Occupational Exposure to Blood or Body Fluids as a Result of Needlestick Injuries and Other Sharp Device Injuries Among Medical Residents in Japan

Wada, Koji; Narai, Rie; Sakata, Yumi; Yoshikawa, Toru; Tsunoda, Masashi; Aizawa, Yoshifusa

doi:10.1086/513448

Cited by 13 publications

(9 citation statements)

References 10 publications

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“…A study carried out in Pune, India, reported the highest number of exposures among first-year interns. 28 Interns in Taiwan had the highest incidence for needle-stick injuries. 29 There are no reported studies in South Africa comparing occupational exposure to blood-borne or body fluid pathogens among first-year and second-year interns.…”

Section: Discussionmentioning

confidence: 99%

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Occupational exposure to blood-borne or body fluid pathogens among medical interns at Addington Hospital, Durban

Karani

Rangiah

Ross

2011

South African Family Practice

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Section: Discussionmentioning

confidence: 99%

“…This, combined with inexperience, long working hours and a high volume of procedures, places interns at a high risk of needle-stick injury. 28 Interns work long hours and it is likely that fatigue, with resulting impaired cognitive performance, may also contribute to the accidental exposures.…”

Section: Discussionmentioning

confidence: 99%

Occupational exposure to blood-borne or body fluid pathogens among medical interns at Addington Hospital, Durban

Karani

Rangiah

Ross

2011

South African Family Practice

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“…There have been few studies focusing on the incidence rate of NSIs across a range of hospitals in Japan [11], [12], although some have examined rates in individual hospitals [13]–[16]. The aim of this study was to determine the incidence rate of NSIs in 67 hospitals located throughout Japan using the nationwide EPINet surveillance system.…”

Section: Introductionmentioning

confidence: 99%

Incidence Rate of Needlestick and Sharps Injuries in 67 Japanese Hospitals: A National Surveillance Study

et al. 2013

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BackgroundDetermining incidence rates of needlestick and sharps injuries (NSIs) using data from multiple hospitals may help hospitals to compare their in-house data with national averages and thereby institute relevant measures to minimize NSIs. We aimed to determine the incidence rate of NSIs using the nationwide EPINet surveillance system.Methodology/Principal FindingsData were analyzed from 5,463 cases collected between April 2009 and March 2011 from 67 Japanese HIV/AIDS referral hospitals that participated in EPINet-Japan. The NSI incidence rate was calculated as the annual number of cases with NSIs per 100 occupied beds, according to the demographic characteristics of the injured person, place, timing, device, and the patients’ infectious status. The NSI incidence rates according to hospital size were analyzed by a non-parametric test of trend. The mean number of cases with NSIs per 100 occupied beds per year was 4.8 (95% confidence interval, 4.1–5.6) for 25 hospitals with 399 or fewer beds, 6.7 (5.9–7.4) for 24 hospitals with 400–799 beds, and 7.6 (6.7–8.5) for 18 hospitals with 800 or more beds (p-trend<0.01). NSIs frequently occurred in health care workers in their 20 s; the NSI incidence rate for this age group was 2.1 (1.6–2.5) for hospitals having 399 or fewer beds, 3.5 (3.0–4.1) for hospitals with 400–799 beds, and 4.5 (3.9–5.0) for hospitals with 800 or more beds (p-trend<0.01).Conclusions/SignificanceThe incidence rate of NSIs tended to be higher for larger hospitals and in workers aged less than 40 years; injury occurrence was more likely to occur in places such as patient rooms and operating rooms. Application of the NSI incidence rates by hospital size, as a benchmark, could allow individual hospitals to compare their NSI incidence rates with those of other institutions, which could facilitate the development of adequate control strategies.

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“…Kermode et al reported that the highest incidence of BBFs and NSI was among newly graduated doctors [22]. Wada et al found that the occupational exposure to infection varied from 55% for first year interns and 31% for second year interns [23]. Varying views according to different countries were reported.…”

Section: Discussionmentioning

confidence: 99%

Assessment of doctors’ knowledge, attitude and practice for hepatitis C virus infection control guidelines in Egypt

El-Sayed¹,

Mehanna²,

Maraghy³

et al. 2019

Arch Med Sci Civil Dis

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Introduction: Hepatitis C virus is a blood-borne infection and one of the major global problems. In Egypt, the prevalence is reported to be the highest. Infection through unsafe medical procedures is considered now the primary cause of infection. The study aims to assess the knowledge, attitude and practice of doctors regarding infection control guidelines in Ismailia governorate. Material and methods: A cross sectional study was conducted on a sample of physicians (355) in Ismailia governorate using a questionnaire to collect data on their knowledge and attitude concerning the control measures related to their years of experiences. Results: Most of the physicians (89.6%) regardless of their years of experience have had contact with blood products. Those who had a history of needle stick injury accounted for 56.3%, with a statistically significant difference as to the highest number being middle career physicians. Concerning knowledge about infection control policies in their hospitals, it was relatively low among all groups. Conclusions: Despite all efforts exerted by the infection control professionals, infections still remain a major unpleasant side effect of health care, often causing harm to patients.. Although Egypt has made great progress in implementing the infection control procedures and policies, there is still a huge problem as the practices of physicians do not really reflect their knowledge and they still do not follow the infection control policies. Education, monitoring, improved availability of resources and disciplinary measures are necessary to improve infection control in health facilities that should be applied to all physicians.

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Occupational Exposure to Blood or Body Fluids as a Result of Needlestick Injuries and Other Sharp Device Injuries Among Medical Residents in Japan

Cited by 13 publications

References 10 publications

Occupational exposure to blood-borne or body fluid pathogens among medical interns at Addington Hospital, Durban

Occupational exposure to blood-borne or body fluid pathogens among medical interns at Addington Hospital, Durban

Incidence Rate of Needlestick and Sharps Injuries in 67 Japanese Hospitals: A National Surveillance Study

Assessment of doctors’ knowledge, attitude and practice for hepatitis C virus infection control guidelines in Egypt

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