scholarly journals Knowledge, Attitude and Practice (KAP) Of Spread of HIV Infection through Needle Stick Injury among Dental Paramedics

2016 ◽  
Vol 06 (01) ◽  
pp. 039-041
Author(s):  
Nidarsh Hegde ◽  
Freddy Kersi Mistry ◽  
Soumi Samuel ◽  
S. M. Sharma

Abstract Aim: Study was conducted to know the knowledge of the paramedics working at Dental Institute, regarding spread of HIV infection through needle stick injury. Their current practice for the management of needle stick injury and their attitude for the same. Materials and Method : 100 paramedical staff working in a Dental Institute were selected randomly to participate in the study. Each one of the participant were requested to fill a structured survey form prepared by the surveyor reflecting their knowledge, practice and attitude of spread of HIV infection through needle stick injury. Results : The statistical analysis revealed the 92% of the paramedical staff knows what HIV infection is and that it can be spread through needle stick injury irrespective of their academic background. 42% of the paramedics have experienced needle stick injury, among which 95% have experienced 1-2 times a year. 61% of the needle stick injury have been reported by the paramedics with majority of them reporting to the head of the department followed by colleagues. According to the survey 95% of the paramedics followed the correct post injury protocol even though only 90% of them knew how to manage it correctly. 88% of the paramedics have been educated regarding the management of needle stick injury through the programme they have attended conducted by their respective institution. Conclusion : This survey revealed that knowledge of paramedics about the risk association of spread of HIV infection with needle-stick injuries and use of preventive measures was adequate. A standing order procedure (SOP) which if formulated regarding needle-stick injuries should be further encouraged by the head of the respective departments especially to those who have newly joined the institution to obtain still better safety measures.

2019 ◽  
Vol 7 (2) ◽  
pp. 87
Author(s):  
Hanan Ramzy Ahmed Atalla

Objective: The purpose of this study was to describe safety measures between reality and intentions among nursing students regarding needle stick injuries.Methods: Research Design: descriptive study cross sectional design. Setting: The study was carried out at three setting as the following: Faculty of Nursing, Institute of Nursing, School of Nursing at Menofia University, Menofia Governorate, Egypt. Subjects: 150 student nurses were included in the study. Tools for data collection: Interviewing questionnaire comprised of two sections: Demographic information, questionnaire regarding; mechanism of a needle stick injury the nursing students if present, at which stage needle injury occurs and reasons for not reporting that injury from student’s point of view, and safety injection checklist for assessing injection practices among injection providers.Results: Majority of studied sample were female mostly injured at outpatient clinic, medical department. Injury occurred mainly during IV injection, followed by IM injection and recapping needle. The majority of studied subject perceived that the reason of injury of needle stick injury were excitement and fear of Punishment and low grade during evaluation was the most common cause for non- reporting injury of needle stick injuries. Safety Injection Checklist for assessing injection practices among injection providers; showed 18% of study group were unsatisfied practiced while 100% of 3rd group showed satisfied practice.Conclusions: Increasing the awareness about the importance of reporting needle stick injuries is cardinal intervention to take adequate preventive measures for safety and continuous training and awareness program on injection safety to all the student nurses is a necessity for reducing the unsafe practices.


2011 ◽  
Vol 35 (1) ◽  
pp. 57 ◽  
Author(s):  
Antonio Celenza ◽  
Lloyd J. D'Orsogna ◽  
Shervin H. Tosif ◽  
Samantha M. Bateman ◽  
Debra O'Brien ◽  
...  

