1.A pooling analysis of occupational sharp injury on clinical nurses in China.
Huan-qiang WANG ; Min ZHANG ; Tao LI ; Xie-yi DU
Chinese Journal of Industrial Hygiene and Occupational Diseases 2009;27(2):65-70
OBJECTIVETo estimate the occupational sharp injury incidence and the diversity of the injury and the preventive control methods between the different levels of hospitals and the different areas of hospitals among nurses in China.
METHODSAn electronic search of relevant online databases was undertaken. Twenty six retrospective investigation reports were identified from 209 reports based on the filter standards after a systematic review of them. The data were pooled for analysis.
RESULTS19 171 clinical nurses recalled the sharp injuries in the past year which came from 229 hospitals in 23 cities in China. 81.37% had sustained at least one sharp injury. The polled average number of episodes of occupational sharp injuries and needle stick and contaminated needle stick were 8.68, 4.17 and 2.68 episode per person per year before 2004 and fell to 3.42, 2.54 and 1.58 episode per person per year after 2005, respectively. The needle stick injuries and broken glass injuries accounted for 54.31% and 38.31%, respectively. The needle stick injuries mainly occurred in collecting or sorting of used sharps instrument (24.90%), withdrawing needle or separating it from container (22.62%), during use of the item such as inserting needle or draw a blood sample or puncturing or inject drug (21.01%), recapping used needles (15.62%). 9.42% of the episodes were reported, 19.22% of the nurses wore gloves while doing procedures on patients, 40.66% of the nurses accepted work safety training and 66.67% of them were immunized with Hepatitis B vaccine.
CONCLUSIONThe sharp injuries are correlated with work load, the making and implementation of the rules, the levels and districts of the hospitals. The prevention control methods on sharp injury should be strengthened and the key point is to issue and publicize the guideline of prevention and control for occupational exposure to bloodborne pathogen.
China ; epidemiology ; Humans ; Needlestick Injuries ; epidemiology ; Nurses ; Nursing Staff, Hospital ; Occupational Exposure ; prevention & control ; Retrospective Studies
2.Prevalence of needlestick and sharps injuries in the healthcare workers of Iranian hospitals: an updated meta-analysis.
Reza GHANEI GHESHLAGH ; Marzieh ASLANI ; Fidan SHABANI ; Sahar DALVAND ; Naser PARIZAD
Environmental Health and Preventive Medicine 2018;23(1):44-44
BACKGROUND:
Needlestick and sharps injuries (NSIs) are critical occupational risk among health care workers (HCWs), which is extremely worrying due to the potential risk of transmitting bloodborn pathogens (BBPs). This study was carried out to evaluate the prevalence of NSIs among Iranian HCWs.
METHODS:
In this systematic review and meta-analysis, the key terms percu* injur*, needle* stick injur*, needlestick* injur*, or sharp* injur* were searched in the Scientific Information Database (SID), MagIran, IranMedex, Google Scholar, Science Direct, PubMed, and Scopus. A prefabricated checklist, including variables: first author, publication year, study population, sample size, gender, total prevalence of needlestick in each gender, type of questionnaire, region, and type of hospitals, was used to extract data from the selected articles included which were published between 2003 and 2016.
RESULTS:
The analysis showed that the prevalence of NSIs in the Iranian HCWs was 42.5% (95% CI 37-48). Moreover, the prevalence of NSIs was more in women (47%; 95% CI 36-58) compared to men (42%; 95% CI 26-58).
CONCLUSION
Given the high prevalence of NSIs, it is necessary to supply safe needles and instruments, hold training programs focused on new methods of using sharp objects safely, observe safety principles and standards, reinforce the practical skills of personnel, and pay more attention to reporting and improving occupational behaviors like avoiding needle recapping in order to reduce the prevalence of NSIs and consequently reduce potential risk of transmission of BBPs.
Humans
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Iran
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epidemiology
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Needlestick Injuries
;
epidemiology
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Personnel, Hospital
;
statistics & numerical data
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Prevalence
;
Risk Factors
;
Sex Factors
3.Epidemiology and risk factors of needlestick injuries among healthcare workers in Iran: a systematic reviews and meta-analysis.
Soheil HASSANIPOUR ; Mojtaba SEPANDI ; Reza TAVAKKOL ; Mousa JABBARI ; Hadiseh RABIEI ; Mahdi MALAKOUTIKHAH ; Mohammad FATHALIPOUR ; Gholamhossein POURTAGHI
Environmental Health and Preventive Medicine 2021;26(1):43-43
BACKGROUND:
Occupational contact with blood and body fluids poses a significant risk to healthcare workers. The aim of this systematic review is to investigate the epidemiology and risk factors affecting needlestick injuries (NSI) in healthcare personnel in Iran.
