A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Mahesh Kumar, C H
- A Study of Needle Sticks Injuries in a Medical College Hospital in Northern District of Karnataka
Authors
1 Department of Pathology, Raichur Institute of Medical Sciences, Raichur, Karnataka, IN
2 Department of Pathology, J J M Medical College, Davangere, Karnataka, IN
Source
Indian Journal of Public Health Research & Development, Vol 4, No 4 (2013), Pagination: 75-78Abstract
Background: Healthcare workers (HCW) are prone for accidental Needle Stick Injuries. Inspite of health education and interventions for prevention, needle stick injuries are still common.
Methodology: We reviewed the surveillance data of NSI over a period of 2 years (March 2009 - Feb 2011) to identify the health groups affected, types of needles used, mechanisms of NSI, pattern of post-exposure prophylaxis and the complications.
Results: 118 HCW reported the injuries. Among them were 42 (35%) nurses, 22 (19%) nursing interns/ students, Laboratory technicians 21 (18%), Cleaning staff 14 (12%), Medical interns 12 (10%) and Doctors 07 (06%). The devices mainly responsible for Needle Stick Injuries were hollow bore needles (n=90, 78%), solid 16 (17%) and others 4 (5%). Almost all injuries were caused during blood collection procedure and de-capping or re-capping of the needles. Post exposure prophylaxis for HCW's who reported injuries was provided. Subsequent follow up for Human immunodeficiency virus, Hepatitis B virus, Hepatitis C virus was negative except for one health care worker who was positive for Hepatitis B Surface Antigen(HBsAg).
Conclusion: Proper education and appropriate waste disposal of the sharps are necessary to prevent Needle stick Injuries.
Keywords
Needle Stick Injuries, Healthcare Workers, Universal Precautions
References
- Jagger J, Hunt EH , Brand- Elnaggar J, P J, Pearson RD. Rates of needle-stick injury caused by various devices in a university hospital. N Engl J Med 1988;319:284.
- Riddell LA, Sherrard J. Blood-borne virus infection: The occupational risks. Int J STD AIDS 2000;11:632-9.
- Gerberding JL. The infected healthcare provider. N Engl J Med 1996;334:594.
- C porta, E. Handleman, P.McGoren Needle stick injuries among health care workers: A literature review American association of occupational health nurses Vol. 47 No.6 1999(237-243).
- Perry J, Parker G. Jagger J, CPI net report: 2003 percutaneous injury rates. Advertise exposure prey. 2008: 7 (4): 42-45.
- Kernode M, Jolley D, Langkam B,Thomas MS,CroftsN Occupational exposure to Blood & Risk of Bloodborne Virus Inf. Among Health care workers in Rural North Indian Health Care Settings. Am. J. Infect. Control 2005; 33: 34-41
- Rele M, Mathur M, Turbadkar D. Risk of Needlestick injuries in Health care Workers: A Report. Ind. J. Med. Micro. 2002; 20; 206-7
- Mehta A, Rodrigues C, Ghag s,Bavi p, Shenai S, Dastur F. Needlestick injuries in a Tertiary Care Centre in Mumbai, India. J. Hosp. Infect. 2005 ; 60 : 368-373
- Richard VS, Kenneth J, Ramaprabha P, Kirupakaran H, Chandy GM.Impact of introduction of sharp containers and of education programmes in the pattern of needle stick injuries in a tertiary care centre in India. J. Hospital infection 2001: 47: 163-5.
- Bairy I, Rao SP, Dey A. Exposure to blood-borne viruses among healthcare workers in a tertiary care hospital in south India. J Postgrad Med. 2007 Oct-Dec;53(4):275-6.
- Jayanth ST, Kirupakaran H, Brahmadathan KN, Gnanaraj L, Kang G. Needle stick injuries in a tertiary care hospital. Indian J Med Microbiol. 2009 Jan-Mar;27(1):44-7.
- Fisman DN, Harris AD, Rubin M, Sorock GS, Mittleman MA. Fatigue increases the risk of injury from sharp devices in medical trainees: Results from a case-crossover study. Infect Control Hosp Epidemiol 2007;28:10
- Nili T, Amal MS, Shaul SS. The health beliefs of hospital staff and the reporting of needlestick injury. J Clin Nurs 2006; 15 : 1228-39.
- Nagao Y, Baba H, Torii K, Nagao M, Hatakeyama K, Linuma Y, et al. A long term study of sharps injuries among health care workers of Japan. Am J Infect Control 2007; 35 : 407-11.
- Smith DR, Leggat PA. Needlestick and sharps injuries among nursing students. J Adv Nurs 2005; 51 : 449-55.
- Alamgir H, Cvitkovich Y, Astrakianakis G,Yu S, Yassi A.Needlestick and other potential blood and body fluid exposures among health care workers in British Columbia,Canada. Am Infect Control 2008; 36:12-21
- Haiduvas DJ, Domaid TM,Stevans DA, Five year study of needle stick injuries. Significant reduction associates with communication, education and convenient placement of sharp containers,. Infect cpntrol hospital epidemio 1992: 13: 265-7
- Askarian M, Shaghaghian S, McLaws ML. Needlestick injuries among nurses of Fars Province, Iran. Ann Epidemiol 2007; 17 : 988-92.
- Nee L, Lim HL, Chan YH, Bachok DB. Analysis of sharps injury occurrences at a hospital in Singapore. Int J Nurs Prac 2002; 8 : 274-281
- Sumathi Muralidhar, Prashant Kumar Singh , R.K. Jain, Meenaksh Malhotra & Manju Bala. Needle stick injuries among health care workers in a tertiary care hospital of India.;Indian J Med Res 131, March 2010, pp 405-410
- Martin A. Makary m.d e.t al. Needle stick injuries among surgeons in training The new England journal of Medicine. Vol. 356; 2693-2699, jun 28, 2007
- Wanchu A, single, Bambery I, Varma S. Possibly occupationally acquired HIV infection in two Indian health care workers. Med. Gen. Med 2006: 24. 8-56