Objectives. To describe characteristics and management of people with community acquired needle stick injuries (CANSI) attending urban emergency departments; and suggest a guideline to improve assessment, management, and documentation. Methods. A retrospective analysis of cases with CANSI attending emergency departments in two tertiary hospitals between 2001 and 2005 using medical record review with follow up phone and written survey. Results. Thirty-nine cases met the criteria for CANSI. Persons younger than 30 years sustained 48.72% of all injuries. Source serology was available for only five cases (12.82%). Thirty-one of thirty-nine patients (79.49%) were classed as not immune to hepatitis B but only four of these (12.90%) received both hepatitis B vaccination and hepatitis B immunoglobulin. Six patients (15.38%) received HIV prophylaxis; of which two (33.33%) did not receive baseline HIV testing. Of ten patients referred to immunology clinic for follow up only two (20.00%) attended at 6 months. Conclusion. We have identified groups that are at high risk of CANSI, including young males, security workers and cleaners. In the majority of cases protection against hepatitis B was inadequately provided, and a substantial proportion had inadequate baseline assessment and documentation. A guideline is suggested that may be used to improve these deficits. What is known about this topic? Occupationally acquired needle stick injury guidelines are well established, but no guidelines currently exist for community acquired needle stick injuries (CANSI) which may require different risk stratification, assessment and management. Management of CANSI in Emergency Departments has not been well described. What does this paper add? An audit of Emergency Department management of community acquired needle stick injuries demonstrates deficits in risk assessment, documentation and use of post-exposure immunisation and prophylaxis. A guideline is suggested that may be used to improve these deficits. What are the implications for practitioners? Practitioners need to perform and document a risk assessment of the injury, perform baseline serology, and provide tetanus and hepatitis B immunisation. Use of HIV post-exposure prophylaxis is determined by local prevalence of disease, injury risk assessment, source serology if known, and time since injury.


Author(s):  
Humaira Bashir ◽  
Syed Shuja Qadri

Background: Needle stick injury among health workers is regarded as an occupational hazard. Health care workers are at risk of having blood-borne diseases in case they are exposed to blood and other biological samples of the patients. Moreover, staff including doctors working in tertiary care hospitals has high work load which results in increased chances of getting these injuries. The aim and objectives of this study were to find out the prevalence of needle stick injury among different categories of health care workers. Authors also aimed to assess the knowledge, attitude and practices associated with it.Methods: A hospital based cross sectional study design to know the prevalence of needle stick injury among various health care workers of Karpagam Faculty of Medical Sciences and Research, a tertiary level care hospital in Coimbatore, Tamilnadu, India. A total of 250 health care workers were selected for the study purpose. A self-designed, semi-structured, pre-tested questionnaire was used to assess the prevalence of needle stick injuries and the factors associated with it.Results: A majority of health care workers (94%) knew about needle stick injury and 92% were aware that HIV can be transmitted through needle stick injury, 78.4% and 69.65% were aware of Hepatitis-B and Hepatitis-C transmission respectively. About 28.4% of subjects had encountered needle stick injury in their past. Furthermore, it was found that type of exposure and place of exposure was significantly associated with different categories of health care workers (p <0.001).Conclusions: Prevention of health workers against needle stick injury is the best possible way to prevent several bloods borne diseases. There should be a prevention programme which special focus on training of health care workers. Further strategies aiming at preventive measures and reporting of the Needle stick injuries accidents should be made compulsory among health care workers.


2017 ◽  
Vol 24 (01) ◽  
pp. 177-181
Author(s):  
Suneel Kumar Punjabi ◽  
Munir Ahmed Banglani ◽  
Priya - ◽  
Nayab Mangi

Objectives: To evaluate the concepts & handling of needle stick injuries amongjunior dentists of city Hyderabad. Study Design: Descriptive Cross Sectional study. Setting:Dental House Surgeons & Postgraduates. Period: June 2015 to January 2016. Methodology:The study population of 200 dentists were included working either in civil or private settingsof Hyderabad, Sindh. Questionnaire designed to obtain information about their concepts andhandling regarding NSIs. Results: 75(37.5%) of them were working in Oral Surgery department,53(26.5%) in Operative dentistry, 35(17.5%) in Orthodontics, 22(11%) in Periodontology, and15(7.5%) in Prosthodontics. 77(38.5%) had idea about transmission of Hepatitis B, 89(44.5%)about Hepatitis C, & 34(17%) about HIV/AIDS by NSI. 168(84%) had knowledge aboutuniversal precautions guidelines, 16(8%) use safety devices to dispose used sharp objects.189(94.5%) had faced NSIs ever. 97(48.5%) had knowledge about post exposure prophylaxisin the management of needle stick injury. 37(18.5%) had said that they will contact to medicalemergency room if they expose to NSI, 32(16%) will contact to oral surgery department,53(26.5%) will consult with their physician & 78(39%) said that they will manage themselves.Conclusion: this study confirm that junior dentists of Hyderabad experience the NSIs but arenot liable to report them, therefore they necessitate the improvement in clinical training forpreventing & reporting all NSIs. Through Support, counseling and tutoring by their OccupationalHealth Department.