METHODS:
In March 2020, researchers studied six international databases such as Medline/PubMed, ProQuest, ISI/WOS, Scopus, Embase, and Google Scholar for English papers and two Iranian databases (MagIran and SID) for Persian papers. Joanna Briggs Institute (JBI) Critical Appraisal Checklist was used to assess quality of studies. The method of reporting was based on the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement.
RESULTS:
A total of 43 articles were included in the analysis. Results showed that females (OR = 1.30, 95 % CI 1.06-1.58, P value = 0.009), younger age (OR = 2.75, 95 % CI 2.27-3.33, P value < 0.001, rotated shift workers (OR = 2.16, 95 % CI 1.47-3.15, P value < 0.001), not attending training courses (OR = 1.30, 95 % CI 1.07-1.56, P value = 0.006), working in the surgery ward (OR = 1.83, 95 % CI 1.33-2.50, P value < 0.001), less work experience (OR = 1.43, 95 % CI 1.04-1.95, P value = 0.025) apposed a greater risk factors for NSI among healthcare workers.
CONCLUSION
Based on the results of this review, factors such as young age, less work experience, work shift, and female gender are considered as strong risk factors for NSI injury in Iran. Preventive measures including education programs can reduce the burden of NSI among healthcare personnel.
Health Personnel/statistics & numerical data*
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Humans
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Incidence
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Iran/epidemiology*
;
Needlestick Injuries/epidemiology*
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Prevalence
;
Risk Factors
4.Prospective and Retrospective Incidence and Post-exposure Reporting of Needlestick Injuries.
Ihn Sook JEONG ; Jae Sim JEONG ; Jun Seok SOHN ; Jeong Hwa CHOI ; Sun Young JEONG ; Su Ha HAN ; Seung Mae CHOI ; Jeong A YOUN ; Ju Yeon SONG
Korean Journal of Nosocomial Infection Control 2015;20(1):29-36
BACKGROUND: Most studies on the incidence rate (IR) and post-exposure reporting rate (RR) of needle-stick injuries (NSIs) were performed using retrospective surveillance, which is vulnerable to recall bias. This study aimed to identify the agreement between IRs and RRs obtained from prospective and retrospective surveillance. METHODS: The prospective surveillance was performed with 716 nurses working at 3 hospitals from August to September in 2012. They prospectively reported when they experienced the NSIs, and the investigator retrospectively calculated the RR from records in the infection control unit or health care unit during the same periods when they reported the number of NSIs. The retrospective surveillance was carried out with 312 nurses who participated in the prospective surveillance. They retrospectively answered the question on the number of NSIs and post-exposure reporting after recalling the experienced NSI from August to September in 2012. RESULTS: The IR of NSIs was 9.8 per 100 nurses by the prospective surveillance and 36.4 per 100 nurses by the retrospective surveillance, which was statistically significantly different (P<0.001). The RR of NSIs was 14.3% by the prospective surveillance and 8.5% by the retrospective surveillance, which was not statistically significantly different. CONCLUSION: We recommend using a prospective approach for calculating the IR of NSIs to reduce the risk of recall bias. However, the RR of NSIs can be calculated using both prospective and retrospective approaches.
Bias (Epidemiology)
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Delivery of Health Care
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Humans
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Incidence*
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Infection Control
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Memory
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Needlestick Injuries*
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Prospective Studies*
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Research Personnel
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Retrospective Studies*
5.Influencing factors for needlestick injuries in student nurses.
Chunlan LIU ; Xiaoyan LIU ; Yinghong ZHU ; Yanxun LIU
Chinese Journal of Industrial Hygiene and Occupational Diseases 2015;33(7):528-531
OBJECTIVETo investigate the needlestick injuries in student nurses during nine months of in-ternship in our hospital, and reveal the high-risk periods, risk procedures, and influencing factors for needlestick injuries, and explore the prevention approaches.
METHODSThree hundred and fifty student nurses who interned at our hospital from April to December 2014 and from July 2014 to March 2015 were surveyed using self-de-signed questionnaires. Three hundred and forty questionnaires were recovered and 334 out of them were valid. Data were collected and questionnaires were analyzed.
