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

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.


Health care workers, ICTC, Needle-stick injury, PEP

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Sharma R, Rasania S, Verma A, Singh S. Study of Prevalence and Response to Needle Stick Injuries among Health Care Workers in a Tertiary Care Hospital in Delhi, India. Indian J Community Med. 2010;35:74-7.

Muralidhar S, Singh PK, Jain RK, Malhotra M, Bala M. Needle stick injuries among health care workers in a tertiary care hospital of India. Indian J Med Res. 2010;131:405-10.

Wicker S, Jung J, Allwinn R, Gottschalk R, Rabenau HF. Prevalence and prevention of needlestick injuries among health care workers in a German university hospital. Int Arch Occup Environ Health. 2008;81:347-54.

Kakizaki M, Ikeda N, Ali M, Enkhtuya B, Tsolmon M, et al. Needlestick and sharps injuries among health care workers at public tertiary hospitals in an urban community in Mongolia. BMC. 2011;4:184.

Gurung NS, Paudel K, Pun CB. Needle stick injuries among health care workers in a tertiary care teaching hospital, Pokhara, Nepal. J Gandaki Med Coll. 2010;3:47-50.

Pruss-Ustun A, Rapiti E, Hutin Y. Sharps injuries: Global burden of disease from sharps injuries to health-care workers. Geneva, World Health Organization. 2003.

Kotwal A, Taneja D. Health Care Workers and Universal Precautions: Perceptions and Determinants of Non-compliance. Indian J Community Med. 2010;35:526-8.

Sari SYI, Ibrahim K, Haroen H. Knowledge, attitude and perceived adherence with universal precautions among health care workers in the obstetrics and gynaecology department of an Indonesian teaching hospital. Int J Infect Control. 2011;7:4.

Ferguson KJ, Waitzkin H, Beekmann SE, Doebbeling BN. Critical incidents of nonadherence with standard precautions guidelines among community hospital-based health care workers. J Gen Intern Med. 2004;19:726-31.

Maharaj D, Lawton B, Garrett S. Poor compliance with standard precautions against infections during minor gynaecological procedures. Aust NZJ ObstetGynaecol. 2012;52:262-5.

Zaidi MA, Beshyah SA, Griffith R. Needle Stick Injuries: An overview of the size of the problem, prevention & management. Ibnosina J Med Bio Scie. 2010;2:53-61.

Pournaras S, Tsakris A, Mandraveli K, Faitatzidou A, Douboyas J, et al. Reported needlestick and sharp injuries among health care workers in a Greek general hospital. Occup Med (Lond). 1999;49:423-6.

Jaybhaye DR, Dahire PL, Nagaonkar AS, Vedpathak VL, Deo DS, et al. Needle stick injuries among health care workers in tertiary care hospital of rural India. Int J Med Sci Public Health. 2014;3:48-51.

Wilburn SQ, Eijkemans G. Preventing needlestick injuries among healthcare workers: a WHO-ICN collaboration. Int J Occup Environ Health. 2004;10:451-6.

Kermode M, Jolley D, Langkham B, Thomas MS, Crofts N. Occupational exposure to blood and risk of bloodborne virus infection among health care workers in rural north Indian health care settings. Am J Infect Control. 2005;33:34-41.

Duff SE, Wong CKM, May RE. Surgeons and occupational health departments’ awareness of guidelines on PEP for staff exposed to HIV: a telephone survey. BMJ. 1999;319:162-3.

Mathewos B, Birhan W, Kinfe S, Boru M, Tiruneh G, Addis Z, et al. Assessment of knowledge, attitude and practice towards post exposure prophylaxis for HIV among health care workers in Gondar, North West Ethiopia. BMC Public Health. 2013;13:508.

Chagani MM, Manji KP, Manji MP, Sheriff FG. Healthcare workers’ knowledge, attitudes, practices on post exposure prophylaxis for HIV in Dar es Salaam. Tanzania Med J. 2011;25(2):33-8.

Shevkani M, Kavina B, Kumar P, Purohit H, Nihalani U, Shah A. An overview of post exposure prophylaxis for HIV in health care. Indian J Sex Transm Dis. 2011;32(1):9-13.

Alam M. Knowledge, attitude and practices among health care workers on needle-stick injuries. Annals of Saudi Medicine. 2000;22:5-6.

Prasuna J. Occurrence and knowledge about needle stick injury in nursing students, J Ayub Med College Abbottabad. 2015;27(2).

Kashyap B, Gupta S. Awareness towards Occupation Exposure among Health Care Workers of a Tertiary Care Hospital: A KAP Survey. 2016;5(1):1-6.