A study of percutaneous injuries amongst health care workers in a tertiary care hospital
DOI:
https://doi.org/10.18203/2320-6012.ijrms20204243Keywords:
Health care workers, Percutaneous Injuries, Needle stick InjuriesAbstract
Background: Percutaneous injuries (PCI) pose a significant risk of occupational transmission of blood borne pathogens to health care workers (HCWs). Their incidence is considerably higher than current estimates, and hence a low injury rate should not be interpreted as a non-existent problem.
Methods: This prospective observational study was conducted over a period of 1 year at a tertiary care teaching hospital in northern India. As soon as the HCW sustains a PCI, they were instructed to report to the emergency department where note was made of all the details in the post exposure reporting form.
Results: The incidence of PCI in this study was found to be 4.3%. PCIs were reported maximum among nursing staff (63.41%) compared to doctors (36.58%). Majority of PCIs were reported within 1 hour of sustaining the injury (57.1%). Needle stick injury was the commonest injury sustained by HCWs (84.5%). 91.46% of HCWs were fully immunized against hepatitis B.
Conclusions: Preventing PCI is an essential part of infection control program in a hospital. Stress must be laid for mandatory reporting of all PCI irrespective of the source.
References
Simonsen L, Kane A, Lloyd J, Zaffran M, Kane M. Unsafe injections in developing world and transmission of blood borne pathogens. Bull World Health Organ. 1999;77:789–800.
Calver J. Occupational Health Services. Am J Infect Control. 1997;25:363-5.
Bell DM. Occupational risk of HIV virus infection in health care workers: an overview. Am J Med. 1997;102(5B):9-15.
Ippolito G, Puro V, De Carli G. The Italian study group on occupational risk of HIV infection. The risk of occupational HIV infection in health care workers. Arch Intern Med. 1993;153:1451.
Centers for Disease Control and Prevention Update. HIV virus infections in health care workers exposed to blood of infected patients. MMWR Morb Mortal Wkly Rep. 1987;36:285.
Fahey BJ, Koziol DE, Banks SM, Henderson DK. Frequency of non-parenteral exposures to blood and body fluids before and after universal precautions training. Am J Med. 1991;90:145-53.
Handerson DK. Post exposure prophylaxis for occupational exposures to hepatitis B, hepatitis C and HIV virus. Surg Clin North Am. 1995;75:1175-87.
Centers for Disease Control and Prevention. Recommendation for prevention and control of HCV infection and HCV related chronic disease. MMWR Morb Mortal Wkly Rep. 1998;47:1.
Perry J, Parker G, Jagger J. EPINET report: 2003 percutaneous injury rates. Adv Exposure Prev. 2005;7:2-45.
Kakizaki M, Ikeda N, Ali M, Enkhtuya B, Tsolmon M, Shibuya K, et al. Needlestick and sharps injuries among health care workers at public tertiary hospitals in an urban community in Mongolia. BMC Res Notes. 2011;4:184.
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. (WHO Environmental Burden of Disease Series, No. 3)
Wilburn S, Eijkamans G. Preventing Needle stick Injuries among Healthcare Workers. INT J Occu Env Health. 2004;10:451-6.
Wanchu A, Singh S, Bambery P, Varma S. Possibly occupationally acquired HIV infection in two Indian healthcare workers. Med Gen Med. 2006;24:8:56..
Mehta A, Rodrigues C, Ghag S, Bavi P, Shenai S, Dastur F. Needlestick injuries in a tertiary care centre in Mumbai, India. J Hosp Infect. 2005; 60(4):368.
Jayanth ST, Kirupakaran H, Brahmadathan KN, Gnanaraj L, Kang G. Needle stick injuries in a tertiary care hospital. Indian J Med Microbiol. 2009;27:44-7.
Bali R, Sharma P, Garg A. Incidence and patterns of needlestick injuries during intermaxillary fixation. Br J Oral Maxillofac Surg. 2011;49(3):221-4.
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.
Bali R, Sharma P, Angi S, Shruti P. Needle stick injuries in health care providers. Nurs J India. 2008;99(11):251-4.
Joardar GK, Chatterjee C, Sadhukhan SK, Chakraborty M, Dass P, Mandal A. Needle sticks injury among nurses involved in patient care: a study in two medical college hospitals of West Bengal. Indian J Public Health. 2008;52(3):150-2.
Chacko J, Isaac R. Percutaneous injuries among medical interns and their knowledge and practice of post-exposure prophylaxis for HIV. Ind J Pub Health. 2007;51:127-9.
Mehta A, Rodrigues C, Singhal T, Lopes N, D'Souza N, Sathe K, Dastur FD. Interventions to reduce needle stick injuries at a tertiary care centre. Indian J Med Microbiol. 2010;28(1):17-20.
Pournaras S, Tsakris A, Mandraveli K, Faitatzidou A, Douboyas J, Tourkantonis A. Reported needlestick and sharp injuries among health care workers in a Greek general hospital. Occup Med (Lond). 1999;49:423-6.
Ashat M, Bhatia V, Puri S, Thakare M, Koushal V. Needle stick injury and HIV risk among health care workers in North India. Indian J Med Sci. 2011;65:371-8.
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.
Sood A, Sarin SK, Midha V, Hissar S, Sood N, Bansal P, Bansal M. Prevalence of hepatitis C virus in a selected geographical area of Northern India: A population based survey. Indian J Gastroenterol. 2012;31(5):232-6.
Salelkar S, Motghare DD, Kulkarni MS, Vaz FS. Study of needle stick injuries among health care workers at a tertiary care hospital. Indian J Public Health. 2010;54(1):18-20.
Telali S, Choudhury PL. Occupational exposures to sharps and splash, risk among health care providers in three tertiary care hospitals in south India. Indian J Occup Environ Med. 2006;10:35-40.