Needle Stick Injury in Healthcare Workers

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.

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The Prevalence of Accidental needle Stick Injury and their reporting among healthcare Workers in orthopaedic Wards in General hospital Melaka, Malaysia

Malaysian Orthopaedic Journal ◽

10.5704/moj.1407.009 ◽

2014 ◽

Vol 8 (2) ◽

pp. 6-13 ◽

Cited By ~ 9

Author(s):

bhardwaj A ◽

Sivapathasundaram N ◽

Yusof MF ◽

Minghat AH ◽

Swe KMM ◽

...

Keyword(s):

General Hospital ◽

Healthcare Workers ◽

Needle Stick Injury ◽

Needle Stick

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Reduction in Needle Stick Injury Rate among the Healthcare Workers in a Tertiary Care Hospital

International Journal of Research Foundation of Hospital and Health Care Administration ◽

10.5005/jp-journals-10035-1110 ◽

2019 ◽

Vol 7 (2) ◽

pp. 58-62

Author(s):

Neha Dang ◽

Suryasnata Das

Keyword(s):

Healthcare Workers ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Injury Rate ◽

Needle Stick Injury ◽

Care Hospital ◽

Needle Stick

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Occupational Risk Factors Associated with Needle-Stick Injury among Healthcare Workers in Hawassa City, Southern Ethiopia

Occupational Medicine & Health Affairs ◽

10.4172/2329-6879.1000156 ◽

2014 ◽

Vol 02 (02) ◽

Cited By ~ 1

Author(s):

Biruck Desalegn Yirsaw

Keyword(s):

Risk Factors ◽

Healthcare Workers ◽

Occupational Risk ◽

Southern Ethiopia ◽

Needle Stick Injury ◽

Occupational Risk Factors ◽

Needle Stick ◽

Factors Associated

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Relationship between psychosocial working conditions, stress perception, and needle-stick injury among healthcare workers in Shanghai

BMC Public Health ◽

10.1186/s12889-019-7181-7 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 3

Author(s):

Chao Wang ◽

Li Huang ◽

Jue Li ◽

Junming Dai

Keyword(s):

Working Conditions ◽

Healthcare Workers ◽

Needle Stick Injury ◽

Stress Perception ◽

Needle Stick ◽

Psychosocial Working Conditions

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Worldwide Prevalence of Occupational Exposure to Needle Stick Injury among Healthcare Workers: A Systematic Review and Meta-Analysis

Canadian Journal of Infectious Diseases and Medical Microbiology ◽

10.1155/2021/9019534 ◽

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.

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Intervention to Reduce Needle Stick Injuries

IIUM Medical Journal Malaysia ◽

10.31436/imjm.v9i1.1431 ◽

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.

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