scholarly journals Attitude, reporting behavour and management practice of occupational needle stick and sharps injuries among hospital healthcare workers in Bale zone, Southeast Ethiopia: a cross-sectional study

Author(s):  
Tolesa Bekele ◽  
Alem Gebremariam ◽  
Muhammedawel Kaso ◽  
Kemal Ahmed
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Semere Reda ◽  
Mesfin Gebrehiwot ◽  
Mistir Lingerew ◽  
Awoke Keleb ◽  
Tefera chane Mekonnen ◽  
...  

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.


2016 ◽  
Vol 13 (2) ◽  
pp. 209-222
Author(s):  
A. Al Johani Abdulrahman ◽  
Karmegam Karuppiah ◽  
O. Al Mutairi Alya ◽  
Omar M. Al Nozha ◽  
Kulanthayan K. C. Mani ◽  
...  

Author(s):  
Shalaw Faris Ahmed ◽  
Jamal Kareem Shakor ◽  
Titi Rahmawati Hamedon ◽  
Dlovan Mohammed Fatel Jalal ◽  
Dlzar Omer Qadir

Introduction: Needle-stick and sharp injuries (NSSI) pose a serious problem and a major risk of work-related transmitted diseases among healthcare workers. The extent of NSI in the Kurdistan region / Iraq hospitals has been unknown. The factors related to NSIs among healthcare workers were evaluated in the present study. The main purpose of this study is to determine the prevalence of NSI and its associated factors among the respondents. Material and Methods: The cross-sectional study was conducted on 150 randomly selected healthcare staff with a working experience of at least 1 year in the hospital. The study location is a surgical specialist hospital-cardiac center, situated in Erbil/Iraq. The self-administered questionnaire was used to collect information on socio-demographic, employment and individual characteristics, as well as data on NSSI, suffered in the past 12 months. Results: The majority of participants (34%) were in the 30 to 35year age group. Most were male (60.7%), married (61.3%), have at least degree qualification (89%). The prevalence of NSSI was 67%. Needle stick was the main frequent of NSSRs (66%). Needle recap was all the time done among health workers 104 (69%), they almost use both hands for recap 136 (91%). Education, working environment satisfaction, sleeping quality of the health staff have been considered the main indicators of NSSI. Conclusion: The rate of NSSI was considered high in this study compared to the rates in many developing countries. Arrangement schedules for work and sleeping of staff could decrease the NSSI rate.


PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0252039
Author(s):  
Zemene Berhan ◽  
Asmamaw Malede ◽  
Adinew Gizeyatu ◽  
Tadesse Sisay ◽  
Mistir Lingerew ◽  
...  

Background Needle stick and sharp injuries (NSSIs) are a common problem among healthcare workers (HCWs). Although the factors related to NSSIs for HCWs are well documented by several studies in Ethiopia, no evidence has been reported about the magnitude of and factors related to NSSIs in hospitals in northwestern Ethiopia. Methods An institution-based cross-sectional study was carried out from January to March 2019 among 318 HCWs in three randomly-selected hospitals of the eight hospitals found in South Gondar Zone. Sample sizes were proportionally allocated to professional categories. Study participants were selected by systematic random sampling methods using the monthly salary payroll for each profession as the sampling frame. Data were collected using a self-administered questionnaire. The outcome of this study was the presence (injured) or absence of NSSIs during the 12 months prior to data collection. A binary logistic regression model with 95% confidence interval (CI) was used for data analysis. Variables from the bi-variable analysis with a p-value ≤ 0.25 were retained into the multivariable analysis. From the multivariable analysis, variables with a p-value less than 0.05 was declared as factors significantly associated with NSSIs. Main findings The prevalence of NSSIs was 29.5% (95% CI: 24.2–35.5%) during the 12 months prior to the survey. Of these, 46.0% reported that their injuries were moderate, superficial (33.3%) or severe (20.7%). About 41.4% of the injuries were caused by a suture needle. Factors significantly associated with NSSIs were occupation as a nurse (adjusted odds ratio [AOR] = 2.65, 95% CI: 1.18–4.26), disposal of sharp materials in places other than in safety boxes (AOR = 3.93, 95% CI: 2.10–5.35), recapping of needles (AOR = 2.27, 95% CI: 1.13–4.56), and feeling sleepy at work (AOR = 2.24, 95% CI: 1.14–4.41). Conclusion This study showed that almost one-third of HCWs had sustained NSSIs, a proportion that is high. Factors significantly associated with NSSIs were occupation as a nurse, habit of needle recapping, disposal of sharp materials in places other than in safety boxes and feeling sleepy at work. Observing proper and regular universal precautions for nurses during daily clinical activities and providing safety boxes for the disposal of sharp materials, practicing mechanical needle recapping and preventing sleepiness by reducing work overload among HCWs may reduce the incidence of NSSIs.


2021 ◽  
Author(s):  
Robert K Basaza ◽  
Emmanuel D Otieno ◽  
Christopher K Haddock

Abstract Background: The Ugandan military medical services work together with the civilian public health system to deliver quality healthcare. This Partnership is the mainstay of health service delivery in Uganda. The burden of needle stick injuries (NSIs) is increasing in Uganda’s larger health industry; however, data on needle stick injury in military and public health facilities is lacking. No published data exist on comparative studies for a mix of facilities both military and civilian health settings. This study represents the first time this issue has been studied in a military or public health hospital in Uganda.Methods: A hospital-based, cross-sectional study was conducted in July 2018 to September 2019 in Kakiri Military and SOS Hospitals in Uganda using a structured questionnaire. Respondents were purposively selected based on the objectives of study, occupation status and department (N = 310). Results: The overall prevalence of NSIs among respondents was 27.2% and prevalence rates for the two facilities was nearly identical. The largest percentage of NSIs occurred during drawing venous blood samples (49.4%). Significant predictors of NSI were gender, occupational status, age, poor knowledge on prevention and post exposure of NSI, and less professional experience. Infection control practices were lacking in both selected health facilities. Conclusion: Over a quarter of HCWs in Uganda reported NSIs, which places them at significant health risk. Fostering the practice of universal precautions, best infection control practices and training of healthcare workers on bio-safety measures can reduce the prevalence of NSIs.Trial Registration: Not Applicable


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