scholarly journals Prevalence of needle stick injuries among health care workers of various hospitals: a cross sectional study in an urban district of North India

Author(s):  
Shweta Rajpal ◽  
Sunil Kumar Garg ◽  
Tanveer Bano ◽  
Ganesh Singh

Background: Needle stick injuries (NSI) are one of the dreaded but preventable occupational hazard posed to health care worker in various clinical settings. The causes of NSI includes injuries caused by use of hypodermic needles, blood collection needles, needles in intravenous delivery systems, needles in diagnostic aspiration procedures and needle in interventional or surgical procedures. In developing countries, needle stick injuries prevalence is also related to lack of standard operating protocol in various institution.Methods: A cross sectional observational study was carried out in 384 paramedical, technical, auxiliary and sanitary staff of three government and three private hospitals of Meerut from November 2015 to October 2016.Results: In our study, Overall prevalence of NSI was 77/384 (20.1%). Among sub-groups, needle stick injury was 26.6% and 31.3% in nurses, 37.5% and 16.7% in technicians, 15% and 12.5% in wardboys/aaya and 15.6% and 9.4% in sweepers of public and private hospitals respectively.Conclusions: Standard operating protocol is the need of the hour at every medical institution and hospitals for NSI. Regular training regarding NSI, promoting early reporting and availability of immediate Post exposure prophylaxis should be ensured.

2017 ◽  
Vol 24 (11) ◽  
pp. 1685-1690
Author(s):  
Muhammad Luqman Farrukh Nagi ◽  
Syed Tehseen Haider Kazmi ◽  
Aziz Anwar Saleem ◽  
Dawar Khan ◽  
Hafiz Haseeb Afsar ◽  
...  

Background: This study, therefore aims to assess the frequency and the factorscontributing to the needle stick injuries among health care workers of a tertiary care privatehospital of Lahore. Setting: Shalamar Hospital Lahore, Pakistan a tertiary care private institution.Period: July and August 2015. Study Design: Cross-sectional study. Methods: A modifiedstructured pre-tested questionnaire containing both open and close-ended questions wasadministered to 160 study participants. The selected candidates were thoroughly briefed aboutthe study and informed consent was obtained. Confidentiality and anonymity of the participantswas maintained. Data entry was done on SPSS version 20 for Microsoft Windows. Results: Theresponse rate was 97%. Among all respondents (n=122), almost 41% (n= 63) were medicaldoctors and 34% (n= 53) were nursing staff. A small proportion of 4% (n= 6) belonged to thedental surgical background as well. Of all the surveyed participants, 45% (n=69) had eversuffered from needle stick/ sharps injury during their medical job and career, whereas, 34%(n=53) had suffered from a needle stick injury during the last year. Nearly 63% (n=47) reportedthat the cause of injury was accidental, 16% (n=25) acknowledged lack of awareness, 7%(n=10) acknowledged improper equipment and 4% (n=6) accused lack of training as the majorcause of needle stick injuries. A hefty 34% (n=53) believed that there existed no protocols in theinstitution regarding needle stick injuries, while another 50% (n=78) stated that they were notaware of the hospital protocols regarding needle stick injuries if there existed any. A disturbing34% (n=53) assume that they should recap the needles after using them. There was a strongstatistical association p<.001 between establishment of hospital protocols regarding needlestick or sharps injury and an event of needle stick injury suffered by the health care workersduring last year. Conclusion: The needle stick injuries can be prevented by the eradication ofhazard causing equipment’s, prevention through engineering measures, administrative controlsand last but not the least personal protective measures.


2020 ◽  
Vol 27 (03) ◽  
pp. 552-557
Author(s):  
Sahrish Khan ◽  
Atiq-ur- Rahman ◽  
Muhammad Safdar Baig ◽  
Muhammad Hashim Raza ◽  
Faiz Rasul ◽  
...  

Needle Stick Injury (NSI) is a percutaneous piercing wound typically dealing with sharps. Needle stick injuries are the most common health care workers issue worldwide. The causes include various factors like type and design of needle, recapping activity, handling/transferring specimens, collision between HCWs or sharps, during clean-up, manipulating needles in patient line related work, passing/handling devices or failure to dispose of the needle in puncture proof containers. NSIs may transmit other bacterial, fungal, or viral infections, including blastomycosis, cryptococcosis, diphtheria, herpes, malaria, mycobacteriosis, spotted fever and syphilis. Objectives: To determine frequency of needle stick injury among health care workers. Study Design: Cross-sectional study. Setting: District Headquarter Hospital Layyah. Period: Jan to March 2019. Material & Methods: Sample size was 161. A structured pre-tested questionnaire containing both open and close-ended questions was administered during the period of Jan-March 2019. Results: Out of 161 participants, 114 (70.8%) reported having a needle stick injury at least once during their clinical practice and the frequency of NSIs was significantly higher among nurses (76.7%) as compared to Doctors (50%), Laboratory staff (45.5%) and waste handlers (70.8 %). Conclusion: Study concludes that in absence of the routine collection of accurate data on NSIs, small studies have been useful in highlighting which groups of HCWs are most at risk from NSIs.


