scholarly journals Re-examining Hepatitis B Postexposure Prophylaxis Following Pediatric Community-acquired Needle-stick Injury in an Era of a National Immunization Registry

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Krist Y.H. Ewe ◽  
Christopher C. Blyth ◽  
Charlie McLeod ◽  
Meredith L. Borland ◽  
Asha C. Bowen ◽  
...  
Keyword(s):  
Hepatitis B ◽  
Needle Stick Injury ◽  
Postexposure Prophylaxis ◽  
Needle Stick ◽  
Immunization Registry ◽  
National Immunization

Audit of emergency department assessment and management of patients presenting with community-acquired needle stick injuries

2011 ◽  
Vol 35 (1) ◽  
pp. 57 ◽  
Author(s):  
Antonio Celenza ◽  
Lloyd J. D'Orsogna ◽  
Shervin H. Tosif ◽  
Samantha M. Bateman ◽  
Debra O'Brien ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Emergency Department ◽  
Hepatitis B ◽  
Emergency Departments ◽  
Hepatitis B Vaccination ◽  
Needle Stick Injury ◽  
Needle Stick ◽  
Post Exposure ◽  
Needle Stick Injuries

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.

scholarly journals PENULARAN PENYAKIT TERHADAP PERAWAT AKIBAT KECELAKAAN KERJA

2020 ◽  
Author(s):  
Azmal Umara Siregar
Keyword(s):  
Human Immunodeficiency Virus ◽  
Hepatitis C Virus ◽  
Hepatitis C ◽  
Hepatitis B Virus ◽  
Hepatitis B ◽  
Needle Stick Injury ◽  
Needle Stick ◽  
B Virus ◽  
Immunodeficiency Virus ◽  
Bloodborne Pathogen

Rumah sakit merupakan suatu tempat yang berisiko terjadinya cedera. Hal ini disebabkan karena berbagai kegiatan dirumah sakit sangat berhubungan dengan penyakit-penyakit berbahaya, prosedur kritis dengan alat atau benda tajam. WHO (1995) memperkirakan 10% petugas kesehatan mengalami injury benda tajam. Kecelakaan dalam bekerja dapat diakibatkan oleh kelalaian pekerja, bekerja melebihi batas kemampuan atau ergonomis yang buruk dalam bekerja. Dalam bidang kesehatan, kelalaian dalam bekerja bisa terjadi apa saja. Salah satunya adalah tertusuk jarum atau benda tajam di rumah sakit. Jarum suntik dan alat medis yang tajam merupakan alat medis yang bersentuhan langsung dengan jaringan tubuh dan darah pasien. Tenaga kesehatan yang lalai dapat tertular melalui jarum suntik yang terkontaminasi cairan tubuh pasien yang terinfeksi. Petugas kesehatan berisiko terpapar darah dan cairan tubuh yang terinfeksi (bloodborne pathogen) yang dapat menimbulkan infeksi HBV (Hepatitis B Virus), HCV (Hepatitis C Virus) dan HIV (Human Immunodeficiency Virus) melalui berbagai cara, salah satunya melalui luka tusuk jarum atau yang dikenal dengan istilah Needle Stick Injury atau NSI (Hermana, 2006). Luka atau cidera akibat tertusuk jarum atau benda tajam lainnya merupakan hal yang sangat perlu diperhatikan. Apabila seorang petugas kesehatan tanpa sengaja terluka akibat tertusuk jarum yang sudah terkontaminasi cairan tubuh orang yang sakit maka beresiko terjadi penularan sekurang-kurangnya 20 patogen potensial. Dua patogen yang sangat berbahaya adalah Hepatitis B (HBV) dan Human Immunodefidiensy Virus (HIV). Hepatitis B (HBV) adalah infeksi pada hati atau liver. Penyakit ini sering ditemui dan penyebaran nya 100 kali lebih cepat dari HIV dan dapat menyebabkan kematian.

scholarly journals NEEDLE STICK INJURIES AMONG DENTAL STUDENTS IN ISHIK UNIVERSITY FACULTY OF DENTISTRY AND HAWLER MEDICAL COLLEGE

2019 ◽  
Vol 7 (4) ◽  
pp. 1-13
Author(s):  
Salim Younus Mohamed ◽  
Balen Omer ◽  
Aveen Abdulrahman
Keyword(s):  
Hepatitis B ◽  
Dental Students ◽  
Dental Student ◽  
Needle Stick Injury ◽  
Cross Sectional ◽  
Needle Stick ◽  
Medical College ◽  
Needle Stick Injuries ◽  
Data Collections ◽  
Needle Sticks

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.

scholarly journals Frequency of Needle Stick Injury among Dental Students and Dentists of Karachi

2015 ◽  
Vol 6 (4) ◽  
pp. 213-216 ◽  
Author(s):  
Kashif Ikram ◽  
Humayun Kaleem Siddiqui ◽  
Sana Maqbool ◽  
Maham Altaf ◽  
Sania Khan
Keyword(s):  
Hepatitis B ◽  
English Language ◽  
Cross Sectional Study ◽  
Dental Students ◽  
Hepatitis B Vaccination ◽  
Needle Stick Injury ◽  
Cross Sectional ◽  
Needle Stick ◽  
Health Related ◽  
History Of

