Effectiveness of Diabetes Community Sharp Disposal Education Module in Primary Care: An Experimental Study in North-East Peninsular Malaysia

Hasan, Ummu Atiyyah; Hairon, Suhaily Mohd; Yaacob, Najib Majdi; Daud, Aziah; Hamid, Anees Abdul; Hassan, Norzaihan; Ariffin, Mohd Faiz; Vun, Lau Yi

doi:10.3390/ijerph16183356

Cited by 9 publications

(6 citation statements)

References 28 publications

(53 reference statements)

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“…The same investigators conducted a follow-up study of 132 insulin-using patients with type 2 DM receiving an educational intervention designed to improve safe handling of sharps. 21 One group was educated about proper sharps disposal and the second group was a control (no disposal education). During a three-month follow-up period, the intervention cohort showed a significant improvement ( P < .001) in sharps disposal methods compared with the control cohort.…”

Section: Resultsmentioning

confidence: 99%

Unsafe Sharps Disposal Among Insulin-Using Patients With Diabetes Mellitus: An Emerging Global Crisis

Thompson

Cook

2021

J Diabetes Sci Technol

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Approximately eight billion therapeutic injections are administered outside of medical treatment facilities annually. The management of diabetes mellitus (DM) includes self-monitoring of blood glucose levels and administration of insulin and injectable non–insulin-related medications. The lancets, needles, and syringes used for DM management are categorized as medical sharps. Improperly discarded medical sharps can cause needlestick injuries in unsuspecting individuals and thereby pose a considerable public health risk. Release of these items into the environment will likely increase with the rising worldwide prevalence of DM, and a public safety crisis will emerge if proper disposal measures are not emphasized. This article reviews the literature from various geopolitical regions and describes how a substantial number of patients with DM improperly discard their sharps. Data support the need to develop multifaceted and innovative approaches to reduce risk associated with improper disposal of DM-related medical sharps into local communities.

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Section: Resultsmentioning

confidence: 99%

Unsafe Sharps Disposal Among Insulin-Using Patients With Diabetes Mellitus: An Emerging Global Crisis

Thompson

Cook

2021

J Diabetes Sci Technol

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“…Furthermore, a study conducted in India found that a provider-initiated patient-centered insulin-use health education program with information on sharps disposal significantly improved the knowledge and practice of used insulin sharps disposal among people with diabetes ( 18 ). A quasi-experimental study conducted in northeast Peninsular Malaysia reported that a structured community sharps disposal education module that included content on the proper handling of sharps, was effective in improving sharps disposal knowledge and encouraging safe sharps disposal practices among Malaysian patients with diabetes ( 16 ). The positive relationship between previous instruction on sharps disposal and safe sharps disposal practices can be explained by the health belief model, where information on safe sharps disposal can serve as a cue for action, activating readiness and stimulating positive health-related behaviors among people with diabetes ( 29 ).…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies have shown that patients with diabetes who had received education on safe sharps disposal were more likely to safely dispose of at-home sharps than those who had not (12)(13)(14)(15). In addition, several studies showed that such education helps improve sharps disposal practices among community-based patients with diabetes (16)(17)(18)(19). Additionally, two studies indicated that patients with higher levels of education were more aware of the dangers associated with sharps and the need for safe sharps disposal (20,21).…”

Section: Introductionmentioning

confidence: 99%

At-home disposal practices of used insulin needles among patients with diabetes in China: A single-center, cross-sectional study

