Occupational exposure to blood and body fluids among health care workers in a teaching hospital in Mumbai, India

Singru, Samir A; Banerjee, Amitav

doi:10.4103/0970-0218.39239

Cited by 45 publications

(27 citation statements)

References 12 publications

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“…Also they specified six types of sharps lead to stick injuries including hypodermic needles, suture needles, butterfly, scalpel blades, IV catheter and phlebotomy needles. Also Hashmi et al (2012) [37] and Singru and Banerjee (2008) [38] showed that the highest incidence of occupational exposure was among nurses especially novice ones and only half of these incidents were reported.…”

Section: Discussionmentioning

confidence: 99%

Factors affecting nurse interns’ compliance with standard precautions for preventing stick injury

Dorgham

Obied

2016

JNEP

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Aim: Compliance with standard precautions (SPs) is a critical workplace safety issue for nurse interns (NIs) as they are clinically incompetent, and obligated to cover nursing shortage in intensive care units (ICUs). Thus current study aimed to assess factors affecting NIs' compliance with SPs. Methods: Descriptive study design was used. The sample included 110 NIs trained in ICUs at University Hospitals. Tools: Tool (I) Factors affecting NIs' compliance with SPs included items on compliance with SPs, environmental risk factors, stick injuries, and vaccination, influence of role-modeling and refreshment program on compliance with SPs. Tool (II) Knowledge test covered SPs and transmission of blood-borne pathogens. Results: About 40% of NIs noncompliance with SPs due to lack in supplies and equipments, Majority of them had low and moderate knowledge level regarding SPs. 71.8% had 4-6 times needle stick injuries and 88.2% didn't report it. 39.1% never use protective equipment in emergency and 29.1% always recap contaminated needles. Conclusions: NIs are at risk of stick injury as they lacking knowledge and skills regarding SPs. Moreover, lacking of supplies and training programs regarding SPs, and absence of reporting system of these incidents contribute to NIs noncompliance with SPs thus they are more at risk of blood transmitted diseases.

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Section: Discussionmentioning

confidence: 99%

Factors affecting nurse interns’ compliance with standard precautions for preventing stick injury

Dorgham

Obied

2016

JNEP

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“…In Sub-Saharan countries exposure of NSSIs is higher than elsewhere and becoming a significant public health issue due to the fear of occupational infections faced by ill paid, ill protected and overworked HCWs. It accounts for 86% of all occupationally related infection transmissions and causes 1000 infections per year [7,8]. The Centers for Disease Control and Prevention also estimates that HCWs sustain approximately 385,000 sharps-related injuries annually [9].…”

Section: Introductionmentioning

confidence: 99%

Magnitude and Impact of Occupational Related Needle Stick and Sharp Injuries and Associated Factors among Health Care Workers in Dire Dawa, Eastern Ethiopia

Mekonnen¹,

Yosef²,

Teklegiorgis³

et al. 2018

Med Saf Glob Health

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Background: In African countries including Ethiopia occupational exposure of needle stick and sharp injuries is higher than elsewhere and it is still a major public health problem. It accounts for 86% of all occupationally related infection transmissions; expose Health Professionals to more than 20 blood borne pathogens. In Dire Dawa, Ethiopia, the magnitude of needle stick and sharp injuries and its health impacts remain unknown. In addition, available statistics underestimate the severity of the problem because most health care workers do not report their injuries. Objective: To determine the prevalence and associated factors of needle stick and sharp injuries among health care workers of public health facilities, Dire Dawa. Methods: A facility based cross sectional study was conducted using quantitative methods on a samples of 305 health care workers from five selected health facilities of Dire Dawa. Results: Both the life time and the last 12 months prevalence of NSSI were 149(53.8%) and 75(26.6%), respectively. The prevalence of NSSIs among clinical nurses, laboratory technologist and midwifery was 57%, 46% and 20%, respectively. Among the 75 cases occurred in the last one year, 49(65.3%) did not report the incident due to absence of reporting protocol (53.1%), fear of isolation and/or discrimination (20.4%), too busy to report (16.3%) and that it was not important to report the incident (10.2%). Although 80% HCWs took HBV vaccine, only 45% completed the full dose. Both before (crude analysis) and after the results were adjusted for selected variables, profession of medical laboratory (p=0.037), sometimes use of personal protective equipment (p=0.001), sometimes recapping needles after use (p=0.001), inadequate availability of post exposure prophylaxis (p=0.011), and working more than 40 H a week (p=0.009)} were factors significantly associated with occupational exposure NSSI. Conclusion: This study revealed high prevalence of NSSIs in the study area. This suggests distribution of adequate safety materials and prophylaxis is mandatory. Exposure prevention among the HCWs must be all health facilities concern and completion of three doses of Hepatitis B must be reiterated. More importantly distribution of syringe and needles which sheath or retract after use, and replace the older one, can be cost effective intervention strategy.

