Prevalence and prevention of needlestick injuries among health care workers in a German university hospital

Wicker, Sabine; Jung, Juliane; Allwinn, Regina; Gottschalk, René; Rabenau, Holger F.

doi:10.1007/s00420-007-0219-7

Cited by 154 publications

(146 citation statements)

References 27 publications

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“…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. 31.5%, 49.1% and 38.4% respectively among the health care personnel.…”

Section: Discussioncontrasting

confidence: 99%

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

Unnikrishnan¹

2014

J Community Med Health Educ

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Section: Discussioncontrasting

confidence: 99%

“…Health care personnel are at increased risk of contracting blood borne pathogens due to their occupational exposure to blood and body fluids [1][2][3][4]. More than twenty diseases can get transmitted through needle stick injuries including Hepatitis B, Hepatitis C and HIV [5].…”

Section: Introductionmentioning

confidence: 99%

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

Unnikrishnan¹

2014

J Community Med Health Educ

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“…Several studies on NSI and sharp injuries among health care workers have been reported from all over the world. [1][2][3]5,[7][8][9][11][12][13] In the present study, around 40% of the HCWs reported having received NSI in their carrier, which is a concerning number. Few of the studies in North India had found a high prevalence of NSI (79.5% and 73%, which is higher as compared to the present study.…”

Section: Discussionmentioning

confidence: 75%

Knowledge and response of health care workers after needle - stick injury in a tertiary care hospital setting in tribal Rajnandgaon, Chhattisgarh, India

et al. 2017

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Background: Health care workers (HCW) who have occupational exposure to blood are at increased risk for acquiring blood-borne infections. Occupational exposure to blood can result from per-cutaneous injury (needle stick or other sharps injury), muco-cutaneous injury or contact with non-intact skin. Hence not only doctors and nurses even laboratory technicians, housekeeping personnel and hospital waste handlers are at risk of harboring the blood borne infections through needle-stick injury (NSI).Methods: The present prospective cross sectional study was carried out at the 400 bedded Government Medical College Hospital, Rajnandgaon, Chhattisgarh, India, during period from November 2015 to August 2016. Out of total study participants, 18 were doctors, 142 nurses and 20 lab technicians from different clinical departments/wards of the hospital. Data was collected by using a predesigned pretested questionnaire and analyzed using appropriate statistical software.Results: Out of 180 HCW, 149 (82.78%) were females and, 31 (17.22%) were males. Majority 78 (43.3%) of the subjects said that the physician should be consulted after NSI within one hour. 51.1% of the subjects surprisingly replied that it was not necessary to report NSI. Around 72 (40%) of the subjects had history of NSI sometime in their life till then. Out of total exposed respondents, 56/72 (77.8%), took ICTC consultation. Out of total subjects who consulted ICTC, 51/56 (91.1 %), were suggested to take PEP by the ICTC physician. Out of 51 subjects who were advised PEP (Post Exposure Prophylaxis) by ICTC Physician, 45 (88.2%) started PEP within 1 hr of NSI. Majority of the participants replied that most probability of getting NSI was while drawing blood sample from the patients (29.2%). 68.9% of the study subjects were immunized completely against Hepatitis B.Conclusions: The study subjects had adequate knowledge about NSI and their response in the form of actions that have to be taken after NSI was also satisfactory. The response in the form of taking consultation from a specialist and taking PEP was appreciable but it needs to be improved upon.

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“…In a similar study by Wicker et al among healthcare professionals of a German university hospital, 31.4% of all workers admitted that they had been subject to exposure and the percentage was higher among physicians -55.1% than among nurses -22.0%. Most exposures occurred in the employees of surgical wards -46.9% of cases (69.5% of doctors and 31.4% of nurses) [13].…”

Section: Ijomeh 2014;27(5) 754mentioning

confidence: 99%

Healthcare workers’ occupational exposure to bloodborne pathogens: A 5-year observation in selected hospitals of the Małopolska province

Różańska

Szczypta

Baran

et al. 2014

IJOMEH

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Objectives: The study presents data concerning occupational exposures among the staff of 5 hospitals in the Małopolska province in [2008][2009][2010][2011][2012], taking into account the frequency and circumstances of exposure formation, occupational groups of hospital workers, as well as diversification of the reported rates in subsequent years between the hospitals and in each of them. An additional objective of the analysis was to assess the practical usefulness of the reported data for planning and evaluation of the effectiveness of procedures serving to minimize the risk of healthcare workers' exposure to pathogens transmitted through blood. Material and Methods: Data were derived from occupational exposure registries kept by 5 hospitals of varying sizes and operational profiles from the Małopolska province from the years 2008-2012. Results: Seven hundred and seventy-five cases of exposure were found in a group of 3165 potentially exposed workers in the analyzed period. Most cases were observed in nurses (68%) and these were mainly various types of needlestick injuries (78%). Exposure rates with respect to all workers ranged from 2.6% to 8.3% in individual hospitals, but the differences in their values registered in the hospitals in subsequent years did not bear any statistical significance, in a way similar to the rates calculated separately for each occupational group. Conclusions: There was no upward or downward trend in the number of reported cases of exposure to bloodborne pathogens in the studied period in any of the hospitals. Statistically significant differences in the percentages of exposures were reported between individual hospitals in some years of the analyzed period, which confirms the need for registries in individual units in order to plan and evaluate the effectiveness of preventative measures.

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Prevalence and prevention of needlestick injuries among health care workers in a German university hospital

Abstract: There is a high rate of needlestick injuries in the daily routine of a hospital. The rate of such injuries depends on the medical discipline. Implementation of safety devices will lead to an improvement in medical staff's health and safety.

Cited by 154 publications

References 27 publications

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

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

Knowledge and response of health care workers after needle - stick injury in a tertiary care hospital setting in tribal Rajnandgaon, Chhattisgarh, India

Healthcare workers’ occupational exposure to bloodborne pathogens: A 5-year observation in selected hospitals of the Małopolska province

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