Needle stick injury and HIV risk among health care workers in North India

Ashat, Munish; Bhatia, Vikas; Puri, Sandeep; Thakare, Meenal Madhukar; Koushal, Vipin

doi:10.4103/0019-5359.108947

Cited by 26 publications

(27 citation statements)

References 15 publications

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“…Recapping has been mentioned as the major cause for NSI and second reason after blood collection as stated by Murlidhar, Ashat, Saleem. 2,13,15 58% students stated emergency ward had maximum chance to get NSI. Students have given various reasons for getting the NSI, such as 50 % of our students felt it happens due to lack of time, lack of assistance, fatigue.…”

Section: Discussionmentioning

confidence: 97%

“…9.14 Poor knowledge of healthcare workers on the PEP guidelines has been mentioned in few studies carried out previously. 11,12,15,16 In a study by Aminde though mentioned that 27% of medical students indeed knew the ideal PEP guidelines. 16 This observation was further supported by the findings of Saleem which observed that 33% postgraduate students and 19% doctors had exact knowledge on PEP and also the time of initiation of PEP.…”

Section: Discussionmentioning

confidence: 99%

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Knowledge, attitude and practice of needle stick injury and post exposure prophylaxis in undergraduate medical students

Patel¹,

Bagle²,

Maurya³

et al. 2018

Int J Basic Clin Pharmacol

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Background: Needle stick injury are the most common reason behind occupational blood exposure and most important source of exposure to another person’s blood.Methods: A cross-sectional observational questionnaire-based study of 450 undergraduate medical students which includes 100 from each years, Second year: Part I (II/I: Third Semester), Second year: Part II (II/III: Fifth Semester), Third Year (III: Seventh Semester), Fourth year (IV: Ninth Semester) MBBS and 50 Interns. The participation was voluntary and written consent was taken prior to enrollment. The objectives of study were explained, and validated questionnaire was administered to the students and collected in a single visit after 30-40 minutes.Results: The average age was 21.91±2.03 years. About 406 students were aware of disease transmitted by NSI. 189 students felt that occurrence of NSI, first person to be contacted is Medicine Physician. 208 don’t know of existence of PEP. 164 felt PEP is to be given for 4 weeks. According to 138 students PEP guidelines were proposed by NACO while 101 students felt WHO. 261 students felt that most probable chance of getting NSI was in emergency ward. 363students felt that need for NSI PEP training before clinical exposure is very important. 345 felt the need for insurance of HCWs for diseases transmitted by NSI.Conclusions: Medical students are highly vulnerable to NSI and there is need to provide adequate preventive measures, frequent training for needle stick injury and postexposure prophylaxis to all healthcare workers.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Knowledge, attitude and practice of needle stick injury and post exposure prophylaxis in undergraduate medical students

Patel¹,

Bagle²,

Maurya³

et al. 2018

Int J Basic Clin Pharmacol

View full text Add to dashboard Cite

show abstract

“…Second, our model does not account for dynamic effects in terms of natural reduction in the prevalence of BBIs among the population in future years. Third, the pattern of unsafe (or safe) practices is dependent on the number of years of experience of a HCP and, so, NSI rates may vary with varying years of experience [95][96][97]. However, we considered an average risk of NSIs.…”

Section: Limitationsmentioning

confidence: 99%

Cost-Effectiveness of Therapeutic Use of Safety-Engineered Syringes in Healthcare Facilities in India