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“…1 These preventable injuries expose healthcare workers to over 20 different blood borne pathogens, and resulted in 1000 infections per year. 2 Needle stick injury accounted for 86% of all occupationally related infection transmissions. The most common blood borne pathogens transmitted with NSIs are hepatitis B, hepatitis C and HIV.…”

Section: Introductionmentioning

confidence: 99%

Factors associated with needle stick and sharp injuries among healthcare workers in Felege Hiwot Referral Hospital, Bahir Dar, Northwest Ethiopia: facility based cross-sectional survey

Walle¹,

Abebe²,

Tsegaye³

et al. 2013

Int. j. infect. control

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Needle stick and sharp injuries are occupational health hazards to healthcare workers. Every day they are exposed to deadly pathogens through contaminated needle and other sharps injuries. The aim of this study was to assess the prevalence and factors associated with needle stick and sharp injuries among healthcare workers in Felege Hiwot Referral Hospital. Facility based cross-sectional survey was conducted from 1-5 July 2012, using questionnaire. All healthcare workers contacted in the study period were included. Data was analyzed using SPSS version 16.0. Binary logistic regression was used to identify factors associated with needle stick and sharp injuries. From the total 332 healthcare workers enrolled, 216 (65.1%) were females. Nearly 2/3 rd were diploma holders, and Nurse by profession. Hundred three (31.0%) had needle stick and sharp injury at least once in the previous 12 months. Three fourth of the injuries were due to needle stick. Those whose monthly income was >=1000.00Eth Birr, satisfied on their job, and worked in waste handling unit were likelyu 4.1, 2.8, and 4.1 more likely to get injured than their counterparts respectively (Adjusted Odds ratio [AOR] =4.1, 95% Confidence Interval [CI] 1.27-13.14, AOR=2.78, 95% CI 1.01-7.63, and AOR=4.1, 95% CI 1.27-13.14). Those who worked in maternity unit were 80% less likely to get injured than those who worked in Emergency units (AOR= 0.20, 95% CI 0.05-0.78). Nearly 1/3 rd of participants had needle stick and sharp injury at least once in the previous year. Suboptimal practices and behaviours that put them at risk to the injury were identified. Authorities should give on job training, and regular supportive supervision. Further research is needed to determine the incidence of the injury, and the type of disease they would acquire.

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Occupational exposure to blood and body fluids among health care workers in a teaching hospital in Mumbai, India

Cited by 45 publications

References 12 publications

Factors affecting nurse interns’ compliance with standard precautions for preventing stick injury

Factors affecting nurse interns’ compliance with standard precautions for preventing stick injury

Magnitude and Impact of Occupational Related Needle Stick and Sharp Injuries and Associated Factors among Health Care Workers in Dire Dawa, Eastern Ethiopia

Factors associated with needle stick and sharp injuries among healthcare workers in Felege Hiwot Referral Hospital, Bahir Dar, Northwest Ethiopia: facility based cross-sectional survey

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