Prevalence Of Needle Stick Injuries And Their Underreporting Among Healthcare Workers In The Department Of Obstetrics And Gynaecology

Nagandla, Kavitha; Krishna, K; Bhardwaj, Amit; Muthalagan, D; Yhmin, C; Lun, LW; Shi, WW; Razak, Niba

doi:10.3823/1780

Cited by 19 publications

(24 citation statements)

References 11 publications

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“…Medical students are a group of health care workers that are at high risk to get HBV and HCV infections because of their direct contact with patients, blood and other body fluids during their professional training, and lack of experience and professional skills increases the risk of infection in the course of invasive medical procedures [ 12 ]. Medical students receive percutanous injuries as often or more than health care workers and are, therefore, at greater risk of occupational exposure to HBV and HCV infections than health care workers, a fact that might partially be explained by poor knowledge and non-adherence to universal infection control procedures [ 13 , 14 ]. In addition to this, there exists a widely prevalent problem of underreporting of this risk exposures by students, which represents a missed opportunity for initiating post exposure prophylaxis, early detection of seroconversion and implementation of prevention strategies [ 15 , 16 ].…”

Section: Introductionmentioning

confidence: 99%

Hepatitis B and C: Seroprevalence, knowledge, practice and associated factors among medicine and health science students in Northeast Ethiopia

2018

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BackgroundHealth care professionals, especially medical students, are at greater risk of contracting hepatitis B and C virus infections due to their occupational exposure to percutaneous injuries and other body fluids. The aim of this study was to determine the seroprevalence of hepatitis B and C virus infections among medicine and health science students in Northeast Ethiopia and to assess their knowledge and practice towards the occupational risk of viral hepatitis.MethodsA cross-sectional study was conducted among a total of 408 medicine and health science students during the period from March to September 2017. A pre-coded self-administered questionnaire was used to collect data on students’ socio- demographic characteristics, knowledge and practice of hepatitis B and C infections. Blood samples were collected and screened for hepatitis B surface antigen (HBsAg) and anti-HCV antibodies. SPSS version 20 statistical software was used for data analysis.ResultsThe seroprevalence of HBV infection was 4.2% (95% CI 2.5 to 6.1%) and 0.7% (95% CI 0.0 to 1.7%) for HCV. Older age (AOR = 15.72, 95% CI 1.57–157.3) and exposure to needlestick injury (AOR = 3.43, 95% CI 1.10–10.73) were associated with a higher risk of HBV infection. Majority of the students (80.1%) had an adequate knowledge about hepatitis B and C infection, mode of transmission and preventive measures. Only 50.0% of students had safe practice towards occupational risk of viral hepatitis infection. Almost half (49.8%) of students experienced a needlestick injury; of which, 53.2% reported the incidence, and only 39.4% had screening test result for viral hepatitis.ConclusionA high seroprevalence but poor practice of hepatitis B and C virus infection was found in the study area despite their good knowledge towards occupational risk of viral hepatitis infection.

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Section: Introductionmentioning

confidence: 99%

Hepatitis B and C: Seroprevalence, knowledge, practice and associated factors among medicine and health science students in Northeast Ethiopia

2018

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“…It was indicated that NSSIs is responsible for 37.6% of HCWs contracting HBV, 39% HCWs contracting HCV, and 4.4% HCWs contracting HIV infection [4]. Hepatitis B infection carry the greatest risk of transmission and health impact, with 37-62% of exposed HCWs eventually show sero-conversion and 22-31% in which hepatitis B infection clinically manifests [5].…”

Section: Introductionmentioning

confidence: 99%

Magnitude and Impact of Occupational Related Needle Stick and Sharp Injuries and Associated Factors among Health Care Workers in Dire Dawa, Eastern Ethiopia

