2015, Number 3
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Rev Med Inst Mex Seguro Soc 2015; 53 (3)
Overview of sharps injuries among health-care workers
Gopar-Nieto R, Juárez-Pérez CA, Cabello-López A, Haro-García LC, Aguilar-Madrid G
Language: Spanish
References: 35
Page: 356-361
PDF size: 57.33 Kb.
ABSTRACT
Sharps injuries are one of the most frequent health-care related accidents.
It is estimated globally that 35 million workers are at risk; in Mexico
there is no data available for this type of injuries. They are associated
with lack of training, instrument and procedure risk, fatigue and stress.
The occupational distribution is nurses 45 %, technicians 20 %, doctors
20 % and maintenance workers 5 %. The most commonly associated
procedures are injection, venipuncture, suture, and insertion and
manipulation of IV catheters. Hepatitis B is the most commonly transmitted
agent. Emotional distress is huge as well as the cost of prophylaxis
and follow-up. More than half of the injuries are not notified. The most
common reasons for not reporting are: the belief that the exposure has
low risk of infection, the lack of knowledge of reporting systems and the
assumption that it is difficult to notify. Many strategies have been created
to reduce the incidence of sharps injuries, such as: identifying the
risk of blood exposure, the creation of politics to minimize the risk, the
education and training to create a safe workplace, the enhancing of the
reporting system, the use of double-gloving and using safety-engineered
sharps devices. In many countries these politics have reduced the incidence
of sharps injuries as well as the economic burden.
REFERENCES
Laramie AK, Pun VC, Fang SC, Kriebel D, Davis L. Sharps Injuries among employees of acute care hospitals in Massachusetts, 2002-2007. Infect Control Hosp Epidemiol. 2011;32(6):538-44.
Honda M, Chompikul J, Rattanapan C, Wood G, Klungboonkrong S. Sharps injuries among nurses in a Thai regional hospital: prevalence and risk factors. Int J Occup Environ Med. 2011;2(4):215-23.
Lee JM, Botterman MF, Xanthakos N, Nicklasson L. Needlestick Injuries in the United States. Epidemiologic, economic, and quality of life issues. AAOHN J. 2005;53(3):117-33.
Makary MA, Al-Attar A, Holzmueller CG, Sexton JB, Syin D, Gilson MM, et al. Needlestick injuries among surgeons in training. N Engl J Med. 2007;356(26):2693-9.
Hanmore E, Maclaine G, Garin F, Alonso A, Leroy N, Ruff L. Economic benefi ts of safety-engineered sharp devices in Belgium - a budget impact model. BMC Health Serv Res. 2013;13:489. doi: 10.1186/1472-6963-13-489.
Hoffmann C, Buchholz L, Schnitzler P. Reduction of needlestick injuries in healthcare personnel at a university hospital using safety devices. J Occup Med Toxicol. 2013;8(1):20. doi: 10.1186/1745-6673-8-20.
O’Connor MB, Hannon MJ, Cagney D, Harrington U, O’Brien F, Hardiman N. A study of needle stick injuries among non-consultant hospital doctors in Ireland. Ir J Med Sci. 2011;180(2):445-9.
Gabriel J. Reducing needlestick and sharps injuries among healthcare workers. Nurs Stand. 2009;23(22):41-4.
Leigh JP, Wiatrowski WJ, Gillen M, Steenland NK. Characteristics of persons and jobs with needlestick injuries in a national data set. Am J Infect Control. 2008;36(6):414-20.
Black L. Chinks in the armor: percutaneous injuries from hollow bore safety-engineered sharps devices. Am J Infect Control. 2013;41(5):427-32.
Xu S; Infection Control Department of West China Hospital, Sichuan University. P311: A cross-sectional survey on the incidence of sharps injuries among healthcare workers at 26 hospitals in China. Antimicrob Resist Infect Control. 2013;2(Suppl 1):P311.
Rajkumari N, Thanbuana BT, John NV, Gunjiyal J, Mathur P, Misra MC. A prospective look at the burden of sharps injuries and splashes among trauma health care workers in developing countries: true picture or tip of iceberg. Injury. 2014;45(9):1470-8.
Watterson L. Monitoring sharps injuries: EPINet surveillance results. Nurs Stand. 2004;19(3):33-8.
Ayranci U, Kosgeroglu N. Needlestick and sharps injuries among nurses in the healthcare sector in a city of western Turkey. J Hosp Infect. 2004;58(3):216-23.
