Occupational exposures to needle stick injuries among health care staff; a review study

Elmi, Safa; Babaie, Javad; Malek, Masoumeh; Motazedi, Zahra; Shahsavarinia, Kavous

doi:10.15171/jarcm.2018.001

Cited by 8 publications

(6 citation statements)

References 22 publications

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“…Considering that in 129 accidents with a contaminated instrument, the hurt nurses stated that they were not clear about the infection condition, and the actual prevalence of such infection could be larger. Among the infections, HBV was the most common pathogen (10.6 per 1000 nurses annually), which was consistent with the findings of previous studies (Elmi et al, 2018;Wang et al, 2008;Zhao et al, 2019).…”

Section: Failure To Follow Procedures May Increase Needle-stick Injur...supporting

confidence: 91%

Prevalence, emotional and follow‐up burden of insulin injection‐related needle‐stick injuries among clinical nurses in Shaanxi Province, west of China: A cross‐sectional study

Huo

Du³

et al. 2022

Nursing Open

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Aims and objectives The aim of this study was to investigate the prevalence, emotional and follow‐up burden of insulin injection‐related needle‐stick injuries among clinical nurses. Background needle‐stick injures introduce statistically significant occupational hazards to healthcare workers. Although the large proportion of the needles injuries attributed to insulin injection, research evidence about the prevalence, emotional and follow‐up burden of such injures is lacking. Design Cross‐sectional study. Methods 5389 nurses were recruited from 45 hospitals in Shaanxi, China, from November 2018 to July 2019. Participants were administrated with a questionnaire specifically developed for this study. Descriptive statistics were used to present the findings. Results All 5,389 nurses responded to the survey, of which 396 (7.4%) participants experienced 620 insulin injection‐related needle‐stick injuries in the past year, representing an annual prevalence of 115.0 per 1000 nurses. The annual prevalence of infection caused by the injuries was 18.7 per 1000 nurses. The injuries occurred most frequently when nurses were recapping the needle (42.4%). In the majority (98.4%) of the injuries, the hurt nurses took proper immediate actions. However, only 30.3% of nurses reported the injuries to the administrative staff, and in 43.2% of the injuries, the nurses refused or discontinued the suggested follow‐up. A large proportion (58.6%) of the hurt nurses experienced emotional changes. Multivariate logistic regression showed that department, removing and/or setting back needle caps with bare hands, frequency of insulin pen and syringes are associated with the incidence of insulin injection‐related needle‐stick injuries. This paper is reported following the STROBE recommendations. Conclusions This survey demonstrated a considerably high prevalence of insulin injection‐related needle‐stick injuries among clinical nurses. Even though the majority of the hurt nurses took proper immediate actions, a large quantity of them failed to report the accidents to the administrative staff and complete the suggested follow‐up. Nurses who suffered from insulin injection‐related needle‐stick injuries were subject to various negative emotional changes. It portends a statistically significant risk to occupational health management for nurses. Relevance to clinical practice Scientific preventive and management strategies are desirable in order to minimize the consequences of insulin injection‐related needle‐stick injuries.

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Section: Failure To Follow Procedures May Increase Needle-stick Injur...supporting

confidence: 91%

Prevalence, emotional and follow‐up burden of insulin injection‐related needle‐stick injuries among clinical nurses in Shaanxi Province, west of China: A cross‐sectional study

Huo

Du³

et al. 2022

Nursing Open

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“…Similarly, a study done in London indicated that most NSSIs were caused by disposal of sharp materials without using safety boxes [43]. In a hospital in Iran, the appropriate disposal of used needles nearly eliminated the risk of NSSIs [44]. This discussion indicates that lack of safety boxes, inappropriate and uncontrolled disposal of sharps, and lack of awareness of the risk involved in handling sharps might be largely responsible for NSSI.…”

Section: Plos Onementioning

confidence: 99%

Prevalence and associated factors of needle stick and sharps injuries among healthcare workers in northwestern Ethiopia