2021 ◽  
Vol 13 (11) ◽  
pp. 35
Author(s):  
Omar Audah Albeladi ◽  
Sami saeed Almudaraa ◽  
Asma Awwad Alqusibri ◽  
Nader Moneer Alqerafi ◽  
Yazeed Saeed Alsenani ◽  
...  

BACKGROUND: Needle stick injuries are a dangerous occupational hazard that threatens health care workers with serious consequences in many cases. Because of inadequate reporting of these incidents, the true magnitude of the problem is unknown. The study&rsquo;s aim was to investigate the epidemiology of needle stick injuries (NSIs) among health care workers in Al Madinah Al Munawara, Saudi Arabia. METHODS: A representative sample of health care workers (n=268) were randomly selected from emergency departments of three general hospitals in Al Madinah Al Munawara for a cross-sectional study, and 219 responded to a predesigned questionnaire reflecting exposure to NSI, reporting, post-exposure reactions, and knowledge about NSIs. RESULTS: Almost one third of the participating medical professionals 70 (32%) had been exposed to stick injury during work. One half of the needles (52.9%) were blood stained. Nurses are significantly more likely to have stick injury (38.6%) followed by physicians (30.4%) if compared to laboratory technicians (13.9%) at the p-value of less than 0.05. The main purposes during injuries were drawing blood sample 33 (47.1%), injection 31 (44.3%) and suturing 23 (32.9%). Almost all injured personnel (97.1%) cleaned the injury site immediately and thoroughly. Out of the injured personnel, 50 (71.4%) reported the incident to authorities. A significantly higher proportion of physicians (91.3%) achieved above average score if compared to both lab technicians (72.2%) and nurses (76.3%) at the p-value of less than 0.05. CONCLUSION: Occupational needle stick injuries are fairly common among health care workers at Al Madinah Al Munawara&rsquo;s governmental hospitals. In hospitals, deliberate efforts should be made to ensure adherence to safety guidelines governing needle stick injuries.


Author(s):  
Dalia M. Mohsen ◽  
Rawhia Dogham ◽  
Asmaa Saber Ghaly

Background: Percutaneous exposure to contaminated needle sticks and other sharps is a danger not only to health care workers but also to nursing and paramedical students that increases the morbidity and mortality from infections with blood borne pathogens. Knowledge concerning the general precautions is vital for the prevention of such accidents. This study aimed to describe the knowledge and practice of infection prevention and control guidelines among health care students regarding needle stick and sharp objects injuries. Methods: A descriptive, cross sectional research design was used. Health care students were selected using convenience sampling which included 90 students. Data was collected using a self-reporting structured online questionnaire and administered to a number of health care students including nursing and Clinical laboratory specialists. Results: It was found that about half (49%, 52%) of the students had fair knowledge and fair practice regarding needle stick injuries and infection control guidelines respectively. The majority of the students (76.7%) had positive attitudes towards Needle stick injuries and infection control guidelines. Conclusion: This study concluded that knowledge and practice of health care students about the risk associated with needle-stick and sharp objects injuries and use of preventive measures was fair. Special concerns should be given to the role of post exposure prophylaxis, the recapping of needles and the importance and mechanism of reporting NSIs. Standing operating procedures should be conveyed regarding needle-stick and sharp objects injuries in all the health facilities.


Author(s):  
Sunil K. Guleri ◽  
Ram K. Panika

Background: Health care workers (HCW) are at risk of an occupational exposure to blood borne diseases like HIV and Hepatitis B through accidental needle stick injuries. This study was conducted to assess the awareness regarding needle prick injuries among health care providers and their exposure to NSIs in a tertiary care medical college hospital with 750 bed capacity.Methods: This cross sectional observational study was conducted on 300 voluntarily participated HCWs out of total 650 HCWs. A semi structured questionnaire was used to assess their knowledge about exposure to blood and body fluids, needle stick injuries and associated risks and post exposure prophylaxis. Details of previous exposures to NSIs in last one year (2017-18) were also asked and their opinion about role and responsibilities of hospital administration for management of NSI was also recorded.Results: More than 90% HCWs were aware of exposure to blood and body fluids, 80.7% were aware of needle stick injuries, all 100% were aware of transmission of HIV and Hepatitis B from NSis and 78% were aware of post exposure prophylaxis. 97 cases of NSIs occurred in last one year which was higher than estimated EPInet data. Injection needle was most commonly (93.8%) involved in causing accidental NSIs.Conclusions: Practice of universal precautions and standard injection procedures by HCWs should be followed and education, training, and group insurance should be provided by hospital administration for prevention of NSIs.


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. 


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