scholarly journals Prevalence of occupational exposure to needle‐stick injury and associated factors among healthcare workers of developing countries: Systematic review

2020 ◽  
Vol 62 (1) ◽  
Author(s):  
Dechasa Adare Mengistu ◽  
Sina Temesgen Tolera
Keyword(s):  
Systematic Review ◽  
Developing Countries ◽  
Occupational Exposure ◽  
Healthcare Workers ◽  
Associated Factors ◽  
Needle Stick Injury ◽  
Needle Stick

scholarly journals Worldwide Prevalence of Occupational Exposure to Needle Stick Injury among Healthcare Workers: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Dechasa Adare Mengistu ◽  
Sina Temesgen Tolera ◽  
Yohannes Mulugeta Demmu
Keyword(s):  
Occupational Exposure ◽  
Healthcare Workers ◽  
Boolean Logic ◽  
Cochrane Library ◽  
Needle Stick Injury ◽  
Medical Subject Headings ◽  
Needle Stick ◽  
Pooled Prevalence ◽  
Needle Stick Injuries ◽  
One Year

Background. Healthcare workers are at high risk of occupational exposure to needle stick injury worldwide. Occupational exposure to needle stick injury represents the most common sources of infection such as hepatitis B virus, hepatitis C virus, and human immunodeficiency virus. Thus, this review aimed to determine the career time and previous one-year global pooled prevalence of occupational exposure to needle stick injury among healthcare workers. Methods. The review considered articles written in English language and published from 2012 to 2020. The articles were searched using nine electronic databases (PubMed, Google Scholar, CINAHL, MEDLINE, Cochrane library, Web of Science, SCOPUS, MedNar, and ScienceDirect) using a combination of Boolean logic operators (AND, OR, and NOT), Medical Subject Headings, and keywords. Quality assessment was performed to determine the relevance of the articles using Joanna Briggs Institute critical appraisal tools. Several steps of assessment and evaluation were taken to select and analyze the relevant articles. Results. The worldwide pooled prevalence of needle stick injuries among healthcare workers during career time and previous one year was 56.2% (95% CI: 47.1, 64.9) and 32.4% (95% CI: 22.0, 44.8), respectively. The career time pooled prevalence of needle stick injuries based on the socioeconomic development and study area was 54.8% and 55.1%, respectively, and one-year pooled prevalence of needle stick injury was 26.0% and 20.9%. Conclusion. The review found a high prevalence of occupational exposure to needle stick injury among healthcare workers and suggests the need to improve occupational health and safety services in the healthcare systems.

scholarly journals Economic Burden of Needle-Stick Injury Among Healthcare Workers in China

2018 ◽  
Vol 21 ◽  
pp. S86 ◽  
Author(s):  
L Zhang ◽  
Y Ai ◽  
J Liu ◽  
N Yue ◽  
J Xuan ◽  
...  
Keyword(s):  
Economic Burden ◽  
Healthcare Workers ◽  
Needle Stick Injury ◽  
Needle Stick

scholarly journals Occupational blood exposure beyond needle stick injuries: hospital-based cross-sectional study among healthcare workers in governmental hospitals of Northern Ethiopia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Semere Reda ◽  
Mesfin Gebrehiwot ◽  
Mistir Lingerew ◽  
Awoke Keleb ◽  
Tefera chane Mekonnen ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Cross Sectional Study ◽  
Body Fluids ◽  
Outcome Variable ◽  
Needle Stick Injury ◽  
Northern Ethiopia ◽  
Sectional Study ◽  
Cross Sectional ◽  
Needle Stick ◽  
Needle Sticks

Abstract Background Occupational blood exposure is one of the major public health problems that healthcare workers (HCWs) are encountering. Most previous occupational blood exposure studies are delimited to needle stick injury, which could underestimate the real level of blood exposure. On the other hand, others deal with crude blood and body-fluids exposure, which possibly overestimate the magnitude of blood exposure. Therefore, this study aimed at determining the prevalence of occupational blood exposure and identifying associated factors among HCWs in the Southern Tigrai zone governmental hospitals of Northern Ethiopia considering all the potential means of blood exposure (needle stick injury, sharp medical equipment injury, and blood splash) while excluding blood-free body-fluids. Methods A hospital based cross-sectional study design was employed to gather data from randomly selected HCWs in three governmental hospitals from February to March, 2020. A multivariable logistic regression model was used to identify the independent factors associated with the outcome variable. Results From the total of 318 HCWs, 148 (46.5 %) were exposed to blood at least once in their lifetime. Working for more than 40 h per week (AOR= 9.4; 95 % CI: 7.61, 11.41), lack of adequate personal protective equipment (PPE) (AOR=3.88; 95 % CI: 1.64, 5.42), Hepatitis B virus vaccination (AOR=0.54; 95 % CI: 0.12,0.78), recapping used needle sticks (AOR=3.18; 95 % CI: 1.28, 8.83), and lack of infection prevention and patient safety (IPPS) training (AOR=13.5; 95 % CI: 8.12,19.11) were detected to significantly increase the likelihood of occupational blood exposure. Conclusions As nearly half of the HCWs were exposed to blood, reducing work load below 40 h per week by employing additional staff members, supplying adequate PPE, avoiding recapping of used needle sticks, and providing IPPS training for the HCWs should be practiced.

