Risk analysis of needle stick and sharp object injuries among health care workers in a tertiary care hospital (Saudi Arabia).

Adult Infectious Diseases Division, King Fahad Medical City, Riyadh, Riyadh 11176, Saudi Arabia.
Journal of epidemiology and global health 09/2013; 3(3):123-9. DOI: 10.1016/j.jegh.2013.03.004
Source: PubMed

ABSTRACT To study different risk factors associated with needle stick injury among health care workers of a tertiary care hospital in Saudi Arabia.
Retrospective study involving all reported cases of needle stick and sharp object injury among health care workers through using Epinet™ access U.K. version 1.3 program in King Saud Medical City (KSMC) during the period (January 2007-December 2011).
During the study period, 477 needle stick and sharp object injuries were reported with peak incidence (13.84%) during 2009. Distribution of needle stick and sharp object injuries according to the location of their occurrence clarified that patient room/ward was the most common place of occurrence of NSSIs 150/477, followed by emergency department 82/477, then the intensive and critical care units 70/477. The study presented that nurses were encountered as the most affected job category and use of items is the most common activity associated with the incidents. Most of the incidents were caused by needles with disposable needle and hands were the most affected body parts.
Needle stick and sharp object injuries represent a major occupational challenge to health care workers. Prevention should be based on different working lines including immunization, education of health care workers and proper engineering control measures.

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    ABSTRACT: Background: Needlestick and sharp injuries (NSSIs) are defined as percutaneous injuries with needles or sharp objects contaminated with blood or other body fluids. NSSIs are considered as a major occupational hazard among healthcare workers (HCWs) since needles and sharp objects are commonly used in hospitals. Objectives: The objective of this study is to conduct a systematic review on the published scientific literature to provide accurate assessment of needlestick and sharp injuries among healthcare workers including prevalence, risk factors, predictors, reporting, and interventions. Methods: The following selection criteria were used to perform a systematic search of the literature: research studies published in English language between 2011 and 2014, targeted population is the healthcare workers providing direct care to the patients in the hospitals. The outcome of the study is the needlestick and sharp injuries. The following databases were searched: ScienceDirect, Scopus, and EBSCO. The included search terms were: needlestick injury, sharp injury, NSI or NSSI and healthworkers. The search was limited to cross-sectional studies, retrospective studies, and randomized controlled trials conducted in the hospital. The criteria to select articles were limited to peer-reviewed scientific publications and review articles were excluded. Result: Based on the inclusion and exclusion criteria, screening was done to the 35 articles. 18 articles were found eligible to be included while 17 studies were excluded. The included studies consisted of 10 cross-sectional, 7 retrospective, and 1 intervention study. In general, higher NSSI rates were found in nurses (average reported between 64.1% - 44.3%) compared to other occupational groups (average NSSI rate reported were first year resident physician 45%, interns 26% and housekeeper 12.3%). Conclusion: NSSIs is an important occupational hazard among health workers in their daily working. More emphasis must be put on investigating methods and strategies to reduce NSSIs. Safety devices must be used more by HCWs to reduce NSSIs along with planning educational and training programs with close monitoring to practices.
    International Journal of Clinical Medicine Research. 10/2014; 1(4):151 - 160.


Available from
Jun 2, 2014