scholarly journals Knowledge and Practice of Health Care Workers regarding Needle Stick Injuries in a Tertiary Care Center of Nepal

2017 ◽  
Vol 13 (3) ◽  
pp. 230-233 ◽  
Author(s):  
B. Singh ◽  
B. Paudel ◽  
S. KC

Background Needle stick injuries are common health hazards among health care workers. Considering the increasing prevalence of body fluid borne infectious diseases; knowledge regarding the common errors and universal precautions are vital for the prevention of such accidents.Objective This study aimed to assess for knowledge and practice approaches among health care workers regarding needle stick injuries.Method This is a cross sectional survey was conducted using an anonymous, self-reporting 25-item structured questionnaire at a tertiary care center of central Nepal. A total of 165 health care personnel of working experience of more than 6 months were included in the study. Questionnaire included aspects of prevalence and knowledge on needle stick injury, hepatitis B immunization status and post exposure prophylaxis for HIV.Result Prevalence of needle stick injury was found to be 703 per 1000 health care worker (70.3%) during their working tenure and majority of the injury happened among nurses (p<0.05) besides other professions. Seventy nine (47.9%) participants experienced the injury more than one time in their career and the mean number of injury was 2.06±1.16. The practice of needle recapping is still prevalent and 80% participants often use single handed technique. Vaccination against hepatitis B virus was not completed by 31% health workers. Inadequate knowledge about post exposure prophylaxis for HIV was reported by 46% participants.Conclusion High prevalence of needle stick injury with a high rate of ignorance was noted. These issues need to be addressed, through appropriate education and interventional strategies.

Author(s):  
Humaira Bashir ◽  
Syed Shuja Qadri

Background: Needle stick injury among health workers is regarded as an occupational hazard. Health care workers are at risk of having blood-borne diseases in case they are exposed to blood and other biological samples of the patients. Moreover, staff including doctors working in tertiary care hospitals has high work load which results in increased chances of getting these injuries. The aim and objectives of this study were to find out the prevalence of needle stick injury among different categories of health care workers. Authors also aimed to assess the knowledge, attitude and practices associated with it.Methods: A hospital based cross sectional study design to know the prevalence of needle stick injury among various health care workers of Karpagam Faculty of Medical Sciences and Research, a tertiary level care hospital in Coimbatore, Tamilnadu, India. A total of 250 health care workers were selected for the study purpose. A self-designed, semi-structured, pre-tested questionnaire was used to assess the prevalence of needle stick injuries and the factors associated with it.Results: A majority of health care workers (94%) knew about needle stick injury and 92% were aware that HIV can be transmitted through needle stick injury, 78.4% and 69.65% were aware of Hepatitis-B and Hepatitis-C transmission respectively. About 28.4% of subjects had encountered needle stick injury in their past. Furthermore, it was found that type of exposure and place of exposure was significantly associated with different categories of health care workers (p <0.001).Conclusions: Prevention of health workers against needle stick injury is the best possible way to prevent several bloods borne diseases. There should be a prevention programme which special focus on training of health care workers. Further strategies aiming at preventive measures and reporting of the Needle stick injuries accidents should be made compulsory among health care workers.


Author(s):  
Jurimoni Gogoi ◽  
Sultana Jesmin Ahmed ◽  
Hiranya Saikia ◽  
Ratna Sarma

