Needlestick injuries among health care workers of University of Alexandria hospitals

Abstract

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 ...

The fundamental role of educational intervention on improving health care workers’ knowledge, attitude and practice towards infection control precautions

“…9,21 our study estimated that 80.6% of HCWs experienced needle stick accidents at least once which is in agreement with other studies conducted in alexandria, Egypt, 22 South africa 23 and Indonesia 9 as 67.9%, 91% and 77% respectively of HCWs reported sustaining needle stick accident. Lower prevalence of NSIs was reported among HCWs in two Malaysian teaching hospitals (31.6% and 52.9% respectively).…”

Occupational Exposure to Needle Stick Injuries among Health Care Personnel in a Tertiary Care Hospital: A Cross Sectional Study

“…79.5% and 80.1% respectively when compared to the present study findings. The studies from Alexandria hospital [16] Egypt (67.9%), a study from Nigeria [17] involving primary health care workers (57.1%) and a study from Pakistan [18] involving health care workers of two tertiary care hospitals comprising both public and private health sector (64%) have shown marginally lower percentage of needle stick injuries in relation to the present study observation. In contrast to the present study findings, studies from Germany [3,19] Maharashtra-India [13] and Mongolia [20,21] have shown significant lower proportion of needle stick injuries i.e.…”

“…The most common belief is that; as the work experience increases chances of exposure to needle stick injuries will come down as supported by the study done at Egypt and Malaysia [16,22]. Whereas a study from Pakistan [18] involving health care workers of two tertiary care hospitals has shown the results similar to the present study where it was observed that the odds of having needle stick injuries were higher among health care workers who were practicing for more than five years which was found to be statistically significant.…”

Investigating needle stick injuries: Incidence, knowledge and perception among South Jordanian nursing students

“…[34] On other hand, the results of this study revealed that the negative attitude of the nursing students in opining that reporting after NSI was not useful, reflect a lack of understanding of the dangers of non-reporting and possible spread of infection. In a study by Hanafi et al (2011), it recognized that the normal explanation behind unreported NSIs warranted consideration since there is minimal advantage, particularly when reporting can bring about employment problems or other adverse issues. [35] Obstructions to reporting ought to be suitably distinguished and disposed of with a specific end goal to guaranteeing guidance and education of students after presentation.…”