Occupational exposure to blood and bodily fluids among healthcare workers in Serbian general hospitals

Mandić, Bojana; Mandić‐Rajčević, Stefan; Marković-Denić, Ljiljana; Bulat, Petar

doi:10.2478/aiht-2018-69-3047

Cited by 15 publications

(20 citation statements)

References 15 publications

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“…The prevalence of needlestick injuries was variably reported in the studies included in this review, with some studies reporting prevalence in the past year, some over the entire career and a few reporting it in the past 3 months, 6 months and 5 years. The prevalence of needlestick injuries in the past year was reported in 12 studies and showed a wide variation, ranging from 27% in a study conducted in Nigeria to 82% in a study conducted in China [28,33,35,37,40,43,[46][47][48]58,63,64]. The prevalence of needlestick injuries over the entire career was reported in nine studies and ranged from 32.4% in a study conducted in Ethiopia to 86.2% in a study from China [35,37,43,44,54,[61][62][63][64].…”

Section: Discussionmentioning

confidence: 99%

Exposure to Occupational Hazards among Health Care Workers in Low- and Middle-Income Countries: A Scoping Review

Rai

El‐Zaemey

Dorji

et al. 2021

IJERPH

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Health care workers are exposed to numerous workplace hazards. The implementation of safety measures in high-income countries has largely mitigated these risks. However, in many low- and middle- income countries (LMICs), resources to institute safety measures are lacking, increasing the risk of occupational exposures to these hazards. The aim of this scoping review is to map and synthesize the available research on occupational hazards among health care workers in LMICs, identify research gaps and inform policy. Searches for relevant articles were conducted in five electronic databases using a broad range of search terms. The inclusion criteria were: quantitative observational or experimental studies which examined exposure to one or more occupational hazards among health care workers in a LMCI; and the article was published in English in a peer-reviewed journal. A total of 99 studies met the inclusion criteria, and data were extracted from these studies. Large proportions of health care workers in LMICs were exposed to biological hazards (bloodborne pathogens, tuberculosis), psychosocial hazards (workplace violence, burnout, job dissatisfaction), ergonomic hazards (musculoskeletal complaints), and chemical hazards (exposure to latex and antineoplastic drugs). The implementation of risk reduction strategies was suboptimal. The majority of the literature was on biological hazards (48%), and research on other hazards was limited in comparison. Occupational safety needs to become a priority public health issue to protect health care workers in LMICs. More research is needed to understand the magnitude of the problem in these countries.

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Section: Discussionmentioning

confidence: 99%

Exposure to Occupational Hazards among Health Care Workers in Low- and Middle-Income Countries: A Scoping Review

Rai

El‐Zaemey

Dorji

et al. 2021

IJERPH

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“…6,8 Mandić et al notably included an "other" category of staff which also included cleaning staff, similar to this study; the authors noted that this category of staff was most predisposed to stabs. 10 This study found that a majority of injuries occurred during recapping, drawing blood and action failure.…”

Section: Discussionmentioning

confidence: 82%

“…12 The study by Mandić et al showed that most accidents occurred during the morning shift, similar to this study, giving the increased activity in the morning as the reason. 10 The required testing was done for the blood borne viruses: HIV, HBV and HCV. The data indicates that the majority of staff were adequately tested, treated and followed up.…”

Section: Discussionmentioning

confidence: 99%

The Epidemiology of Sharp Injuries in Healthcare Workers at a Trinidadian Community Hospital