Mekonnen¹,

Yosef²,

Teklegiorgis³

et al. 2018

Med Saf Glob Health

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Background: In African countries including Ethiopia occupational exposure of needle stick and sharp injuries is higher than elsewhere and it is still a major public health problem. It accounts for 86% of all occupationally related infection transmissions; expose Health Professionals to more than 20 blood borne pathogens. In Dire Dawa, Ethiopia, the magnitude of needle stick and sharp injuries and its health impacts remain unknown. In addition, available statistics underestimate the severity of the problem because most health care workers do not report their injuries. Objective: To determine the prevalence and associated factors of needle stick and sharp injuries among health care workers of public health facilities, Dire Dawa. Methods: A facility based cross sectional study was conducted using quantitative methods on a samples of 305 health care workers from five selected health facilities of Dire Dawa. Results: Both the life time and the last 12 months prevalence of NSSI were 149(53.8%) and 75(26.6%), respectively. The prevalence of NSSIs among clinical nurses, laboratory technologist and midwifery was 57%, 46% and 20%, respectively. Among the 75 cases occurred in the last one year, 49(65.3%) did not report the incident due to absence of reporting protocol (53.1%), fear of isolation and/or discrimination (20.4%), too busy to report (16.3%) and that it was not important to report the incident (10.2%). Although 80% HCWs took HBV vaccine, only 45% completed the full dose. Both before (crude analysis) and after the results were adjusted for selected variables, profession of medical laboratory (p=0.037), sometimes use of personal protective equipment (p=0.001), sometimes recapping needles after use (p=0.001), inadequate availability of post exposure prophylaxis (p=0.011), and working more than 40 H a week (p=0.009)} were factors significantly associated with occupational exposure NSSI. Conclusion: This study revealed high prevalence of NSSIs in the study area. This suggests distribution of adequate safety materials and prophylaxis is mandatory. Exposure prevention among the HCWs must be all health facilities concern and completion of three doses of Hepatitis B must be reiterated. More importantly distribution of syringe and needles which sheath or retract after use, and replace the older one, can be cost effective intervention strategy.

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“…In our study majority 21% had perceived that NSIs occurred due to their inattentiveness followed by 20% dueto procedures done in an emergency. Similarly NagandlaK et al [18] have reported that 52.6% of the NSIs occurred during emergency care procedures.…”

Section: Discussionmentioning

confidence: 89%

A cross sectional study on needle stick injuries, its associated factors and prophylactic measures among nursing staffs and students of a tertiary care hospital in Chennai

Rajesh¹,

Thamizhmaran²,

student³

2019

Public Health Rev: Int J Public Health Res

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Introduction:Nurses have the highest rate of Needle Stick Injuries (NSIs) among health care workers. Objectives: 1. To determine the prevalence of NSIs in the past three months among nursing staffs and students of a Tertiary Care Hospital and the factors associated with it. 2. To assess the pre and post exposure prophylactic measures related to NSIs followed by them. Methodology: This cross-sectional study was conducted between May and June 2017 among 354 subjects including 218 staff nurses and 136 nursing students of a Tertiary Care Government Hospital in Chennai City. After the Institutional Ethics Committee approval, subjects were interviewed with a pre-designed semi structured questionnaire. Data was analysed using relevant descriptive and inferential statistics with trial version of SPSS.v. 25.0 Results: Prevalence of NSIs in the past three months was 29.7% (n=105). Majority 79 (58.1%) nursing students had experienced NSIs. Two handed recapping of syringes was significantly associated with NSIs (P = 0.001, OR = 4.363, 95% C.I = 2.033 -9.364). Around 40 (38.1%) of the NSIs had occurred most commonly at the In-patient wards. Majority 62 (59%) of them had never reported about their NSI while only 25 (23.8%) had reported regularly. Among those who got vaccinated with HBV vaccine (n=57) for pre-exposure prophylaxis,only 13(22%) had taken three doses of HBV. Conclusion: Two handed recapping of syringes, non-usage of gloves, lack of assistance and inattentiveness during procedures, especially among nursing students are the major associated factors for occurrence of NSIs.

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Prevalence Of Needle Stick Injuries And Their Underreporting Among Healthcare Workers In The Department Of Obstetrics And Gynaecology

Cited by 19 publications

References 11 publications

Hepatitis B and C: Seroprevalence, knowledge, practice and associated factors among medicine and health science students in Northeast Ethiopia

Hepatitis B and C: Seroprevalence, knowledge, practice and associated factors among medicine and health science students in Northeast Ethiopia

Magnitude and Impact of Occupational Related Needle Stick and Sharp Injuries and Associated Factors among Health Care Workers in Dire Dawa, Eastern Ethiopia

A cross sectional study on needle stick injuries, its associated factors and prophylactic measures among nursing staffs and students of a tertiary care hospital in Chennai

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