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 Intervention to Reduce Needle Stick Injuries

2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Tun Fizi A ◽  
Maygala A ◽  
Suzana K ◽  
Yogeswari A ◽  
Nishazini MB ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Needle Stick Injury ◽  
Needlestick Injuries ◽  
Safety Practices ◽  
Universal Precautions ◽  
Needle Stick ◽  
High Quality Education ◽  
Needle Stick Injuries ◽  
And Training ◽  
Participative Approaches

Introduction: Healthcare workers face the risk of infection from potentially deadly diseases from the use of unsafe needles every day. It has been estimated that over 350,000 needlestick and sharps related injuries occur annually with an average of 1,000 infections annually and over 100 deaths by the CDC (Centers for Disease Control & Prevention). It has been reported that 0.6 cases in average of needle stick injury incident occurred in KPJ Seremban almost every month in 2008. Analysis was done and it was that found that the majority of cases were due to failure to adhere to universal precautions. Materials and Methods: A retrospective study was done (January to December 2008). Data was collected from reviewed incidence reports. Statistics showed that needle stick injuries occurred after a procedure and during disposal of used needles. We then introduced several measures with these aims; to inculcate ‘Safety Culture’ among healthcare workers through quality training, to ensure that all newly qualified healthcare workers are well trained in handling sharp devices, to reduce the incidence of needlestick injuries, to do effective monitoring audit, to convey knowledge to healthcare workers on safety practices by Infection control team. These strategies included; High quality education and training to all staffs conducted continuously, identifying those at risk, introduce safer medical devices – using of Angiocath for setting IV line and needle-less injection port and providing for a secure work environment. Results: 1) Needle stick injury cases reduce 65% as compared to last year. 2) Through surveys and questionnaires, 95% of healthcare workers understand and adhere to universal precautions in 2009 as compared 30% in previous year. 3) Number training conducted increased from 7days in year 2008 to 21 days in year 2009. Conclusion: Collaborative and participative approaches are helpful in reducing the transmission of blood borne pathogens and other sharps-related injuries.

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 Related Upper and Low Back Pain Among Working Population of Ethiopia: Systematic Review and Meta-Analysis

2021 ◽  
Author(s):  
Dechasa Adare Mengistu ◽  
Yohannes Mulugeta Demmu ◽  
Addisu Alemu
Keyword(s):  
Systematic Review ◽  
Low Back Pain ◽  
Back Pain ◽  
Meta Analysis ◽  
Well Being ◽  
Boolean Logic ◽  
Cochrane Library ◽  
Low Back ◽  
Working Population ◽  
Pooled Prevalence

Abstract Background: Back pains, such as low and upper back pains are among the most common musculoskeletal conditions that can cause major public health and socioeconomic problems. Back pain is one of the leading causes of disability that reduces worker performance and well-being and increases absence from work, which can cause an enormous economic burden. In developing countries, particularly in Ethiopia, there is no adequate evidence on the overall prevalence of occupational-related low and upper back pains and remain less prioritized and empirically unrepresented. Therefore, this study aimed to determine the prevalence of occupational-related low and upper back pains among the working population of Ethiopia.Methods: This systematic review and meta-analysis considered studies conducted in Ethiopia, written in English, and published from 2017-2020. Articles were searched from nine electronic databases (Web of Science, SCOPUS, PubMed, Google Scholar, CINAHL, Cochrane Library, African Index Medicus, African Journals Online database and Science Direct) using a combination of Boolean logic operators, Medical Subject Headings and main keywords. The quality assessment of the articles was performed using Joanna Briggs Institute Critical Appraisal tools to determine the relevance of the articles to the study. A random effects model was used to estimate the pooled prevalence, the 95% confidence interval, and the degree of heterogeneity among the included studies. Sensitivity analyzes were performed to identify the influence of outliers and to identify sources of heterogeneity.Results: Of the 1,114 studies identified from the included databases, 20 studies were included in the systematic review and meta-analysis. The pooled prevalence of occupational-related upper and low back pain in the previous year was 27.1% [95% CI: 18.4, 37.9] and 54.2% [95% CI: 48.2, 60.0], respectively. Based on a subgroup analysis by publication year, study population and countries where the studies are conducted, the prevalence of upper back pain was 43.8% [95% CI: 39.3, 47.7], 34.7% [95% CI: 33.1, 36.2], and 36.2% [95% CI: 33.6, 39.0], respectively, while the prevalence of low back pain was 61.8% [95% CI: 58.9, 64.6], 52.8% [95% CI: 51.3, 54.3] and 55.2% [95% CI: 51.4, 59.0], respectively.Conclusions: This systematic review and meta-analysis found that 54.2% of the included study participants experienced low back pain in the previous year, while 27.1% experienced upper back pain. These problems may be reduced by considering proper observation of the principles of ergonomics in the workplace, and performing physical exercises on a regular basis.