Author(s):  
Jurimoni Gogoi ◽  
Sultana Jesmin Ahmed ◽  
Hiranya Saikia ◽  
Ratna Sarma

Background: The objective of study was to determine prevalence of needle stick injuries among health care workers in a tertiary care hospital of Assam and to assess the knowledge, attitude and practices on needle stick injuries among them.Methods: It was a cross-sectional study conducted from June 2016 to August 2016 amongst health care workers of a tertiary care centre of Assam. Sample size was calculated to be 90. A total of 10 departments were selected purposively based on their magnitude of risk exposure and the required sample size was allocated proportionally among these 10 departments. The required numbers of health workers from each of the ten departments were selected by using simple random sampling. A predesigned and pretested proforma was used to collect the data. Data were presented in terms of percentages and significance was tested using chi-square and Fisher’s exact test.Results: Prevalence of needle stick injury among the health workers was found to be 21.1%. Regarding spread of diseases after an accidental needle stick injury, 100% were aware of HIV, 98.9% were aware of Hepatitis B and 67.8% were aware of Hepatitis C. Regarding their attitude to report to in-charge medical officer, only 21.1% had reported about their injury. Around 58.9% of health care workers used gloves regularly for prevention of such injuries. Practice of recapping among the health care workers was 66.7% and out of total needle stick injuries, recapping contributed to 26.3%. While considering sharp waste disposal, 37.8% health care workers did not follow proper waste disposal guidelines. Only 26.3% of health care workers had done screening for HIV/AIDS and Hepatitis B after their injury.Conclusions: There is a need to have a pre-employment training to improve the knowledge, attitude and practice regarding accidental needle stick injuries among the health care workers. 


2017 ◽  
Vol 8 (4) ◽  
pp. 59
Author(s):  
Hani A. Nawafleh ◽  
Shalabia El Abozead ◽  
Muwafaq M. Al Momani ◽  
Heyam Aaraj

Needle stick injury (NSI) is one of the major causes of blood borne infections in the present day healthcare system. Among healthcare professionals, nursing students will most likely be exposed to this dilemma. Interventions like institutionalizing educational programs to produce awareness and knowledge among nurses can depict positive outcomes in changing perceptions toward safety measures. This study aimed to investigate the incidence, perspectives, views, perceptions, and knowledge of NSIs among nursing students studying at Al-Hussein Bin Talal University. The sample population consisted of all undergraduate nursing students from second to fourth academic levels at the university who consented to participate in this study. The mode of data collection utilized a self-structured questionnaire apportioned into four parts. The first portion of the questionnaire presented the socio-demographic details of the respondents. The second part of the questionnaire demonstrated questions about needle stick incidences at the clinical units of the participants; frequency of occurrences (i.e., number, nature, and rationale); place of occurrence; and, whether the event was reported to higher authorities. The third part of the questionnaire entailed queries associated with the knowledge of the students with respect to needle stick injury. The last part focused on the student's knowledge and perception on the risks associated to needle sticks injuries and the relative precautions to prevent such. The results showed that most of the students had positive perception of NSIs; while two thirds of the student nurses experienced NSI with increasing number of injured nurses occurring among second year students. This is due to the lack of knowledge regarding universal precaution guidelines and acupuncture safety device. Nursing students are at risks of getting infection. Proper steps are needed to promote awareness of NSI as well as the dangers and prevention from such events.


2015 ◽  
Vol 3 (1) ◽  
pp. 24-28 ◽  
Author(s):  
Adrián Camacho-Ortiz ◽  
Xiomara Díaz-Rodríguez ◽  
Mayra Martínez-Palomares ◽  
Raúl Hernández-García, ◽  
Susana Chávez-Moreno ◽  
...  