Quinn MM, Markkanen PK, Galligan CJ, Kriebel D, Chalupka SM, Kim H, et al. Sharps injuries and other blood and body fl uid exposures among home health care nurses and aides. Am J Public Health. 2009;99 Suppl 3:S710-7. doi:10.2105/AJPH.2008.150169
Jagger J, Berguer R, Phillips EK, Parker G, Gomaa AE. Increase in sharps injuries in surgical settings versus nonsurgical settings after passage of national needlestick legislation. J Am Coll Surg. 2010;210:496-502 .
Brasel KJ, Mol C, Kolker A, Weigelt JA. Needlesticks and surgical residents: who is most at risk?. J Surg Educ. 2007:64(6):395-8.
Schmid K, Schwager C, Drexler H. Needlestick injuries and other occupational exposures to body fl uids amongst employees and medical students of a German university: incidence and follow-up. J Hosp Infect. 2007;65(2):124-30.
Sharma GK, Gilson MM, Nathan H, Makary MA. Needlestick Injuries among medical students: incidence and implications. Acad Med. 2009;84(12):1815-21.
Cheung K, Ching SS, Chang KK, Ho SC. Prevalence of and risk factors for needlestick and sharps injuries among nursing students in Hong Kong. Am J Infect Control. 2012;40(10):997-1001.
Chakravarthy M, Singh S, Arora A, Sengupta S, Munshi N, Rangaswamy S. Epidemiology of sharp injuries - Prospective EPINet data from fi ve tertiary care hospitals in India - Data for 144 cumulated months, 1.5 million inpatient days. Clin Epidemiol Global Health. 2014;2(3):121-6.
Adams D. Needlestick and sharps injuries: practice update. Nurs Stand. 2012;26(37):49-57.
Agreiter I, Pagani L, Motter E, Pedrotti E, Mian P. Needlestick injuries: a prickly need for improving prevention. BMC Proceedings. 2011 5(Suppl 6):P222.
Hambridge K. Needlestick and sharps injuries in the nursing student population. Nurs Stand. 2011;25(27):38-45.
Tso D, Langer M, Blair GK, Butterworth S. Sharpshandling practices among junior surgical residents: a video analysis. Can J Surg. 2012;55(4 Suppl 2):S178-83.
Liyanage IK, Caldera T, Rwma R, Liyange CK, de Silva P, Karunathilake IM. Sharps injuries among medical students in the Faculty of Medicine, Colombo, Sri Lanka. Int J Occup Med Environ Health. 2012;25(3):275-80.
Waljee JF, Malay S, Chung KC. Sharps Injuries: the risks and relevance to plastic surgeons. Plast Reconstr Surg. 2013;131(4):784-91.
O’Sullivan P, Seoighe DM, Baker JF, O’Daly BJ, Mc- Carthy T, Morris S. Hospital-based needlestick use and injuries by Dublin interns in 2010. Ir J Med Sci. 2011;180(2):545-7.
Camacho-Ortiz A, Díaz-Rodríguez X, Rodríguez López JN, Martínez-Palomares M, Palomares-Dela Rosa A, Garza-González E. A 5-year surveillance of occupational exposure to bloodborne pathogens in a university teaching hospital in Monterrey, Mexico. Am J Infect Control. 2013;41(9):e85-8.
Lauer AC, Reddermann A, Meir-Wronski CP, Bias H, Gödecke K, Arendt M. Needlestick and sharps injuries among medical undergraduate students. Am J Infect Control. 2014;42(3):235-9.
Kessler CS, McGuinn M, Spec A, Christensen J, Baragi R, Hershow R. Underreporting of blood and body fl uid exposures among health care students and trainees in the acute care setting: a 2007 survey. Am J Infect Control. 2011;39(2):129-34.
Syam VCD, Delos Santos A, Hakawi A.: P298: Underreporting of needlestick and sharps injuries at one tertiary care hospital in Saudi Arabia. Antimicrob Resist Infect Control. 2013;2(Suppl 1):P298.
Zhang MX, Yu Y. A study of the psychological impact of sharps injuries on health care workers in China. Am J Infect Control. 2013;41(2):186-7.
Wicker S, Stirn AV, Rabenau HF, von Gierke L, Wutzler S. Needlestick injuries: causes, preventability and psychological impact. Infection. 2014;42(3):549-52.
Perry J, Jagger J, Parker G, Phillips EK, Gomaa A. Disposal of sharps medical waste in the United States: impact of recommendations and regulations, 1987-2007. Am J Infect Control. 2012;40(4):354-8.