Berhan¹,

Malede

Gizeyatu

et al. 2021

PLoS ONE

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Background Needle stick and sharp injuries (NSSIs) are a common problem among healthcare workers (HCWs). Although the factors related to NSSIs for HCWs are well documented by several studies in Ethiopia, no evidence has been reported about the magnitude of and factors related to NSSIs in hospitals in northwestern Ethiopia. Methods An institution-based cross-sectional study was carried out from January to March 2019 among 318 HCWs in three randomly-selected hospitals of the eight hospitals found in South Gondar Zone. Sample sizes were proportionally allocated to professional categories. Study participants were selected by systematic random sampling methods using the monthly salary payroll for each profession as the sampling frame. Data were collected using a self-administered questionnaire. The outcome of this study was the presence (injured) or absence of NSSIs during the 12 months prior to data collection. A binary logistic regression model with 95% confidence interval (CI) was used for data analysis. Variables from the bi-variable analysis with a p-value ≤ 0.25 were retained into the multivariable analysis. From the multivariable analysis, variables with a p-value less than 0.05 was declared as factors significantly associated with NSSIs. Main findings The prevalence of NSSIs was 29.5% (95% CI: 24.2–35.5%) during the 12 months prior to the survey. Of these, 46.0% reported that their injuries were moderate, superficial (33.3%) or severe (20.7%). About 41.4% of the injuries were caused by a suture needle. Factors significantly associated with NSSIs were occupation as a nurse (adjusted odds ratio [AOR] = 2.65, 95% CI: 1.18–4.26), disposal of sharp materials in places other than in safety boxes (AOR = 3.93, 95% CI: 2.10–5.35), recapping of needles (AOR = 2.27, 95% CI: 1.13–4.56), and feeling sleepy at work (AOR = 2.24, 95% CI: 1.14–4.41). Conclusion This study showed that almost one-third of HCWs had sustained NSSIs, a proportion that is high. Factors significantly associated with NSSIs were occupation as a nurse, habit of needle recapping, disposal of sharp materials in places other than in safety boxes and feeling sleepy at work. Observing proper and regular universal precautions for nurses during daily clinical activities and providing safety boxes for the disposal of sharp materials, practicing mechanical needle recapping and preventing sleepiness by reducing work overload among HCWs may reduce the incidence of NSSIs.

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“…Pada bahaya biologi dan bahaya perilaku apabila menerapkan rekomendasi pengendalian dari peneliti dapat menurunkan tingkat risiko menjadi 100 (Tinggi) yaitu mengharuskan adanya perbaikan secara teknis (Putri O, Hussin T, 2017). Selain risiko tertusuk jarum suntik, paparan darah dan cairan tubuh merupakan faktor risiko yang serius di kalangan petugas kesehatan di ruangan persalinan.Investigasi menunjukkan bahwa setidaknya 64% staf medis terpapar darah atau cairan tubuh setidaknya satu kali dalam hidup (Elmi, Babaie, Malek, Motazedi, & Shahsavarinia, 2018).…”

Section: Diskusiunclassified

Waktu Penyembuhan Luka Perineum Ibu Nifas Berdasarkan Kadar Hemoglobin

Tarsikah¹,

Amin

Saptarini³

2018

MIKIA

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Kasus kecelakan kerja dalam pelayanan kesehatan yang paling banyak karena tertusuk benda tajam/ jarum suntik sebanyak 63,2%, saat pemasangan infus 33,4%, pengambilan darah dan injeksi 29,9%. Mereka yang terpapar pajanan dengan darah mempunyai risiko tertular HIV 15,95 kali lebih tinggi dibanding dengan yang tidak terpapar pajanan. Tujuan penelitian ini menganalisa faktor yang berhubungan dengan pemanfaatan VCT oleh Bidan di Kota Bandung sampel dalam penelitian ini adalah berjumlah 70 orang. Analisis data menggunakan chi square. Hasil sebagian besar responden mempunyai riwayat tertusuk jarum suntik sebanyak 81,4% terpapar oleh air ketuban yaitu sebanyak 68,6 %, menolong persalinan dengan sarung tangan sebanyak 57,1 %, tidak menggunakan sarung tangan saat melakukan tindakan invasif, 40% lain-lain sebanyak 15,7 %. Sebagian responden mempunyai kerentanan tertular HIV yang tinggi dari risiko pekerjaannya (57,1%), sebagian responden mempunyai persepsi rintangan yang tinggi untuk VCT (58,6%) dan sebagian besar responden mempunyai persepsi manfaat VCT yang rendah (72,9%) sedangkan sebagian besar responden memanfaatkan VCT (77,1). Terdapat hubungan antara persepsi rintangan dan manfaat untuk melakukan VCT dengan nilai p value (< 0,005). Responden yang mempunyai persepsi rintangan tinggi mempunyai perluang 2,2 kali untuk tidak memanfaatkan VCT (OR 2,2) dibandingkan dengan responden yang mempunyai persepsi rintangan rendah untuk VCT. Sosialisasi program profilaksi pasca pajanan agar bidan dapat memanfaatkan VCT.

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Occupational exposures to needle stick injuries among health care staff; a review study

Cited by 8 publications

References 22 publications

Prevalence, emotional and follow‐up burden of insulin injection‐related needle‐stick injuries among clinical nurses in Shaanxi Province, west of China: A cross‐sectional study

Prevalence, emotional and follow‐up burden of insulin injection‐related needle‐stick injuries among clinical nurses in Shaanxi Province, west of China: A cross‐sectional study

Prevalence and associated factors of needle stick and sharps injuries among healthcare workers in northwestern Ethiopia

Waktu Penyembuhan Luka Perineum Ibu Nifas Berdasarkan Kadar Hemoglobin

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