Background: The objective of study was to determine prevalence of needle stick injuries among health care workers in a tertiary care hospital of Assam and to assess the knowledge, attitude and practices on needle stick injuries among them.Methods: It was a cross-sectional study conducted from June 2016 to August 2016 amongst health care workers of a tertiary care centre of Assam. Sample size was calculated to be 90. A total of 10 departments were selected purposively based on their magnitude of risk exposure and the required sample size was allocated proportionally among these 10 departments. The required numbers of health workers from each of the ten departments were selected by using simple random sampling. A predesigned and pretested proforma was used to collect the data. Data were presented in terms of percentages and significance was tested using chi-square and Fisher’s exact test.Results: Prevalence of needle stick injury among the health workers was found to be 21.1%. Regarding spread of diseases after an accidental needle stick injury, 100% were aware of HIV, 98.9% were aware of Hepatitis B and 67.8% were aware of Hepatitis C. Regarding their attitude to report to in-charge medical officer, only 21.1% had reported about their injury. Around 58.9% of health care workers used gloves regularly for prevention of such injuries. Practice of recapping among the health care workers was 66.7% and out of total needle stick injuries, recapping contributed to 26.3%. While considering sharp waste disposal, 37.8% health care workers did not follow proper waste disposal guidelines. Only 26.3% of health care workers had done screening for HIV/AIDS and Hepatitis B after their injury.Conclusions: There is a need to have a pre-employment training to improve the knowledge, attitude and practice regarding accidental needle stick injuries among the health care workers. 


2018 ◽  
Vol 17 (2) ◽  
pp. 44
Author(s):  
Manjari Bajracharya ◽  
Sushila Bhandari

<p><span><strong>Introduction:</strong> A needle stick injury is a percutaneous piercing wound typically set by a needle point but possibly also by other sharp instruments or objects commonly encountered by health care professionals because of the risk to transmitting blood borne diseases like Hepatitis B Virus (HBV), Hepatitis C (HCV) and Human Immuno Deficiency Virus (HIV). The aim of this study was to assess the prevalence, causes, awareness and knowledge regarding Needle Stick Injury among health care workers Tertiary Care Centre of Nepal.</span></p><p><span><strong>Methods:</strong> A descriptive cross sectional study was conducted in 350 staffs of Tertiary Care Centre Nepal, from June to August 2013. Data was collected through semi-structured self-administered questionnaire. All the collected data was processed and analyzed by using descriptive statistics namely the frequency and percentage. </span></p><p><span><strong>Results: </strong>The study showed that out of the 350 respondents, 65.1% had there medicinal years of practices extended to five years. Among the responses 44.8% mentioned, highest number of needle prick was observed when recapping the needles due to long working hours. About 64.6% respondents washed their hands with soap, water or other antiseptics for effective post exposure preventive measures and 24.9% had access to infection control protocol.</span></p><p><span><strong>Conclusions: </strong>Despite the awareness regarding needle stick injury and its preventive measures, health care workers are yet bound to face it often during their surgical or medicinal area of practice due to monotonous and long working hours. </span></p><div><span><br /></span></div>


2018 ◽  
Vol 17 (1) ◽  
pp. 44-48
Author(s):  
Manjari Bajracharya ◽  
Sushila Bhandari

Introduction: A needle stick injury is a percutaneous piercing wound typically set by a needle point but possibly also by other sharp instruments or objects commonly encountered by health care professionals because of the risk to transmitting blood borne diseases like Hepatitis B Virus (HBV), Hepatitis C (HCV) and Human Immuno Deficiency Virus (HIV). The aim of this study was to assess the prevalence, causes, awareness and knowledge regarding Needle Stick Injury among health care workers Tertiary Care Centre of Nepal.Methods: A descriptive cross sectional study was conducted in 350 staffs of Tertiary Care Centre Nepal, from June to August 2013. Data was collected through semi-structured self-administered questionnaire. All the collected data was processed and analyzed by using descriptive statistics namely the frequency and percentage. Results: The study showed that out of the 350 respondents, 65.1% had there medicinal years of practices extended to five years. Among the responses 44.8% mentioned, highest number of needle prick was observed when recapping the needles due to long working hours. About 64.6% respondents washed their hands with soap, water or other antiseptics for effective post exposure preventive measures and 24.9% had access to infection control protocol.Conclusions: Despite the awareness regarding needle stick injury and its preventive measures, health care workers are yet bound to face it often during their surgical or medicinal area of practice due to monotonous and long working hours.


Author(s):  
Kiran G. Makade ◽  
Dhiraj Bhawnani ◽  
Nirmal Verma ◽  
Monika Dengani

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.


Sign in / Sign up

Export Citation Format

Share Document