was 44.7% in Owerri and 21.2% in Yenagoa, chi-square 18.295 p-Value <0.001. Overall level of occupational hygiene and infection control practices was poor in both facilities. Health care workers had a very high level of exposure to ergonomic hazards (88.9%) and biological hazards 47.6% in Owerri and 55.3% in Yenagoa. Nurses were 5 times more at risk of ergonomic hazards (95%CI) – 5.96 (2.19–16.24) p-Value < 0.001, while Medical Laboratory scientists were 5 times more at risk of chemical hazards (OR = 5.98, 95CI: 3.05–11.69, p-Value <0.001). The checklist revealed that both facilities were of imminent high risk category. Health care workers at FMC Yenagoa had higher exposures to all five categories of hazards than FMC Owerri. Working in FMC Owerri predisposes workers to higher health hazards than in FMC Yenagoa. There was better administrative controls including trainings and immunizations in FMC Yenagoa than in FMC Owerri.

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Section: Discussionsupporting

confidence: 92%

Evaluation of Occupational Health and Infection Control Practices in Some Federal Medical Centers (FMCs) in Southern Nigeria

Allen

Nwaogazie

Douglas

2019

JSRR

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“…More than 45% of HCWs had at least one episode of percutaneous injury. 10 The studies showed that practicing needle recap, 11 cigarette smoking, lack of training on occupational health and safety, job satisfaction, 12 on the job training, 13 work experience, working hours, presence of personal protective equipment, and infection prevention guideline utilization were found to increase the risk of NSSIs. 14 The prevalence of NSSIs can be reduced through the improved training and use of safety devices, education, and awareness.…”

Section: Introductionmentioning

confidence: 99%

<p>The Prevalence of Needlesticks and Sharp Injuries, and the Associated Factors Among Midwives and Nurses in North Wollo Zone Public Hospitals, North East Ethiopia: An Institution-based Cross-sectional Study</p>

Getie¹,

Wondmieneh²,

Tesfaw³

2020

DHPS

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Background: Health professionals are at high risk of exposure for needlestick or sharp injury due to repeated exposure in clinical areas. This exposure leads to the acquiring of different infectious diseases like human immunodeficiency virus (HIV), hepatitis B virus (HBV), hepatitis C virus (HCV), and other infectious diseases. Nurses and midwives having repeated exposure due to long working time, not wearing personal protective equipment, less work experience, and who are unable to apply infection prevention utilization guidelines are at high risk of needlestick and sharp injuries. Methods: An institutional-based, cross-sectional study design was conducted in North Wollo Zone public hospitals. A simple random sampling technique was applied to select study subjects. The method of data collection was self-administered questionnaires that are structured and pretested from February to March 2019. The data were analyzed using both descriptive and analytical statistics. Binary logistic regressions were used to test the association between variables. Then, P-value <0.05 was considered as statistically significant in this study. Results: Of the 147 respondents who participated in the study, 50.3% were female and 49.7% were male. The prevalence of needlestick and the sharp injuries was 75.5%. Recap practice of needle (AOR: 3.880; 95%CI: 1.666-9.036), working room (maternal care room) (AOR: 2.968; 95%CI: 1.012-8.703), and contagious room like emergency room (AOR: 3.587; 95%CI: 1.383-9.301) are significantly associated with needlestick and sharp injuries. Conclusion: This study showed that three-quarters of the study subjects were exposed to needlestick injury at least once in the past year. Needle recapping practice and working room were associated with needlestick and sharp injuries. Then, health personnel should avoid the practice of recapping a needle and tale care themself to avoid needle and sharp injuries in the workplace.

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“…In a study by Cheng et al (2012), the risk of occupational NSIs increased significantly with several factors including number of years in practice, working in clinics, lower compliance with infection control procedures, and having insufficient knowledge of blood-borne pathogens. In another study, a lack of in-service training and previous exposure to sharps injury were statistically significant risk factors for sharps injury, increasing the risk by about 4.7-fold (Sharew et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

Injury and infection in dental clinics: Risk factors and prevention

Al-Zoughool

Al-Shehri

2018

Toxicol Ind Health

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Needlestick and sharp instrument injuries are common in dental practice and present the risk of direct exposure to blood-borne pathogens, including hepatitis B virus. This cross-sectional study was carried out to determine the risk factors of injury and infection in three types of dental clinic in Riyadh, Saudi Arabia. A total of 274 male and 241 female dentists completed a structured questionnaire on demographic factors, compliance with infection control practices, and past exposure to injury and infection hazards. Dentists with more years of professional experience were significantly less likely to report having had an injury in the past (unadjusted odds ratios (ORs) and 95% confidence intervals (CIs) were 0.48, 0.27-0.87 and 0.38, 0.16-0.89 for dentists with 10-20 years and for those with over 20 years of experience, respectively). Greater compliance with infection control procedures was associated with significantly fewer reports of previous infection (OR 0.31, 95% CI 0.12-0.84). Experience of occupational safety training was not associated with a lower rate of injury or infection. Greater occupational safety knowledge and compliance with infection control management practices contribute to a reduced risk of injury and infection among dentists. More focused and specialized training on infection control and occupational safety is needed for all practicing dentists and dental students.

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Occupational exposure to sharps injury among healthcare providers in Ethiopia regional hospitals

Cited by 27 publications

References 24 publications

Evaluation of Occupational Health and Infection Control Practices in Some Federal Medical Centers (FMCs) in Southern Nigeria

Evaluation of Occupational Health and Infection Control Practices in Some Federal Medical Centers (FMCs) in Southern Nigeria

<p>The Prevalence of Needlesticks and Sharp Injuries, and the Associated Factors Among Midwives and Nurses in North Wollo Zone Public Hospitals, North East Ethiopia: An Institution-based Cross-sectional Study</p>

Injury and infection in dental clinics: Risk factors and prevention

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