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 Occupational infection risks in interventional radiology

1998 ◽  
Vol 3 (4) ◽  
pp. 17-19
Author(s):  
P. Corr
Keyword(s):  
At Risk ◽  
Human Immunodeficiency Virus ◽  
Interventional Radiology ◽  
Occupational Exposure ◽  
South African ◽  
Risk Of Infection ◽  
Needle Stick ◽  
Occupational Infection ◽  
Immunodeficiency Virus ◽  
Needle Stick Injuries

South African radiologists performing interventional and angiographic procedures are at risk of occupational exposure to hepatitis Band C and the human immunodeficiency virus (HIV). Simple precautions reduce this risk substantially. It is important that radiologists and personnel working in the interventional suite are aware of the risk of infection, how to reduce the risk and how to prevent seroconversion after needle stick injuries.

scholarly journals The critical role of infection prevention overlooked in Ethiopia, only one-half of health-care workers had safe practice: A Systematic Review and Meta-Analysis

2020 ◽  
Author(s):  
Biniyam Sahiledengle ◽  
Yohannes Tekalegn ◽  
Demelash Woldeyohannes
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Healthcare Workers ◽  
Infection Prevention ◽  
Meta Analysis ◽  
Cochrane Library ◽  
Infection Prevention And Control ◽  
Related Factors ◽  
Safe Practice ◽  
Pooled Prevalence

AbstractBackgroundEffective infection prevention and control measures, such as such hand hygiene, the use of personal protective equipment, instrument processing, safe injection, and safe disposal of infectious wastes in the healthcare facilities maximize patient outcomes and are essential to providing effective, efficient, and quality health care services. In Ethiopia, findings regarding infection prevention practices among healthcare workers have been highly variable and uncertain. Therefore, this systematic review and meta-analysis estimate the pooled prevalence of safe infection prevention practices and summarize the associated factors among healthcare workers in Ethiopia.MethodsPubMed, Science Direct, Google Scholar, and the Cochrane library were systematically searched. We included all observational studies reporting the prevalence of safe infection prevention practices among healthcare workers in Ethiopia. Two authors independently extracted all necessary data using a standardized data extraction format. Qualitative and quantitative analyses were employed. The Cochrane Q test statistics and I2 tests were used to assess the heterogeneity of the studies. A random-effects meta-analysis model was used to estimate the pooled prevalence of safe infection prevention practice.ResultsOf the 187 articles identified through our search, 10 studies fulfilled the inclusion criteria and were included in the meta-analysis. The pooled prevalence of safe infection prevention practice in Ethiopia was 52.2% (95%CI: 40.9-63.4). The highest prevalence of safe practice was observed in Addis Ababa (capital city) 66.2% (95%CI: 60.6-71.8), followed by Amhara region 54.6% (95%CI: 51.1-58.1), and then Oromia region 48.5% (95%CI: 24.2-72.8), and the least safe practices were reported from South Nation Nationalities and People (SNNP) and Tigray regions with a pooled prevalence of 39.4% (95%CI: 13.9-64.8). In our qualitative syntheses, healthcare workers socio-demographic factors (young age, female gender), behavioral-related factors (being knowledgeable and having a positive attitude towards infection prevention), and healthcare facility-related factors (presence of running water supply, availability of infection prevention guideline, and receiving training) were important variables associated with safe infection prevention practice.ConclusionsOnly half of the healthcare workers in Ethiopia practiced safe infection prevention. Furthermore, the study found out that there were regional and professional variations in the prevalence of safe infection prevention practices. Therefore, the need to step-up efforts to intensify the current national infection prevention and patient safety initiative as key policy direction is 41 strongly recommended, along with more attempts to increase healthcare worker’s adherence towards infection prevention guidelines.

scholarly journals A study on needle stick injuries among health care workers in a tertiary care hospital in India

2019 ◽  
Vol 7 (4) ◽  
pp. 1032 ◽  
Author(s):  
Humaira Bashir ◽  
Syed Shuja Qadri
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Health Workers ◽  
Tertiary Care ◽  
Needle Stick Injury ◽  
Special Focus ◽  
Care Hospital ◽  
Needle Stick ◽  
Care Workers ◽  
Needle Stick Injuries

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.

scholarly journals NEEDLE STICK INJURIES;

2017 ◽  
Vol 24 (01) ◽  
pp. 177-181
Author(s):  
Suneel Kumar Punjabi ◽  
Munir Ahmed Banglani ◽  
Priya - ◽  
Nayab Mangi
Keyword(s):  
Clinical Training ◽  
Oral Surgery ◽  
Cross Sectional Study ◽  
Needle Stick Injury ◽  
Sectional Study ◽  
Cross Sectional ◽  
Needle Stick ◽  
Study Population ◽  
Needle Stick Injuries ◽  
Surgery Department

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.

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