Pattern of Sharps Injuries in Ophthalmic Practice

Alshihry, Ahmad Mohammad

doi:10.4172/2161-1165.1000128

Cited by 2 publications

(5 citation statements)

References 17 publications

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“…These observations are recognized in Alshihry’s et al who reported that the most common circumstance of injury is while handling a sharp instrument (47%). 15 This is also consistent with data from other medical specialties as evident by the 2021 The International Safety Center EPINet report, which has estimated that 57.5% of injuries happened during the use of a sharp item. 16 Injuries occurring before disposal of a sharp device were 21.9%.…”

Section: Discussionsupporting

confidence: 86%

“…In this study, injuries reported during/after disposal are comparable to Alshihry et al (21%), lower than the one reported in Ghauri et al (46%), but significantly higher than the 4% reported in EPINet. 11 , 15 , 16 Injuries in this context are largely observed with hollow-bore needles such as intravitreal injections. Ophthalmologists perform dozens of intravitreal injections on a daily basis.…”

Section: Discussionmentioning

confidence: 99%

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Needle-Stick Injuries in Ophthalmic Practice

Alfarhan,

Al-Swailem,

Alobaid

et al. 2023

RMHP

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Purpose Needle-stick injuries (NSI) are a prominent route by which blood-borne infections are transmitted. The unique microsurgical nature of ophthalmic practice constitutes an additional risk to sustain injury. This study aimed to identify the epidemiological profile of needle-stick injuries in a tertiary eye center and to evaluate the implemented safety policy in preventing sharp injuries. Methods This was a retrospective cross-sectional study of all sharp injuries that occurred at King Khalid Eye Specialist Hospital (KKESH). Data on all reported sharp injury incidents from 2013 to 2021 were collected. The mechanisms of injury, context, location, and type of prick were collected and analyzed. Also, this study involved an institution-based survey for all ophthalmic staff. Results Two hundred and one sharp injury incidents were reported over 9 years. Physicians sustained 46.8% (n=94) of injuries, followed by nurses and ophthalmic technicians, 40.8% (n=82) and 7% (14); respectively. Operating and treatment rooms were the locations of 60.7% of incidents, whereas outpatient clinics and emergency rooms accounted for 19.4% and 13.4% of injuries, respectively. Conclusion The current findings add to the growing body of literature on the importance of NSI prevention and reporting strategies. In the present study, sharp injuries were most commonly encountered by ophthalmic staff in the operating rooms. Continuous staff education on handling sharp instruments, encouraging anonymous reporting, and up-to-date revisions of guidelines and policies are of paramount importance to lessen the burden of sharp injuries.

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Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Needle-Stick Injuries in Ophthalmic Practice

Alfarhan,

Al-Swailem,

Alobaid

et al. 2023

RMHP

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“…and Alshihry each reported 52% and 55% of NSI in the ophthalmic theater and this corresponds with our results. [ 4 6 ] This can be attributed to the fact that most ophthalmic procedures are conducted in the OT and ours being a tertiary care center, the number of surgeries are higher on a per day basis and thus increases the chances of NSI in both the OT and the ward.…”

Section: Discussionmentioning

confidence: 99%

“…This was comparable with the results obtained in the study by Alshihry where they observed the maximum number (31%) of NSI while handling instruments during operating procedures. [ 6 ] Ghauri et al . observed 46%, and Alshihry observed 21% cases of NSI while discarding the needles in comparison to ( n = 7; 14%).…”

Section: Discussionmentioning

confidence: 99%

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Needle stick injuries in a tertiary eye-care hospital: Incidence, management, outcomes, and recommendations

Rishi

Balekudaru

Dhami

et al. 2017

Indian J Ophthalmol

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Purpose:The purpose of this study is to assess the incidence, management, and outcomes for needle stick injuries (NSIs) in a tertiary eye-care hospital and provide appropriate recommendations for its prevention.Methods:This was a retrospective database review of NSI recorded between 2010 and 2015 at a tertiary eye care center. All staff members who had NSI were managed with standard treatment protocol. The mode, location, health-care workers affected and/or at risk for NSI were analyzed.Results:One hundred and forty NSI were reported between 2010 and 2015, with ophthalmic fellows under training encountering maximum needle pricks (n = 33; 24%), followed by nursing staff (n = 32; 23%), and consultants (n = 30; 21%). Location wise, the highest incidence of NSI was found in the operating room (n = 94; 67%), followed by the laboratory (n = 17; 12%), and patients’ ward (n = 14; 10%). Maximum pricks (n = 10; 20%) occurred while passing sharp instruments, anterior segment surgeons (n = 23; 79%) being affected more than posterior segment surgeons (n = 6; 21%). None of the NSI incidents was attributed to anti-VEGF injections. None of the subjects with NSI had seroconversion to hepatitis B surface antigen, human immunodeficiency virus, or hepatitis C virus in the 5-year study period.Conclusions:NSI is the most commonly encountered in the operating room among training personnel while passing sharp instruments, especially anterior segment surgeons. A proper needle/sharp disposal mechanism, documentation of adverse event, on-going staff training, and prompt prophylactic treatment are essential components of the protocol for NSI management.

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Pattern of Sharps Injuries in Ophthalmic Practice

Cited by 2 publications

References 17 publications

Needle-Stick Injuries in Ophthalmic Practice

Needle-Stick Injuries in Ophthalmic Practice

Needle stick injuries in a tertiary eye-care hospital: Incidence, management, outcomes, and recommendations

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