Estimation of the global burden of disease attributable to contaminated sharps injuries among health-care workers

Abstract As in many countries, there is an urgent need to prioritize the issues in public health care and prevention in France. The French GBD project aims to offer a unique set of combined morbidity and mortality estimates to inform health policy makers in France, at the national level. However, because of the variability in health status and risk factors across geographical areas, policy makers need comparable estimates at the regional and local levels to target specific populations and to implement actions to improve health. Besides, although the accuracy of the indicators provided by the GBD has not been evaluated in the French context, it would be likely improved by enhancing and enriching the French data used as input. The French national health data system is one of the largest healthcare claims database in Europe. Based on these data, the French National Health Insurance (Cnam) and Santé publique France (SpFrance), in collaboration with clinicians and researchers, have developed a set of algorithms to identify diseases based on health care reimbursements, which could improve GBD estimates. Cnam and SpFrance both contribute to the definition, prioritization and evaluation of health policies in France and have therefore decided to pool their strengths and mutualize their resources to build a common rationale and provide consistent French Burden of Diseases estimates. A collaboration with the Institute of Health Metrics and Evaluation (IHME) has also been initiated, to allow Cnam and SpFrance benefiting from IHME's infrastructure and expertise and together seek to improve the estimates of the indicators using comparable methods at local and national levels, and consistent with the overall Global Burden of Disease project. Finally, beyond the ongoing production of the GBD metrics, another objective is the knowledge transfer to Cnam and SpFrance as learning organizations. The project has started with a framework between the three parties and the expression of interest.

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Assessment of occupational exposure to sharp injuries among health care workers in King Abdulaziz University Hospital

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20181434 ◽

2018 ◽

Vol 5 (5) ◽

pp. 1756 ◽

Cited By ~ 1

Author(s):

Samia S. Abdulmageed ◽

Fatmah Alabbassi ◽

Mai Alradi ◽

Nebras Alghanaim ◽

Sundos Banjar ◽

...

Keyword(s):

Health Care ◽

Occupational Exposure ◽

Health Care Workers ◽

Significant Risk ◽

University Hospital ◽

Work Overload ◽

Care Workers ◽

King Abdulaziz University ◽

Sharps Injury ◽

Sharps Injuries

Background: Sharps injuries are accidental infiltrating wounds that are typically the consequences of utilizing hazardous equipment in the usual fast-paced, and stressful health care setting. As a result, exposure to blood-borne pathogens from sharps injury poses a significant risk to health care workers. These injuries predispose the staff to dangerous infections such as hepatitis B, C and HIV. The aim of the study was to assess the occupational exposure to sharps injuries among health care workers in King Abdulaziz University Hospital in Jeddah.Methods: A cross-sectional descriptive study was conducted. Nurses, residents, dentists, and housekeepers working in the surgical ward, obstetrics and gynaecology ward, emergency department, operation room, labor and delivery room, and dental clinics at King Abdulaziz University Hospital were included. A random sample of 161 subjects was recruited in this study using a self-administered structured questionnaire.Results: Of 161 participants, 53 (32.90%) had a history of sharps injury. Among them 25 (47.16%) were nurses, both surgical and gynaecological residents had the same result of 11 (20.76%), and 6 (11.32%) of them were dentists. Most of the injuries had occurred during the use of the suture needle; 24 (45.28%) suggested that work overload was the main reason for sharps injury occurrence.Conclusions: Among health care workers, nurses were especially at risk of exposure to sharps injury. The most important risk factors for injury occurrence include long working hours, continuous rotating shifts, and work overload. Also, not all of the health care workers knew about the hospital’s reporting system.

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