Patterns of Needlestick and Sharps Injuries Among Training Residents

Marnejon, Thomas; Gemmel, David; Mulhern, Kelli

doi:10.1001/jamainternmed.2015.6828

Cited by 24 publications

(24 citation statements)

References 9 publications

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“…Likewise, Lee JJ et al reported that needlestick injury events tend to occur in interns with lesser clinical skill and occur during a period when new interns and residents join the clinic [21]. Other studies have identified similar findings [22, 23]. …”

Section: Discussionmentioning

confidence: 94%

Occupational blood exposures in health care workers: incidence, characteristics, and transmission of bloodborne pathogens in South Korea

et al. 2017

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BackgroundHealth care workers (HCWs) are at high risk for occupational blood exposures (OBEs) and transmission of bloodborne pathogens. This study elucidated the incidence rate and epidemiological characteristics of OBEs among HCWs and investigated the pathogen transmission rate for hepatitis B virus (HBV), hepatitis C virus (HCV), and human immunodeficiency virus (HIV).MethodsSelf-reported OBEs from January 1, 2011 to December 31, 2015 were obtained from the electronic recording system. OBE incidence densities per 100 person-years and per 100 bed-years were calculated with a 5-year trend analysis. OBE characteristics and pathogen transmission rates were evaluated.ResultsAmong 10,452 HCWs and 1072 average yearly beds, 1076 OBEs were reported. OBE incidence rate was 5.6 cases per 100 person (full-time equivalent)-years and 20.3 per 100 bed-years. Incidence rate decreased and was significantly associated with a decrease of beds served per HCW. Housekeeping showed the highest OBE rate (14.8%) followed by doctors (8.5%) and nurses (6.2%). OBEs occurred in wards, emergency rooms, and operating rooms (38.1%, 13.3% and 12.2%, respectively) via percutaneous (86.7%) and mucocutaneous exposures (13.2%). Of OBEs associated with HBV (n = 133), HCV (n = 126), and HIV (n = 25), only one led to an infection (HCV; transmission rate of 0.8%). Neither HBV nor HIV infection occurred.ConclusionsOBE incidence rate in a Korean university hospital was 5.6 cases per 100 person-years and 20.3 per 100 bed-years and was related to HCW workload and work proficiency. Though the actual bloodborne pathogen transmission rate was low, efforts to prevent OBE should be made for hospital safety.

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Section: Discussionmentioning

confidence: 94%

Occupational blood exposures in health care workers: incidence, characteristics, and transmission of bloodborne pathogens in South Korea

et al. 2017

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“…The frequency of injury is six times greater in surgical trainees compared to medical trainees. 5,9,10 We had 31 of 105 program respond to our survey, with a 63% response rate. Our study found that 68.6% of surveyed otolaryngology residents at all years of training sustained at least one NSI during their residency, which is slightly lower than a previous study of general surgery residents reported at 83%.…”

Section: Discussionmentioning

confidence: 99%

Needlestick Injury in Otolaryngology–Head and Neck Surgery Resident Programs

et al. 2020

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Objectives/Hypothesis: Up to 800,000 percutaneous injuries involving healthcare workers occur each year. The morbidity of needlestick injuries (NSIs) ranges from nothing to death. The incidence of NSI in otolaryngology residency is deemed to be high based on prior studies. This study aimed at defining the trends in otolaryngology residents regarding sharps exposure. Study Design: Cross-sectional study using survey/questionnaire. Methods: Otolaryngology accredited residency programs in North America were surveyed in 2013 and 2017 regarding their experience with NSI and perceived risk of acquiring a blood-borne infection. Results: Surveys were received from 314 residents (31 programs). There was a total of 509 needlesticks, primarily occurring during junior years (post-graduate year 1-3, 81%). Sixty-eight percent of residents had experienced an NSI. Of the residents that had an injury, the mean number of sticks was 2.37 sticks/resident. Junior residents were less likely to report their injury compared to senior residents (50% vs. 30%). The primary reason for not reporting was the time commitment. Residents underestimated their risk of acquiring human immunodeficiency virus (51% of residents) and overestimated their risk of acquiring hepatitis C virus (90% of residents). Conclusions: Occupational exposure is high in healthcare and particularly high in surgical trainees. The majority of otolaryngology trainees undergo a needlestick injury in their junior years. There continues to be underreporting of these injuries by residents, who report that the process is too time-consuming. Most residents do not have an accurate understanding of their actual risk of acquiring a blood-borne disease. These findings emphasize the need for education regarding risks and development of strategies to encourage reporting of injuries.

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“…Marnejon et al 26 provide more information regarding the exposure of residents to accidental injury during postgraduate education. In 2000–2014, Marnejon et al recorded 129 needlestick and sharps injuries among the studied group of 924 residents.…”

Section: Hiv Risk Among Health Care Workersmentioning

confidence: 99%

“…Fortunately, there was no seroconversion in any of the cases, although 16 patients were infected with hepatitis C virus (HCV) and one with HBV. 26 …”

Section: Hiv Risk Among Health Care Workersmentioning

confidence: 99%

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Occupational HIV risk for health care workers: risk factor and the risk of infection in the course of professional activities

Wyżgowski¹,

Rosiek²,

Grzela³

et al. 2016

TCRM

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Virtually created panic among health care workers about pandemic acquired immune deficiency syndrome prompted us to review the scientific literature to investigate the risk of human immunodeficiency virus (HIV) transmission in the daily works of health care workers, especially surgeons and anesthesiologists. In this review, we report worldwide valuations of the number of HIV infections that may occur from unsafe daily work in health care. We also present how to minimize the risk of infection by taking precautions and how to utilize postexposure prophylaxis in accordance with the latest reports of the Centers for Disease Control and Prevention. HIV-infected patients will be aging, and most of them will become the candidates for procedures such as major vascular reconstruction and artery bypass grafting, where the risks of blood contact and staff injury are high. For these reasons, all health care workers need to know how to prevent, and fight following the accidental exposure to HIV.

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Patterns of Needlestick and Sharps Injuries Among Training Residents

Cited by 24 publications

References 9 publications

Occupational blood exposures in health care workers: incidence, characteristics, and transmission of bloodborne pathogens in South Korea

Occupational blood exposures in health care workers: incidence, characteristics, and transmission of bloodborne pathogens in South Korea

Needlestick Injury in Otolaryngology–Head and Neck Surgery Resident Programs

Occupational HIV risk for health care workers: risk factor and the risk of infection in the course of professional activities

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