Interventions to reduce needle stick injuries at a tertiary care centre

Mehta, Ajita; Rodrigues, Camilla; Singhal, Tanu; Lopes, Nátali Artal Padovani; D'Souza, Natasha; Sathe, Kiran P; Fd, Dastur

doi:10.4103/0255-0857.58722

Cited by 24 publications

(23 citation statements)

References 7 publications

(7 reference statements)

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“…11 An article published a decade back from a similar setup in India, reported about 380 HCW's having NSI during the period of 6 years (1998-2003) with active surveillance. 15 Most NSI's occurring during intravenous line insertion (N=112), followed by blood collection (N=69), surgical blade injury (N=36) and recapping needles (N=36). A commentary based on this report emphasized on the need for active intervention to prevent NSI's and safeguard the health and interests of all HCW's across India.…”

Section: Discussionmentioning

confidence: 99%

“…A commentary based on this report emphasized on the need for active intervention to prevent NSI's and safeguard the health and interests of all HCW's across India. 13,15 A teaching-hospital from Mumbai reported only 38 instances of NSI over a period of one year (June 2000-2001) which were self-reported by the HCW's. However, there are reports of gross underreporting of accidental exposure and NSI in hospitals across India and world.…”

Section: Discussionmentioning

confidence: 99%

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Needle stick injuries in a tertiary care hospital in India: observations from a clinical audit

Gita

Rao

2017

Int J Res Med Sci

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Background: Needle stick injuries (NSI) is notably one of the most common and preventable occupational hazard amongst healthcare workers (HCW). This article reports the findings of a clinical audit for needle stick injuries (NSI) conducted at a tertiary care hospital, Pune, Maharashtra, India.Methods: Clinical audit was conducted at the 123 bed ISO 9002 certified and NABH accredited tertiary care hospital having safety protocols and incident reporting mechanisms in place. Data included all reported and unreported events of NSI. Information about the unreported events was collected through personal interview of all HCWs (99 men and 180 women) and employed doctors (23 men and 09 women). The nature of events and situations when NSI occurred were described. This being a only exploratory analysis is done.Results: With a total of 36,376 patients treated in the hospital during 2015, a total of 2,16,336 injections were given. Only 11 NSI events were documented during the year and all were reported voluntarily by the HCWs after the incident occurred. All events occurred in the HCWs and no doctors were involved in any of the NSI events. The number of NSI events per 1000 patients treated (IPD and OPD) was 0.302, i.e. 0.03%, and the annual incidence was 8.94% for the hospital beds. Female HCW’s (63.6%) were involved more in NSI than males (36.4%).Conclusions: Continuous education of all categories of HCWs plays a crucial role in capturing NSI. Staff should be encouraged to self-report without any delay and should treat each NSI as an emergency.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Needle stick injuries in a tertiary care hospital in India: observations from a clinical audit

Gita

Rao

2017

Int J Res Med Sci

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“…Follow-up had been done after three and six months of exposure (6,10). Participants included all referred PIs (NS/SI) during the mentioned time period and no calculation was done for the sample size.…”

Section: Methodsmentioning

confidence: 99%

Percutaneous Injuries and Transmission of HIV Among Cases Referred for Post Exposure Prophylaxis to Razi Hospital in Ahvaz, a City in the Southwest Iran

Alavi

Sharifi

2013

Jundishapur J Microbiol

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Background: Health care workers (HCWs) and public in Iran may be at the risk of percutaneous injury (PI) as well as infection with human immunodeficiency virus (HIV). Objectives: The aim of this study was to evaluate the PI and transmission of HIV infection in PI cases referred to an HIV preventive focal point unit. Patients and Methods: In this prospective study, 369 PI cases who had referred to Razi Hospital of Ahvaz, from 1993 to 2008 were studied. PI cases were placed in three groups: occupational (HCWs), accidental (children) and victims of a crime (women). The data including demographic, occupational, PI incidence place, post-exposure prophylaxis (PEP) and follow-up tests for HIV infection were analyzed in SPSS 16 using chi square test. Results: From a total of 369 cases, 273 (74%) were HCWs, among which nurses (70%) were the most involved employees, followed by surgeons (18.3%) and lab workers (8.4%). Fifty five cases (14.9%) were accidental needle stick (NS) and 41 (11.1%) were victims. Among HCWs, 38 (13.8%) were injured by needles soiled with HIV infected bloods. Only 105 (28.4%) needed PEP, among which 92 (87.6%), including 50 surgeons, 21 nurses and 18 lab workers were HCW. The results of HIV tests in all cases were negative. Conclusions: Although nurses are the most involved occupational group in documented NS, surgeons are the most important high risk HCW who need PEP. No case of seroconversion has taken place as a result of PI.This means that the current PEP may have an effective role in HIV prevention.

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“…An in-depth understanding of blood-borne virus epidemiology (in India, the seroprevalence of HIV, HBV, and HCV is approximately 0.3%, 3%, and 1%, respectively), transmission risks (maximum for HBV followed by HCV and HIV), and the nature of the exposure (deep injury with blood ex-posure vs superficial cuts with an apparently clean sharp) and the presence of appropriate personal protective equipment help in optimizing management and reducing infection risks. 1,3,4 Knowledge about this condition and education of healthcare workers about the "dos and don'ts" is essential.…”

Section: Epidemiology Of Sharps Injury and Splash Exposure In An Oncomentioning

confidence: 99%

“…3 Screening for carriage and the classification of GN as MRGN or non-MRGN are important tools for infection control measures aimed at reducing pathogen transmission among hospitalized patients, 2,3 both because of the major ongoing problem of antibiotic resistance per se and because of the lack of new antibiotics today and in future. 4 Thus far, epidemiological data on 3/4MRGN in hematology and oncology are lacking. Therefore, we have retrospectively analyzed all consecutive inpatients admitted to our hematology and oncology 26-bed ward from July 1, 2012, through December 31, 2013.…”

Section: Multidrug-resistant Gram-negative Bacteria In Hematology Andmentioning

confidence: 99%

Epidemiology of Sharps Injury and Splash Exposure in an Oncology Care Center in Eastern India

Bhattacharya

Chatterjee

Goel

et al. 2014

Infect. Control Hosp. Epidemiol.

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Interventions to reduce needle stick injuries at a tertiary care centre

Abstract: No case of seroconversion has taken place, so far, as a result of needle stick injuries at our centre.

Cited by 24 publications

References 7 publications

Needle stick injuries in a tertiary care hospital in India: observations from a clinical audit

Needle stick injuries in a tertiary care hospital in India: observations from a clinical audit

Percutaneous Injuries and Transmission of HIV Among Cases Referred for Post Exposure Prophylaxis to Razi Hospital in Ahvaz, a City in the Southwest Iran

Epidemiology of Sharps Injury and Splash Exposure in an Oncology Care Center in Eastern India

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