scholarly journals The Prevalence of Accidental needle Stick Injury and their reporting among healthcare Workers in orthopaedic Wards in General hospital Melaka, Malaysia

2014 ◽  
Vol 8 (2) ◽  
pp. 6-13 ◽  
Author(s):  
bhardwaj A ◽  
Sivapathasundaram N ◽  
Yusof MF ◽  
Minghat AH ◽  
Swe KMM ◽  
...  
Keyword(s):  
General Hospital ◽  
Healthcare Workers ◽  
Needle Stick Injury ◽  
Needle Stick

scholarly journals Knowledge and response of health care workers after needle - stick injury in a tertiary care hospital setting in tribal Rajnandgaon, Chhattisgarh, India

2017 ◽  
Vol 5 (3) ◽  
pp. 816 ◽  
Author(s):  
Kiran G. Makade ◽  
Dhiraj Bhawnani ◽  
Nirmal Verma ◽  
Monika Dengani
Keyword(s):  
Health Care ◽  
Occupational Exposure ◽  
Health Care Workers ◽  
Tertiary Care ◽  
Needle Stick Injury ◽  
Care Hospital ◽  
Needle Stick ◽  
Cutaneous Injury ◽  
Care Workers ◽  
Increased Risk

Background: Health care workers (HCW) who have occupational exposure to blood are at increased risk for acquiring blood-borne infections. Occupational exposure to blood can result from per-cutaneous injury (needle stick or other sharps injury), muco-cutaneous injury or contact with non-intact skin. Hence not only doctors and nurses even laboratory technicians, housekeeping personnel and hospital waste handlers are at risk of harboring the blood borne infections through needle-stick injury (NSI).Methods: The present prospective cross sectional study was carried out at the 400 bedded Government Medical College Hospital, Rajnandgaon, Chhattisgarh, India, during period from November 2015 to August 2016. Out of total study participants, 18 were doctors, 142 nurses and 20 lab technicians from different clinical departments/wards of the hospital. Data was collected by using a predesigned pretested questionnaire and analyzed using appropriate statistical software.Results: Out of 180 HCW, 149 (82.78%) were females and, 31 (17.22%) were males. Majority 78 (43.3%) of the subjects said that the physician should be consulted after NSI within one hour. 51.1% of the subjects surprisingly replied that it was not necessary to report NSI. Around 72 (40%) of the subjects had history of NSI sometime in their life till then. Out of total exposed respondents, 56/72 (77.8%), took ICTC consultation. Out of total subjects who consulted ICTC, 51/56 (91.1 %), were suggested to take PEP by the ICTC physician. Out of 51 subjects who were advised PEP (Post Exposure Prophylaxis) by ICTC Physician, 45 (88.2%) started PEP within 1 hr of NSI. Majority of the participants replied that most probability of getting NSI was while drawing blood sample from the patients (29.2%). 68.9% of the study subjects were immunized completely against Hepatitis B.Conclusions: The study subjects had adequate knowledge about NSI and their response in the form of actions that have to be taken after NSI was also satisfactory. The response in the form of taking consultation from a specialist and taking PEP was appreciable but it needs to be improved upon.

scholarly journals Post exposure prophylaxis for HIV among healthcare workers due to occupational exposure: a record based study at a tertiary care teaching hospital of Kolkata

2021 ◽  
Vol 8 (5) ◽  
pp. 2503
Author(s):  
Paramita Sarkar ◽  
Saibendu Kumar Lahiri
Keyword(s):  
Occupational Exposure ◽  
Healthcare Workers ◽  
Tertiary Care ◽  
Occupational Exposures ◽  
Post Exposure Prophylaxis ◽  
Care Hospital ◽  
Skin Mucus ◽  
Needle Stick ◽  
Post Exposure ◽  
Exposure Prophylaxis

Background: Healthcare workers (HCWs) regularly face the risk of exposure to sharp injuries and splashes as an occupational hazard, which presents major risk for acquiring blood-borne infectious agents like human immunodeficiency virus (HIV) which can be minimized by taking post exposure prophylaxis (PEP) measures. There are limited studies from India documenting details of PEP for HIV. This record-based study aimed to determine the occurrence of needle stick injuries (NSIs) and other high-risk occupational exposures to blood and body fluids (BBFs) among HCWs in a tertiary care hospital, Kolkata. We aimed to study details of PEP regimens used among HCWs exposed to HIV.Methods: Hospital record was analyzed from reported incidences of occupational exposures to BBFs occurred during the period of October 2013 to March 2019. Information on self-reported incidence of occupational exposure, and post-exposure management were collected.Results: A total of 105 incidents of occupational exposure were registered during study period. Interns (37, 35.2%) were most frequently exposed, followed by physicians (22, 21.0%) and nurse (21, 20.0%). 88 (83.8%) of the personnel sustained NSIs, and 17 (7.2%) had splashes to skin, mucus membranes. There was no significant difference between subjects with splashes to skin, mucus membranes and needle-stick cases regarding discontinuation of post exposure prophylaxis (PEP) (11.8% versus 19.3%, p<0.548). No cases of sero-conversion were reported.Conclusions: In spite of high incidences of exposures to HIV source, good efficacy of PEP was observed with no sero-conversion. PEP for HIV was well tolerated. Study emphasized the need for creating awareness about timely reporting of incidence.

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