Bahuguna

Prinja

Lahariya

et al. 2019

Appl Health Econ Health Policy

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Background Globally, 16 billion injections are administered each year of which 95% are for curative care. India contributes 25-30% of the global injection load. Over 63% of these injections are reportedly unsafe or deemed unnecessary. Objectives To assess the incremental cost per quality-adjusted life-year (QALY) gained with the introduction of safetyengineered syringes (SES) as compared to disposable syringes for therapeutic care in India. Methods A decision tree was used to compute the volume of needle-stick injuries (NSIs) and reuse episodes among healthcare professionals and the patient population. Subsequently, three separate Markov models were used to compute lifetime costs and QALYs for individuals infected with hepatitis B virus (HBV), hepatitis C virus (HCV) and human immunodeficiency virus (HIV). Three SES were evaluated-reuse prevention syringe (RUP), sharp injury prevention (SIP) syringe, and syringes with features of both RUP and SIP. A lifetime study horizon starting from a base year of 2017 was considered appropriate to cover all costs and consequences comprehensively. A systematic review was undertaken to assess the SES effects in terms of reduction in NSIs and reuse episodes. These were then modelled in terms of reduction in transmission of blood-borne infections, life-years and QALYs gained. Future costs and consequences were discounted at the rate of 3%. Incremental cost per QALY gained was computed to assess the cost-effectiveness. A probabilistic sensitivity analysis was undertaken to account for parameter uncertainties. Results The introduction of RUP, SIP and RUP + SIP syringes in India is estimated to incur an incremental cost of Indian

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“…The injury caused by needlestick and sharp objects while working in health care environments is one of the major health threats among the health care providers. This means that NSI and injuries caused by sharp objects such as blood-contaminated syringes and needles infected by patients' body fluids can seriously threaten the health of health care workers [1][2][3]. The most important complications cuased by these injuries are HIV, hepatitis B and hepatitis C virus infection [4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Prevalence and causes of needlestick injuries among dental care providers: A systematic review and meta-analysis

Azar

Mohseni

Ghojazadeh

et al. 2019

Preprint

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Background The objective of this systematic review and meta-analysis was to identify the prevalence and causes of NeedleStick Injuries (NSI) among dental care providers.Methods Data collection was carried out through searching the following key words: needlestick injuries, percutaneous injuries, epidemiology, prevalence, occurrence, etiology, risk factors. The following databases were searched: Google Scholar, PubMed, Scopus, MagIran, Iranian Scientific Information Database (SID) and IranMedex. Moreover, some relevant journals and websites were searched manually and the reference lists of the selected articles were checked. In the final stage of the literature review, we searched the gray literature and contacted the experts whenever needed.Results From 765 articles reviewed, 31 cases were included in the study. In total, the needlestick injury history of 6,737 people (4,402 dentists, 1,000 Dental Health Care Workers (DHCWs) and 1,335 students) had been reported. The overall prevalence of NSI was 48% at an average of 11.1 months. About 69% of NSI cases were not reported. About 79% of the different groups of DHCWs had been vaccinated for the hepatitis B virus (HBV). The most important factors affecting the occurrence of NSI were categorized into two groups of individual factors (lapse in concentration, stress, lack of adequate trainings, and not using safety precautions) and patient-related factors (unexpected patient movements, anxious and uncooperative patients). The occurrence of NSI during treatment procedure (40.1 mean propotion), doing injections (34.2 mean propotion) and recapping (30 mean propotion) were the most important procedures causing NSI among dentists.Conclusion Results of the study show thatprevalence of NSI among DHCWs is high, incidence report of NSI is low and vaccination rate for prevention of bloodborne diseases is inadequate. In this regard it’s recommended to design and implemented comprehensive preventive measures to reduction of NSI prevalence, increase reporting of NSI and vaccination rate

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Needle stick injury and HIV risk among health care workers in North India

Abstract: Two-thirds of HCWs were exposed to needle stick injuries. Lack of awareness about post-exposure prophylaxis (PEP) was found.

Cited by 26 publications

References 15 publications

Knowledge, attitude and practice of needle stick injury and post exposure prophylaxis in undergraduate medical students

Knowledge, attitude and practice of needle stick injury and post exposure prophylaxis in undergraduate medical students

Cost-Effectiveness of Therapeutic Use of Safety-Engineered Syringes in Healthcare Facilities in India

Prevalence and causes of needlestick injuries among dental care providers: A systematic review and meta-analysis

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