Age and years in practice as factors associated with needlestick and sharps injuries among health care workers in a Portuguese hospital

Hospital Center of Trás-os-Montes and Alto Douro, Avenida da Noruega, Lordelo, 5000-508 Vila Real, Portugal.
Accident; analysis and prevention (Impact Factor: 1.65). 07/2012; 47:11-5. DOI: 10.1016/j.aap.2012.01.011
Source: PubMed


Health care workers are attributed to the group at highest risk of occupationally acquired bloodborne diseases as the result of contact with blood and body fluids. A cross sectional study was conducted between November 2009 and February 2010 in the North of Portugal, to identify potential risk factors for needlestick and sharps injuries. A questionnaire was provided to 363 health care professionals. Logistic regression was used to identify risk factors associated to needlestick and sharps injuries, calculating odds ratio (OR) and their 95% confidence interval (CI). Sixty-five percent of health care workers (64.5%, 234/363) reported needlestick and sharps injuries in the previous 5 years. Of the injured workers, 74.8% were nurses. Of the total injuries reported, the commonest were from syringe needle unit. The multivariate logistic regression model showed that the strongest risk factor was having more than 10 years or more of work in health services (OR 3.37, 95% CI 1.82, 6.24). Another significantly related factor was being over 39 years-old (OR 1.94, 95% CI 1.03, 3.63). In Portugal, there is a lack of epidemiological evidence related to needlestick and sharps injuries. Considering that patients infected with hepatitis B and C virus are commonly encountered in the hospital environment and that the prevalence of HIV infection in Portugal is one of the highest in Europe, these results should be considered in the design of biosafety strategies at the Hospital Center.

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    • "When we asked what the main perceived cause of injury was, carelessness had the highest percentage . A busy and tiring work schedule leads to carelessness and OE can occur during risky practices such as recapping needles, breaking ampoules, and drawing blood [14] [15]. This is the reason why the majority of injuries are caused by needles and mostly to the hand. "
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    ABSTRACT: The aim of this study is to determine the risk factors for percutaneous and mucocutaneous exposures in healthcare workers (HCW) in one of the largest centers of a middle income country, Turkey. This study has a retrospective design. HCWs who presented between August 2011 and June 2013, with Occupational Exposures (OEs) (cases) and those without (controls) were included. Demographic information was collected from infection control committee documents. A questionnaire was used to ask the HCWs about their awareness of preventive measures. HCWs who work with intensive work loads such as those found in emergency departments or intensive care units have a higher risk of OEs. Having heavy workloads and hours increases the risk of percutaneous and mucocutaneous exposures. For that reason the most common occupation groups are nurses and cleaning staff who are at risk of OEs. Increasing work experience has reduced the frequency of OEs. Copyright © 2015. Published by Elsevier Ltd.
    Full-text · Article · Jul 2015
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    • "Nurses were found to be the most occupational health group to have NSSIs [Memish et al., (2013), Kebede et al., (2012), Yoshikawa et al., (2013), Hoffmann et al., (2013) and Voide et al., (2012)].This can be explained by the facts that the nurses administer most of the injections and intravenous fluid administration, basically nurses are the most healthcare group dealing with injections and sharp objects, plus the numbers of nurses are usually higher than any other occupational group inside hospitals, not forgetting that shortage of nurses inside hospitals is also an issue. Martins et al., (2012) reported a very interesting finding, which is some of the NSIs were actually caused by a HCW colleague; she reported that 4.3% of her sample reported their injury inflicted by another healthcare worker. Martins were the only researcher brought this finding into the surface. "
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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.
    Full-text · Article · Oct 2014
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    • "As shown by the GERES study in private laboratories, these incorrect behaviours were observed among phlebotomists, probably accounting for at least a quote of their higher injury rate per 100 FTE in comparison to nurses. Used needles should be immediately disposed of, following the completion of the procedure: disposing of used devices in a sharps container all or most of the times was found to decrease the odds of sustaining a NSI of 82% (24). However, 24% of NSI in the laboratory reported in the SIROH occurred while disposing of the used device in the sharps container (18% of NSI in other areas), and 12% occurred with a device protruding from an overfilled container (3.3% of NSI in all other areas). "
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    ABSTRACT: Healthcare workers are at risk of sharps injuries and subsequent infection from more than 40 bloodborne pathogens or species. Hepatitis B Virus (HBV), Hepatitis C Virus (HCV) and Human Immunodeficiency Virus (HIV) together account for the vast majority of cases. The Directive 2010/32/EU “Prevention from sharp injuries in the hospital and healthcare sector”, issued to protect workers from these risks, requires an integrated approach to prevention including awareness-raising, education, training, elimination of unnecessary needles, safe procedures for sharps use and disposal, banning of recapping, vaccination, use of personal protective equipment, provision of safety-engineered devices, and appropriate surveillance, monitoring, response and follow-up. As laboratories represent a high-risk setting both in the preanalytical and analytical phase, we reviewed accidents and prevention in this setting in the light of the new legislation. Phlebotomy is the procedure carrying the highest risk of exposure and infection, involved in 30–50% of HIV and HCV cases detected in nationwide systems following accidental blood exposures implemented since the 1990s in Italy and France. In laboratories, problems in the management of sharps containers, recapping, needle disassembly by hand and blood transfer from syringes into tubes were observed and accounted for two-thirds of injuries. These accidents could be reduced through education and monitoring of behaviours, and introduction of medical devices incorporating safety-engineered protection mechanisms with appropriate training. Laboratory staff should be immunized against HBV, and know policies and procedures for the post-exposure management and prophylaxis. The management commitment to safety is crucial to ensure the necessary support to these changes.
    Full-text · Article · Feb 2014 · Biochemia Medica
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