Background: Medical students are vulnerable to accidental exposure to blood-borne pathogens when performing clinical activities. Knowledge of both the prevalence of exposure and necessary reporting procedures is important to minimize the risk of harm to medical students. Methods: A cross-sectional online survey of medical students from 19 universities from seven states in Mexico was utilized to determinethe prevalence of needle stick injuries amongst medical students and the associated reporting procedures. Results: We included 312 respondents; of these, 52.24% were men and 47.76% were women, and the mean age was 23.19 years (SD ± 2.11 years). Nearly all of them (94.23%) were medical students doing clerkships in public hospitals. Mean knowledge score of blood-borne pathogens was 3.6 (SD ± 1.16) on a scale of 0-10 designed specifically for this study. Thirty-five per cent of the respondents had sustained a needle stick injury at some point during their medical school training, and 33.97% reported some type of mucocutaneous exposure. Overall, the non-reporting rate of needle stick injury was 48.34%. Approximately 25% of the respondents were not familiar with reporting procedures in the event of a needle stick injury or mucocutaneous exposure; 61.50% had received information from their hospital about the standard protocol to follow after a blood or body fluid exposure. Conclusion: In this Mexican population of medical students, there is a high risk of suffering needle stick injuries  during medical training. Furthermore, knowledge regarding prevention, evaluation, and reporting of needle stick injuries is suboptimal.


Author(s):  
Salim Younus Mohamed ◽  
Balen Omer ◽  
Aveen Abdulrahman

Background and objectives: Needle stick injuries pose a high risk to health care workers including dental students. They represent a major risk factor for transmitting blood borne pathogens including hepatitis B virus, hepatitis C virus and human immunodeficiency virus. Needles of syringes are the most commonly identified sharp object causing the injuries. Therefore, this study conducted to determine the prevalence of needle stick injuries among dental students in Ishik university facualty of dentistry and Hawler medical college. Aim and objectives of the study: The study aimed were to: 1. Find out the prevalence of NSI among dental student in Erbil city-Iraq. 2. The percentage of dental students that had taken Hep B vaccine. 3. Study the knowledge of dental students regarding NSI.Subjects and method: The study was a cross sectional in nature, 114 students from Ishik University and Hawler Medical University Collage of Dentistry and data collections were done from the 1st of Dec till 2 of Feb 2018. Later on, data analysis and writing the thesis completed in May up to June, 2018. A questionnaire was completed through direct interview of the study students to measure their knowledge and practice about needle sticks injuries. All the obtained information including prevalence of needle sticks injuries, within previous 12 months, time of injury, and training on needle stick injury, knowledge, practice and attitude about needle sticks was then analyzed using statistical package for the social science software version 21.Results: The mean age of the participants was 22. The results of the study demonstrated that the prevalence of needle stick injury during past 12 months among dental students was 47,4%. Needle stick injury happened after using the needle in 35.2%, while in re-capping the needle occur in 27,8% and around 41.2% of the samples have precautions regarding NSI.Conclusion: The dental student had taken hepatitis B vaccine in a high percentage, while the prevalence of NSI was high and male showed higher prevalence than female. Training course regarding the precaution and management of NSI may need to be added to the curriculum of dental students.


2019 ◽  
Vol 26 (06) ◽  
Author(s):  
Muhammad Umar Younis ◽  
Syed Faraz-ul- Hassan Shah ◽  
Aliya Muzafar ◽  
Muhammad Zeeshan Sarwar ◽  
Fakeha Rehman ◽  
...  

Background: Needle stick injuries have a fairly common incidence in surgical practice exposing surgeons to an array of transmissible diseases. The aim of the study was to assess the prevalence of needle stick injury, and their reporting among surgeons in tertiary hospital setting. Study Design: Cross-sectional study. Setting: Various tertiary care hospital of Lahore. Period: January 2016 through April, 2016. Methods: Our sample size was 935 Surgeons. We determined the prevalence of needle stick injuries, reporting of NSI, the reasons for not reporting and the reasons for acquired injuries. Results: Needle stick injury was reported by only 85 (9.1%) participants. The reasons for not reporting varied; 363 (38.8%) did not report due to unawareness of the existence of a relevant system, 250 (26.7%) did not know whom to report, 86 (9.2%) were not able to spare time to report, 81 (8.7%) were afraid of results, 48 (5.1%) thought that patient was low risk and 107 (11.4%) did not bother. Conclusion: There was a lack of hospital policy to cater to the reporting of injuries sustained during surgical practice. A dire need for a system was observed to educate the healthcare workers and provide a medium to assist the process of reporting.


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