RESULTSThe incidence of needlestick injuries was 60.8%; the incidence of needlestick injuries was substantially higher at the early stage than at the late stage of the internship, and higher in the day shift than in the night shift. Moreover, the incidence of needlestick injuries was the highest during the removal of a syringe or infusion needle, accounting for 24.3% of the total incidence. Some other significant factors for needlestick injuries in student nurses included education level, reports on oc-cupational exposure, constant update of nursing knowledge, regular hematological examination, and relevant training experiences. According to 61.7% of student nurses, clinical operations were affected due to underlying concern about needlestick injuries.
CONCLUSIONMore attention should be paid to high incidence of needlestick injuries in student nurses, especially at the early stage of their internship. To reduce the incidence of needlestick injuries, education on occupational protection should be given to student nurses in advance, and the pre-job training should be enhanced.
Accidents, Occupational ; statistics & numerical data ; Humans ; Incidence ; Internship and Residency ; Needles ; Needlestick Injuries ; epidemiology ; Nurses ; Risk ; Students ; Surveys and Questionnaires
6.Analysis of needlestick and sharps injuries among medical staff in upper first-class hospital.
Yue GU ; Chen CHEN ; Ke-ping CHENG ; Zhi-bin TU ; Xu-jun ZHANG
Chinese Journal of Industrial Hygiene and Occupational Diseases 2013;31(1):41-44
OBJECTIVETo investigate the incidence of needlestick and sharps injuries among the medical staff in an upper first-class hospital and its risk factors and to provide a basis for the infection control department of hospital and health administration department to establish the policies for safe injection.
METHODSA questionnaire survey was conducted in 800 healthcare professionals in an upper first-class hospital in Nanjing, China to investigate the incidence of needlestick and sharps injuries in the past year. A total of 641 persons completed the questionnaire, including 239 doctors, 348 nurses, and 54 other healthcare workers. The obtained data were subjected to chi-square test and logistic analysis.
RESULTSNeedlestick and sharps injuries occurred in 373 of 641 healthcare professionals, with an incidence rate of 58.19%. There were significant differences in the incidence of needlestick and sharps injuries among the medical staff of different types or in different departments (P < 0.01). The syringe needles, glass, scalp infusion needles, and suture needles were the major medical apparatus that caused needlestick and sharps injuries; the incidence rate of injury caused by suture needles in doctors (48.21%) was significantly higher than that in nurses (6.72%) (P < 0.01), and the incidence rates of injuries caused by syringe needles, scalp infusion needles, and glass in nurses (71.15%, 59.68%, and 49.04%) were significantly higher than those in doctors (46.43%, 6.25%, and 16.96%) (P < 0.01); compared with nurses, the doctors had higher incidence rates of injuries due to body fluid or tissue sample collection, wound flushing, suture, and cutting (P < 0.05); compared with doctors, the nurses had higher incidence rates of injuries due to injection, intravenous infusion, heparin cap sealing, intravenous infusion line connection, and venous or arterial blood collection (P < 0.05).
CONCLUSIONNeedlestick and sharps injuries are common in medical staff. The results of the study on risk factors provide a basis for the infection control department of hospital and health administration department to establish the policies for safe injection.
Accidents, Occupational ; statistics & numerical data ; China ; Female ; Health Personnel ; Humans ; Incidence ; Male ; Needlestick Injuries ; epidemiology ; Risk Factors ; Surveys and Questionnaires
7.An epidemiological investigation on injection related risk factors.
Hong-zhen XIE ; Jun NIE ; Shao-shan PAN ; Yang BAI
Chinese Journal of Epidemiology 2003;24(3):172-175
OBJECTIVETo explore risk factors of injection-related sharp injury and to provide safety injection guidance to healthcare takers.
METHODSA cross-sectional survey and 1:1 case-control study was used to study the epidemiological features and risk factors of sharp injuries among 3010 clinical nurses and nurse students from 13 hospitals in Guangzhou. Logistic multiple factor analysis was used.
RESULTSEighty-seven point five percent of nurses have suffered injuries at last once time. During the past month, 37.6% of the nurses have suffered injuries at least once time. The frequency of the injuries was 0.84 per person month. Through multiple logistic regression analysis, data showed that the risk factors leading to the sharp injuries in orders were: contacting the needle more frequently, subjectively thinking that the sharp injuries as unavoidable, the atmosphere in the nursing unit was not harmonious enough, recapping habit, carelessness at work, too many patients that not cooperating, breaking the ampule off without using carbasus, crowded and noisy working place, lack of acknowledge on prevention, lack of the awareness on how to avoiding the accident, having an initiative and creative personality etc.
CONCLUSIONThe results provided a foundation for the department of infection control in the hospital and sanitary administration department to constitute safety injection policies.