Wang

et al. 2022

Front. Public Health

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BackgroundMost insulin injections for people with diabetes are administered at home, thus generating many used needles. Unsafe disposal of these at-home needles can lead to needle stick injuries, blood-borne disease transmission, and environmental contamination. Previous studies have shown varying results on the prevalence of and factors associated with safe sharps disposal practices of people with diabetes.ObjectiveTo assess the prevalence of and the factors associated with the safe disposal of used insulin needles among patients with diabetes.MethodsWe collected data from 271 insulin-using patients at a tertiary care hospital in China. A self-designed instrument was used to assess sociodemographic data, disease- and treatment-related characteristics, sharps disposal practices, education on diabetes self-management and sharps disposal, and awareness of the potential risks associated with unsafe sharps disposal. Multivariate logistic regression analysis was used to explore factors associated with safe sharps disposal practices.ResultsOnly 10.3% (28/271) of participants disposed of used at-home insulin needles in a safe manner, and 14.8% (45/271) of participants had received previous instruction on sharps disposal. Previous sharps disposal instruction (AOR = 4.143, 95% CI = 1.642–10.450) and awareness of the risk of blood-borne pathogen transmission (AOR = 3.064, 95% CI = 1.332–7.046) were associated with safe disposal of used insulin needles.ConclusionIn our study, the prevalence of safe sharps disposal practices was low, and a minority of respondents had received previous instruction on sharps disposal. Participants who had previously received instruction and were aware of the risk of blood-borne pathogen transmission were more likely to handle sharps safely. Our study findings suggest that health care professionals should pay attention to sharps disposal practices of patients with diabetes and conduct diabetes education programs that include information on safe sharps disposal methods and potential hazards of unsafe sharps disposal.

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“… 3 4 The most commonly used sharps for home treatment of DM are lancets, needles, reusable and disposable insulin or glucagon-like peptide-1 (GLP-1) analogues pens and insulin cartridges. 4 5 …”

Section: Introductionmentioning

confidence: 99%

“…Many of these patients, especially those who suffer from DM type 1, require daily use of medical sharps in order to control blood glucose levels and administer insulin, leading to the generation of a considerable amount of sharp waste within the household setting 3 4. The most commonly used sharps for home treatment of DM are lancets, needles, reusable and disposable insulin or glucagon-like peptide-1 (GLP-1) analogues pens and insulin cartridges 4 5…”

Section: Introductionmentioning

confidence: 99%

Medical sharps in Portugal: a cross-sectional survey of disposal practices among the diabetic population

Corte-Real¹,

Duarte²,

Teixeira³

et al. 2022

BMJ Open

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ObjectiveWe aim to determine the disposal site for biohazardous materials resulting from diabetes surveillance and therapy.DesignCross-sectional study.SettingFive Portuguese primary care facilities.ParticipantsWe randomly sampled diabetic patients representative of five primary care facilities. Inclusion criteria consisted in patients≥18 years old with an active diagnosis of diabetes mellitus (DM). Patients unable to provide written informed consent were excluded.Outcome measureSociodemographic variables, diabetes duration, type of treatment, medical sharps disposal practices and whether adequate disposal information were provided.ResultsA total of 1436 diabetics were included. Overall, 53.8% of diabetics conducted regular capillary glicemia measurements, although 45.3% of them had no medical indication. Statistically significant predictors of adequate disposal were not having an active professional status (p=0.011) and having a DM duration between 5 and 10 years (p=0.014). Only being professionally inactive remained an independent predictor after multivariate logistic regression. Less than a fifth of patients on injectable therapy report having been advised by healthcare staff regarding sharps disposal. Over a fifth of the latter report having received wrong advice. The majority of diabetics dispose of biohazardous materials in unsorted household waste (68.1% of needles/devices with needles and 71.6% of lancets). Other incorrect disposal sites identified were recycling bins, toilet and home accumulation. Only 19.1% of the needles/devices with needles and 13.1% of the lancets were disposed of at healthcare facilities.ConclusionsMost diabetics have unsafe disposal practices for their biohazardous materials, mostly in unsorted household waste. We identified that being unemployed independently predicts adequate disposal of medical sharps and found evidence of low patient literacy on the topic, as well as poor patient education. Therefore, educating and raising awareness among healthcare professionals is crucial to address this public health issue.

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Effectiveness of Diabetes Community Sharp Disposal Education Module in Primary Care: An Experimental Study in North-East Peninsular Malaysia

Cited by 9 publications

References 28 publications

Unsafe Sharps Disposal Among Insulin-Using Patients With Diabetes Mellitus: An Emerging Global Crisis

Unsafe Sharps Disposal Among Insulin-Using Patients With Diabetes Mellitus: An Emerging Global Crisis

At-home disposal practices of used insulin needles among patients with diabetes in China: A single-center, cross-sectional study

Medical sharps in Portugal: a cross-sectional survey of disposal practices among the diabetic population

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