ABSTRACT Objective To determine the frequency of needle stick injury in dental practice and to evaluate the level of knowledge, attitude and practices of the dental students and dentists regarding needle stick injuries prevention. Materials and methods This descriptive cross-sectional study was undertaken at eight different institutes of Karachi from July 2014 to March 2015. Data were collected in 800-sample questionnaire forms that comprised of ten questions in English language. Questionnaire was designed to obtain information regarding frequency, awareness and prevention of needle stick injury. Data were entered and analyzed in Statistical Package for the Social Sciences (SPSS) Version 20. Result A total of 800 samples were returned with a 100% response rate. About 73% participants gave a history of needle stick injury during practice. Of these 42% were the house officers. It was reported that knowledge regarding vaccination against hepatitis B was prevalent among participants. Most of the participants agreed that they have received guidelines regarding prevention and protection from needle stick injury. Conclusion It was concluded from this study that hepatitis B vaccination is necessary to prevent needle stick injury and proper instruments/guidelines should be given to all health related professionals in order to minimize the risk of bloodborne infections through needle stick injury. How to cite this article Ikram K, Siddiqui HK, Maqbool S, Altaf M, Khan S. Frequency of Needle Stick Injury among Dental Students and Dentists of Karachi. World J Dent 2015;6(4): 213-216.

scholarly journals Occupational Sharp Injury and Splash Exposure among Healthcare Workers in a Tertiary Hospital

2021 ◽  
Author(s):  
Roshan Mathew ◽  
Ritin Mohindra ◽  
Ankit Sahu ◽  
Rachana Bhat ◽  
Akshaya Ramaswami ◽  
...  
Keyword(s):  
Emergency Department ◽  
Hepatitis B ◽  
Healthcare Workers ◽  
Hepatitis B Surface Antigen ◽  
Tertiary Hospital ◽  
Needle Stick Injury ◽  
Medical Procedures ◽  
Immunodeficiency Virus ◽  
History Of ◽  
Hepatitis C Virus Antibody

Abstract Background Occupational hazards like sharp injury and splash exposure (SISE) are frequently encountered in health-care settings. The adoption of standard precautions by healthcare workers (HCWs) has led to significant reduction in the incidence of such injuries, still SISE continues to pose a serious threat to certain groups of HCWs. Materials and Methods This was a retrospective study which examined the available records of all patients from January 2015 to August 2019 who self-reported to our emergency department with history of sharp injury and/or splash exposure. Details of the patients, mechanism of injury, the circumstances leading to the injury, status of the source (hepatitis B surface antigen, human immunodeficiency virus, and hepatitis C virus antibody status), and the postexposure prophylaxis given were recorded and analyzed. Data were represented in frequency and percentages. Results During the defined period, a total of 834 HCWs reported with SISE, out of which 44.6% were doctors. Majority of the patients have SISE while performing medical procedures on patients (49.5%), while 19.2% were exposed during segregation of waste. The frequency of needle stick injury during cannulation, sampling, and recapping of needle were higher in emergency department than in wards. More than 80% of HCWs received hepatitis B vaccine and immunoglobulin postexposure. Conclusion There is need for periodical briefings on practices of sharp handling as well as re-emphasizing the use of personal protective equipment while performing procedures.

Transmission of hepatitis C virus by needle-stick injury in community settings

2007 ◽  
Vol 22 (11) ◽  
pp. 1882-1885 ◽  
Author(s):  
Paul S Haber ◽  
Margaret M Young ◽  
Lloyd Dorrington ◽  
Andrew Jones ◽  
John Kaldor ◽  
...  
Keyword(s):  
Hepatitis C Virus ◽  
Hepatitis C ◽  
Needle Stick Injury ◽  
Community Settings ◽  
Needle Stick

scholarly journals Knowledge about blood-borne pathogens and the prevalence of needle stick injuries among medical students in Serbia

2017 ◽  
Vol 56 (3) ◽  
pp. 179-184 ◽  
Author(s):  
Vuk Marusic ◽  
Ljiljana Markovic-Denic ◽  
Olivera Djuric ◽  
Dragana Protic ◽  
Emilija Dubljanin-Raspopovic
Keyword(s):  
Medical Students ◽  
Hepatitis B ◽  
Disease Transmission ◽  
Cross Sectional Study ◽  
Hepatitis B Vaccination ◽  
Cross Sectional ◽  
Needle Stick ◽  
Sharp Object ◽  
Needle Stick Injuries ◽  
Needle Sticks

AbstractIntroductionMedical students are mainly exposed to needle stick and sharp object injuries in the course of their clinical activities during studying. They are at high risk due to their undeveloped skills, restricted clinical experience, lack of knowledge and risk perception. The objectives of this study were to determine the prevalence of needle stick injuries of the fourth and final year medical students, and to estimate their knowledge about blood-borne pathogens disease transmission and standard precautions.MethodsThis cross-sectional study was conducted at the Faculty of Medicine, in February 2014. The students were invited to self-administer a questionnaire of 26 closed questions prepared for this study.ResultsThe questionnaire was filled in and returned by 637 students. The prevalence of needle sticks and sharp object injuries was 29.5%. Needle stick injuries were the most common type of accidents, more frequent among the fourth compared to the sixth year students (p=0.002). The majority of accidents occurred in patient rooms (53%) and the emergency department (15%). 54% of participants reported an accident to the responsible person. Students without accidents had a significantly better perception of risk (3.79 vs. 3.35; p<0.05). Out of the total participating students, only 16.6% (106/637) received all three doses of Hepatitis B vaccination, while 16.2% were partially vaccinated.ConclusionsThere is a need for additional theoretical and practical education of our students on blood exposure via accidents, raising the awareness of the necessity of hepatitis B vaccination, and introducing the unique/comprehensive procedure for accident reporting for students and healthcare workers in the entire country.

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