Case-Control Studies ; China ; epidemiology ; Cross Infection ; epidemiology ; etiology ; prevention & control ; Cross-Sectional Studies ; Female ; Hand Injuries ; epidemiology ; etiology ; Humans ; Injections ; Logistic Models ; Male ; Needles ; Needlestick Injuries ; epidemiology ; Nursing Staff, Hospital ; Retrospective Studies ; Risk Factors ; Surveys and Questionnaires
9.Study on status of needle-stick and other sharps injuries among healthcare workers in a general hospital .
Chun-lan SHI ; Min ZHANG ; Chen XIE
Chinese Journal of Industrial Hygiene and Occupational Diseases 2011;29(12):939-943
OBJECTIVETo understand the prevalence of hospital healthcare workers (HCWs) with needle-stick and other sharps injuries, and to provide the basic data for intervention study.
METHODSA retrospective investigation was conducted with questionnaires for needle-stick and other sharps injuries from January 1- to December 31 of 2009 among 1201 healthcare workers in a general hospital.
RESULTSThe total number of needle-stick and other sharps injuries among 1201 healthcare workers in 2009 was 4320, the number of needle-stick and other sharps injuries for each person was 3.58 and the incidence of needle-stick and other sharps injuries was 78.85 %. The subjects with the high risk of needle-stick and other sharps injuries were from the department of gynecology and obstetrics, surgical department, intensive care unit and emergency room, the incidences and the average numbers of episodes were 94.67% and 4.51 per person, 93.09% and 4.46 per person, 85.44% and 3.08 per person, 76.62 % and 4.55 per person in 2009, respectively. The operations resulting in the needle-stick and other sharps injuries were the breaking glass preparation (ampoule or vial), withdrawing needles, preparing sharp devices and performing an operation, the incidences were 46.96%, 30.97%, 25.73% and 14.49%, respectively. Needle-stick and other sharps injuries were mainly caused by ampoules, winged steel needle, disposable syringes, suture needles and scalpels, the incidences were 47.04%, 37.22%, 31.31%, 17.65% and 7.08%, respectively.
CONCLUSIONHealthcare worker are still at risk of needle- stick and other sharps injuries, which was related to the profession, department, medical manipulation and medical apparatus and instruments. Special and comprehensive measurements for preventing the needle-stick and other sharps injuries should be taken actively.
Adult ; Female ; Humans ; Incidence ; Middle Aged ; Needlestick Injuries ; epidemiology ; Personnel, Hospital ; statistics & numerical data ; Prevalence ; Retrospective Studies ; Surveys and Questionnaires ; Young Adult
10.Monitoring of hematogenous occupational exposure in medical staff in infectious disease hospital.
Manxia XIE ; Jin ZHOU ; E-mail: XMXXCX5933@163.COM. ; Yimei WANG
Chinese Journal of Industrial Hygiene and Occupational Diseases 2015;33(10):766-768
OBJECTIVETo investigate the status and risk factors for hematogenous occupational exposure in medical staff in an infectious disease hospital, and to provide a scientific basis for targeted preventive and control measures.
METHODSThe occupational exposure of 395 medical workers in our hospital was monitored from January 2012 to December 2014, among whom 79 individuals with occupational exposure were subjected to intervention and the risk factors for occupational exposure were analyzed.
RESULTSThe high-risk group was mainly the nursing staff (69.6%). The incidence of hematogenous occupational exposure was high in medical personnel with a working age under 3 years, aged under 25 years, and at the infection ward, accounting for 63.3%, 72.1%, and 72.2%, respectively. Hepatitis B virus, hepatitis C virus, Treponema pallidum, and human immunodeficiency virus were the primary exposure sources. Sharp injury was the major way of injury (91.1%), with needle stick injury accounting for the highest proportion (86.1%). Injury occurred on the hand most frequently (91.1%). The high-risk links were improper disposal during or after pulling the needle, re-capturing the needle, and processing waste, accounting for 46.8%, 17.7%, and 12.7%, respectively. Seventy-nine professionals with occupational exposure were not infected.
CONCLUSIONThe main risk factor for hematogenous occupational exposure in medical staff in the infectious disease hospital is needle stick injury. Strengthening the occupational protection education in medical staff in infectious disease hospital, implementing protective measures, standardizing operating procedures in high-risk links, and enhancing the supervision mechanism can reduce the incidence of occupational exposure and infection after exposure.
Hospitals ; Humans ; Incidence ; Infectious Disease Transmission, Patient-to-Professional ; prevention & control ; Medical Staff, Hospital ; Needlestick Injuries ; epidemiology ; Occupational Diseases ; prevention & control ; Occupational Exposure ; prevention & control ; Risk Factors