Occupational Exposure to Needle Stick Injuries and Hepatitis B Vaccination Coverage Among Clinical Laboratory Staff in Sana’a, Yemen: Cross-Sectional Study

Al-Abhar, Nabil; Moghram, Ghuzlan Saeed; Al-Gunaid, Eshrak Abdulmalek; Serouri, Abdulwahed Al; Khader, Yousef

doi:10.2196/15812

Cited by 16 publications

(19 citation statements)

References 9 publications

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“…A study by Mekonnen et al (2018) showed that needlestick and sharp object injuries are more likely to occur to nurses, laboratory staff, and midwives. Another study also suggested that most laboratory staff encountered needlestick injury (Al-Abhar et al, 2020).…”

Section: Introductionmentioning

confidence: 98%

The Factors of Needlestick Injury on Healthcare Workers at the Hospital of Bojonegoro

Fitria

Izati

Martiana

2020

IJOSH

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Introduction: Needlestick injury is the most frequent accidents encountered by healthcare workers in the hospital. Needlestick injury can expose healthcare workers to the risk of communicable diseases infection. This study was conducted in one of the hospitals in Bojonegoro. Healthcare workers in the inpatient installation and laboratory room have a potential for needlestick injury since they often use needles in their work activities. The aim of this study was to analyze the needlestick injury-related factors on healthcare workers in one of the hospitals in Bojonegoro. Methods: This study belongs to a cross-sectional study with a quantitative approach. The study population comprised all laboratory staffs and nurses in the inpatient installation. Sampling was done using stratified random method, obtaining 91 people as the samples. The variables involved in this study included educational level, knowledge, training, unsafe action, and needlestick injury. Data were acquired by means of observation, questionnaire, hospital data, and other supporting data. The data obtained were analyzed using the chi square test with a significance of 0.05 (α = 0.05). Result: This study indicates that educational level (sig = 0.024) and unsafe action (sig = 0.002) are related to needlestick injury. Meanwhile, knowledge (sig = 0.722) and training (sig = 0.350) are not related to needle stick injury. Conclusion: Educational level and unsafe actions are related to needlestick injury on healthcare workers at one of the hospitals in Bojonegoro.Keywords: accident, hospital, needlestick

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Section: Introductionmentioning

confidence: 98%

The Factors of Needlestick Injury on Healthcare Workers at the Hospital of Bojonegoro

Fitria

Izati

Martiana

2020

IJOSH

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“…Unsafe practices but are not limited to prevalent and high-risk practices, include: a) reuse of injection equipment to administer injections to more than one person; b) accidental needlestick injuries in HCPs; c) overuse of injection to health conditions where oral formulations are available; d) unsafe sharps waste management [ 17 – 21 ]. Prevention of hepatitis B infection in healthcare settings includes hand hygiene, safe handling and disposal of sharps and waste, safe cleaning of equipment, testing of donated blood, improved access to safe blood, and training the health personnel [ 22 ]. This paper, therefore, provides an opportunity to pass to the healthcare providers a clear message regarding awareness of hepatitis B of prevention [ 19 , 23 ].…”

Section: Introductionmentioning

confidence: 99%

Awareness of hepatitis B post-exposure prophylaxis among healthcare providers in Wakiso district, Central Uganda

et al. 2022

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Background Healthcare providers (HCPs) are at an elevated occupational health risk of hepatitis B virus infections. Post-exposure prophylaxis (PEP) is one of the measures recommended to avert this risk. However, there is limited evidence of HCPs’ awareness of hepatitis B PEP. Therefore, this study aimed to establish awareness of hepatitis B PEP among HCPs in Wakiso, a peri-urban district that surrounds Uganda’s capital, Kampala. Methods A total of 306 HCPs, selected from 55 healthcare facilities (HCFs) were interviewed using a validated structured questionnaire. The data were collected and entered using the Kobo Collect mobile application. Multivariable binary logistic regression was used to establish the factors associated with awareness of hepatitis B PEP. Results Of the 306 HCPs, 93 (30.4%) had ever heard about hepatitis B PEP and 16 (5.2%) had ever attended training where they were taught about hepatitis B PEP. Only 10.8% were aware of any hepatitis B PEP options, with 19 (6.2%) and 14 (4.6%) mentioning hepatitis B immunoglobulin (HBIG) and hepatitis B vaccine, respectively as PEP options. Individuals working in the maternity department were less likely to be aware of hepatitis B PEP (AOR = 0.10, 95% CI = 0.02–0.53). There was a positive association between working in a healthcare facility in an urban setting and awareness of hepatitis B PEP (AOR = 5.48, 95% CI = 1.42–21.20). Hepatitis B screening and vaccination were not associated with awareness of PEP. Conclusions Only one-tenth of the HCPs were aware of any hepatitis B PEP option. Awareness of hepatitis B PEP is associated with the main department of work and working in a healthcare facility in an urban setting. This study suggests a need to sensitise HCPs, especially those in rural HCFs and maternity wards on hepatitis B PEP. The use of innovative strategies such as e-communication channels, including mobile text messaging might be paramount in bridging the awareness gap.

