The aims of this cross-sectional study were to investigate the prevalence and circumstances of needlestick injury (NSI) among heath care workers at University of Alexandria teaching hospitals and to assess the effectiveness of the existing control measures and standard precautions. Data were obtained by anonymous, self-reporting questionnaire from 645 nurses, physicians and ancillary staff in 2007. Around two-thirds of workers (67.9%) had suffered at least 1 NSI in the last 12 months. High-risk patients (with history of HIV, hepatitis B virus or , hepatitis C virus infection or injecting drug use) were involved in 8.2% of injuries. On evaluating the effectiveness of existing control measures, significant protective factors against NSI were: using devices with safety features (OR 0.41), adherence to infection control guidelines (OR 0.42), training in injection safety (OR 0.14), comfortable room temperature (OR 0.32) and availability of a written protocol for prompt reporting (OR 0.37). شوقيمنى قاسم، رشيف حممد ، حميي عايدة حنفي، منال املستشفيات يف الصحية الرعاية يف العاملني لدى اإلبر بوخز اإلصابات وظروف انتشار معدل الستقصاء املستعرضة الدراسة هذه هتدف اخلالصـة: خالل من املعطيات عىل الباحثون حصل وقد للوقاية. املعيارية واالحتياطات احلالية املكافحة إجراءات فعالية لتقيـيم اإلسكندرية، جلامعة التعليمية )%67.9( العاملني ثلثي من يقرب ما أن نَّ وتبني .2007 عام يف ً مساعدا ً طبيا ً وعامال ً وطبيبا ممرضة 645 استوفاه األسامء، ذكر دون ً ذاتيا ىَ ستوف ُ ي استبيان اخلطورة مرتفعي بمرىض العناية أثناء احلاالت من %8.2 يف اإلصابات كانت وقد السابقة. عرش االثني األشهر يف األقل عىل إبرة وخزة من عانى قد فعالية تقيـيم من نَّ وتبني باحلقن). املخدرات يتعاطون نَّن مم أو «يس» أو «يب» الكبدي االلتهاب بفريوس أو اإليدز بفريوس اإلصابة سوابق (لدهيم األرجحية (معدل السالمة ها ُ ر ِ ظاه أدوات استخدام هي: اإلبر بوخز اإلصابة من هبا ىَدُّ ت ْ ع ُ ي التي الوقائية العوامل أن ً حاليا القائمة املكافحة إجراءات درجة وكون )0.14 األرجحية (معدل احلقن سالمة عىل والتدريب ،)0.42 األرجحية (معدل العدوى ملكافحة اإلرشادية بالدالئل وااللتزام ،)0.41 .)0.37 األرجحية (معدل الفوري لإلبالغ مكتوب بروتوكول وتوافر ،)0.32 األرجحية (معدل رحية ُ م الغرفة حرارة Blessures par piqûre d'aiguille chez les agents de soins de santé des hôpitaux universitaires d'Alexandrie RéSUmé Les objectifs de la présente étude transversale étaient d'étudier la prévalence et les circonstances des blessures par piqûre d'aiguille chez les agents de soins de santé des hôpitaux universitaires d'Alexandrie et d'évaluer l'efficacité des mesures de lutte existantes et les précautions standard. Les données ont été obtenues au moyen d'un questionnaire anonyme direct rempli par 645 infirmières, médecins et personnels auxiliaires en 2007. Environ deux-tiers de ces personnels (67,9 ...
Background: Needle stick injury has been recognized as one of the occupational hazards which results in transmission of blood borne pathogens. As there was limited data on the national level about these injuries determinants of such injuries are important to investigate and to design effective prevention programs. Objective: The purpose of this study was to investigate the prevalence and circumstances of needle stick injuries among heath care personnel working at Alexandria University hospitals. Effectiveness of the existing control measures and practice of standard precautions were also assessed. Methods: A cross-sectional survey was carried out among 913 health care workers (HCW) in different clinical departments of the three teaching hospitals from January to December 2007. Data were obtained by an anonymous, self-reporting questionnaire. Health Belief Model (HBM) was used to explain standard precautions practice. Multiple linear regression was performed to predict factors associated with the practice of standard precautions. Results: Of the recruited participants, 70.6% (645/913) had completed the questionnaires. Nurses had the highest response rate (92.5%). More than two thirds (68.0%, n=438) of participating HCWs had sustained at least one needle stick injury in the last 12 months. Risk of (Needle Stick Injuries (NSIs) was significantly associated with younger age of the participants and fewer years of work experience. More specifically, of all occupational groups, nurses have the highest risk to experience needle stick injuries (62.3%). Disposable syringes accounted for 38.4% of injuries. Most needle stick injuries (36.5%) occurred at the patient's ward. Evaluating the kind of activity under which the needle stick injury occurred, on average 36.0% of injuries occurred during recapping of a needle especially if this practice was handily done. High risk patients (one with a history of infection with HIV, hepatitis B, hepatitis C, or injection drug use) were involved in 8.2% of injuries. The majority of NSIs (73.1%) occurred at end of the shift. Most health care workers (77.4%) were mentally distressed during their injury. Factors increase possibility of infection transmission were the procedure involving a needle placed directly in patient's vein or artery, exposure to a source patient who had evidence of blood borne infection, low immune status of the HCW (i.e., no vaccination with HBV), deep injury, and lack use of personal protective equipment. A total of 327 respondents (74.7%) did not report the injury to an employee health service. Lack knowledge of appropriate procedure after injury was the most common cited reason for not reporting the injury. The survey revealed that use of preventive measures was inadequate. Only 10.0% of all participant workers knew new needless safety devices. The significant protective factors that decreased the frequency of needle stick injuries were using devices with safety features (OR=0.41), satisfactory adherence of a health care worker to infection control guidelines (OR=...
Pharmacists were found to play a key role in anticoagulation care. In order to make an appropriate selection and counselling regarding direct oral anticoagulants (DOACs), pharmacists should be knowledgeable and abiding by evidence-based practice. We aim in this study to assess the knowledge and practices of practicing hospital and community pharmacists in Qatar regarding DOACs and their reflection on the dispensing and patient education. A prospective cross-sectional survey was developed. It included questions on demographic and professional characteristics. Additionally, it evaluated the awareness regarding safety, efficacy, and dispensing of DOACs. Lastly, a separate question was used to address the participant’s satisfaction with their knowledge. A total response were received from 211 pharmacists participating in the survey. Overall awareness score was moderate (41.6% ± 26%). These scores were in alignment with participants’ self-satisfaction with knowledge on DOACs (72% of participants were not satisfied). Being a clinical pharmacist, of male gender, and with a board certification were factors associated with increased awareness on DOACs. Results from this survey point to the importance of having more educational activities in order to improve pharmacist’s knowledge of DOACs.
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