scholarly journals Necessity of hepatitis B vaccination based on the current situation of needle stick injuries at our hospital

Kanzo ◽  
2020 ◽  
Vol 61 (4) ◽  
pp. 184-190
Author(s):  
Satoru Sekoguchi ◽  
Hitomi Hirose ◽  
Kanami Ikeda ◽  
Satoki Yamane ◽  
Seiko Hamada ◽  
...  
2017 ◽  
Vol 56 (3) ◽  
pp. 179-184 ◽  
Author(s):  
Vuk Marusic ◽  
Ljiljana Markovic-Denic ◽  
Olivera Djuric ◽  
Dragana Protic ◽  
Emilija Dubljanin-Raspopovic

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.


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):  
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.


2015 ◽  
Vol 6 (4) ◽  
pp. 213-216 ◽  
Author(s):  
Kashif Ikram ◽  
Humayun Kaleem Siddiqui ◽  
Sana Maqbool ◽  
Maham Altaf ◽  
Sania Khan

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.


2017 ◽  
Vol 9 (8) ◽  
pp. 107 ◽  
Author(s):  
Yapa M. M. Priyangani ◽  
Gamaralalage S. K. Dharmaratne ◽  
Sathasivam Sridharan

INTRODUCTION: This study was carried out to find out the existing prevalence rates of the Needle Stick Injuries (NSIs) among nursing officers in Sri Lankan health delivery system and to identify the factors associated with NSIs including the level of knowledge, attitude and practice on prevention.METHODS: A descriptive cross sectional study was conducted in three District General Hospitals. Five routine working units identified from each hospital. Proportional allocations were made with a final step of simple random sampling to select the sample. Self- administered questionnaire was used for data collection.RESULTS: Response rate was 95% and the prevalence of NSIs was 43%. IV cannulation was the most risky procedure (51%). Re-capping was seen in 24% of the exposed group. Medical wards accounted for 78% of the NSIs. There was a significant difference in NSIs seen in maturity in age (p=0.015) and increase working experience (p=0.044) but no difference was found with increased work load (no. of patients seen per day, p=0.765, increase number of working hours per week, p=0.204) and participation in in-service training programs (p=0.592). Pre exposure Hepatitis B immunization was seen in only 64%. A significant 49% did not report the injury and the main reason was assumed less risk (46%).CONCLUSION: Prevalence of NSIs was still high and ignorance and neglect are the main causes. Health education and in-service training should be mainly directed at inculcating knowledge into practice and changing attitudes towards safe practices. Hepatitis B immunization should be provided as early as possible.


1984 ◽  
Vol 48 (10) ◽  
pp. 563-565
Author(s):  
HJ Kwon ◽  
KM Keenan ◽  
H Colman ◽  
KM Sundeen ◽  
DE Waite

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