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“…NSIs pose a significant health risk to employees. After NSI from an infected source, the risk of acquiring hepatitis B virus is between 2% to 40% [ 5 ], hepatitis C virus 3% to 10%, and HIV 0.2% to 0.5% [ 6 ]. In addition to the health risk these NSIs present, they pose a significant financial burden: each NSI costs anywhere from US $376 to US $2456 for an estimated yearly national cost from US $33 million to US $2 billion [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Efficacy of a Novel Intraoperative Engineered Sharps Injury Prevention Device: Pilot Usability and Efficacy Trial

Jenny¹,

Yesantharao²,

Xun³

et al. 2020

JMIR Perioper Med

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Background The American College of Surgeons reports 88,320 intraoperative needlestick injuries (NSIs) per year, resulting in US $376 to US $2456 in costs per NSI. Engineered sharps injury prevention (ESIP) devices protect against NSIs. To our knowledge, no study has been published to date to demonstrate clinical effectiveness of an intraoperative ESIP device. Operative Armour is a wearable arm cuff that can be donned during surgical closure to allow surgeons to keep a suture pack and sharps protection container on their forearm. Objective We characterize Operative Armour’s ESIP device effectiveness in a tertiary hospital, hypothesizing that this device will decrease NSI risk by decreasing behaviors associated with NSIs: needle passing and handling. Methods A prospective case-control study was conducted with institutional review board quality improvement designation in which authors observed skin closures of plastic surgery procedures. To ensure accuracy, one surgeon was observed at a time. Control surgeries were purely observational; intervention cases involved surgeon use of the device during skin closure. Outcomes of interest included needle passing, needle handling, lost needles, and loaded waiting needles. Results Surgeons were observed in 50 control and 50 intervention cases. Operative Armour eliminated needle passing during skin closure. One NSI occurred in one control case; no NSIs were observed in intervention cases (P=.36). The mean number of loaded and unprotected waiting needles was also significantly decreased in the intervention group from 2.3 to 0.2 (P<.001). Furthermore, a multivariable linear regression established that Operative Armour significantly decreased the number of needle adjustments by hand per stitch observed (F4, 21.68=3.72; P=.01). In fact, needle adjustments by hand decreased overall (1 adjustment per 10 stitches vs 1 adjustment per 5 stitches, P=.004), and adjustments occurred half as frequently with use of Operative Armour in free flap reconstruction (1 adjustment per 10 stitches vs 1 adjustment per 5 stitches, P=.03) and a quarter as frequently in other breast reconstruction cases such as mastopexy (1 adjustment per 20 stitches vs 1 adjustment per 5 stitches, P=.002). Conclusions Operative Armour effectively functions as an ESIP device by decreasing intraoperative needle passing and handling. Although sample size prohibits demonstrating a decrease in NSIs during observed cases, by decreasing behaviors that drive NSI risk, we anticipate an associated decrease in NSIs with use of the device.

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Occupational Exposure to Needle Stick Injuries and Hepatitis B Vaccination Coverage Among Clinical Laboratory Staff in Sana’a, Yemen: Cross-Sectional Study

Cited by 16 publications

References 9 publications

The Factors of Needlestick Injury on Healthcare Workers at the Hospital of Bojonegoro

The Factors of Needlestick Injury on Healthcare Workers at the Hospital of Bojonegoro

Awareness of hepatitis B post-exposure prophylaxis among healthcare providers in Wakiso district, Central Uganda

Efficacy of a Novel Intraoperative Engineered Sharps Injury Prevention Device: Pilot Usability and Efficacy Trial

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