Nagassar

2021

Caribb Med J

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OBJECTIVE To describe the epidemiology of sharp injuries, in healthcare workers, at the Sangre Grande Hospital (SGH) in Trinidad. A secondary analysis of non-sharp injuries was also done. Sharp injuries predispose staff to blood borne infections and thus are occupational infection prevention and control matters. Sharp injuries were observed to be a problem at the SGH. This study served to gather data for informed decision making. METHODOLOGY A retrospective descriptive study was done by reviewing all IPC reporting forms from reported healthcare worker injuries at the Infection Prevention and Control (IPC) Department for the period 2007-2017. All persons recorded as having being injured by sharps and secondarily, non-sharp occupational exposures, at the IPC department were included. We looked at employee case management including testing for blood borne Human Immunodeficiency Virus (HIV), Hepatitis B Virus (HBV) and C virus (HCV), management and treatment. Simple descriptive statistics were used to present the findings. RESULTS All 148 notes were reviewed after which entries having greater than 10 missing data points or fields were excluded from the study analysis, leaving 138 notes. Age ranges were between 20 – 62 years with the mean age of the affected population being 33 years. A total of 104 (75.4%) females were injured compared to 32 (23.2%) males. Persons injured were mainly from the wards (n=81, 58.5%): internal medicine (n=46, 33.3%) and general surgery (n=22, 15.9%). Accident & Emergency (A&E) accounted for 10.1% (n=14) of the cases. Registered nurses (n=37, 26.8%), physicians (n=22, 15.9%) and students (n=20, 14.5%) were the main categories of staff affected. The highest number of events occurred between 10:00-11:00 in the morning [am] (n=29, 20.6%). The majority of these incidents (n=123, 89.1%) were first reported to SGH A&E. Most injuries occurred while disposing of needles (n=17, 12.3%). It was noted that 73 (52.9%) of the documented cases occurred on fingers. HIV, HAV & HBV tests were done in 136 (98.6%) of the 138 staff members recorded. In 120 (87%) events the source patient was tested. A total of 114 (84.4%) persons had been vaccinated for HBV; 77 (58.8%) persons had post exposure prophylaxis (HIV) for one month. One (1.3%) person reported seroconversion after six months to positive HIV status. CONCLUSION Sharp injuries in employees were common in internal medicine and general surgery wards. These injuries were common in the late morning, on the fingers. Only one exposed employee seroconverted over the entire period.

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“…NSIs are responsible for 86% of all occupation-related infections [9]. The most common causes of NSIs are two-handed recapping, drawing of blood, picking up waste, inserting a catheter, and performing surgeries [10].…”

Section: Introductionmentioning

confidence: 99%

Occupation-Related Injuries Among Healthcare Workers: Incidence, Risk Groups, and the Effect of Training

Şengel

Tigen

Bilgin

et al. 2021

Cureus

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Background and objectiveOccupation-related injuries (ORIs) are undesirable and harmful situations among healthcare workers (HCWs) and may have serious consequences. In this study, we aimed to identify and analyze ORI incidences, risk groups, and the outcomes of a training program to prevent them. Materials and methodsBetween January 2011 and December 2019, HCWs who applied for infection prevention and control (IPC) due to ORIs (percutaneous needlestick and sharp-object injury or contact with blood or body fluids) were included in the study. Their characteristic features, vaccine histories, injury types, viral serologies, and administered prophylaxis were recorded. After 2014, a periodic ORI training program was started. We used joinpoint regression analysis to compare the ORI incidences before and after the education program. ResultsDuring the nine-year study period, 965 ORIs were registered. The mean age of HCWs was 39.3 ± 8.4 years, and 67.9% of them were female. The total injury incidence for all professions was 34.1 (95% CI: 33.1-37.5) per 1,000 HCWs. The injury incidences were significantly higher in nurses compared to other HCWs (p<0.01). Most of the injuries occurred in the ward setting (37%). HCWs were injured most commonly while administering treatment (36.7%). The trend analysis for the incidence of injuries showed no significant change throughout the study period. The trend in personal protective equipment (PPE) use showed a significant increase (annual percentage change: 1.7, p<0.01). ConclusionsThe major finding of this study with respect to its implication on the healthcare system is that nurses are an important risk group for ORIs. Although the ORI incidence did not change during the study period, a significantly increased use of appropriate PPE following a systematic training program implementation was observed.

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Occupational exposure to blood and bodily fluids among healthcare workers in Serbian general hospitals

Cited by 15 publications

References 15 publications

Exposure to Occupational Hazards among Health Care Workers in Low- and Middle-Income Countries: A Scoping Review

Exposure to Occupational Hazards among Health Care Workers in Low- and Middle-Income Countries: A Scoping Review

The Epidemiology of Sharp Injuries in Healthcare Workers at a Trinidadian Community Hospital

Occupation-Related Injuries Among Healthcare Workers: Incidence, Risk Groups, and the Effect of Training

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