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Year : 2009  |  Volume : 27  |  Issue : 1  |  Page : 44-47

Needle stick injuries in a tertiary care hospital

1 Hospital Infection Control Committee, Christian Medical College, Vellore, Tamil Nadu-632 004, India
2 Staff Student Health Services, Christian Medical College, Vellore, Tamil Nadu-632 004, India

Correspondence Address:
G Kang
Hospital Infection Control Committee, Christian Medical College, Vellore, Tamil Nadu-632 004
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Source of Support: None, Conflict of Interest: None

PMID: 19172059

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Background: Accidental needle stick injuries (NSIs) are an occupational hazard for healthcare workers (HCWs). A recent increase in NSIs in a tertiary care hospital lead to a 1-year review of the pattern of injuries, with a view to determine risk factors for injury and potential interventions for prevention. Methods: We reviewed 1-year (July 2006-June 2007) of ongoing surveillance of NSIs. Results: The 296 HCWs reporting NSIs were 84 (28.4%) nurses, 27 (9.1%) nursing interns, 45 (21.6%) cleaning staff, 64 (21.6%) doctors, 47 (15.9%) medical interns and 24 (8.1%) technicians. Among the staff who had NSIs, 147 (49.7%) had a work experience of less than 1 year ( P < 0.001). The devices responsible for NSIs were mainly hollow bore needles ( n = 230, 77.7%). In 73 (24.6%) of the NSIs, the patient source was unknown. Recapping of needles caused 25 (8.5%) and other improper disposal of the sharps resulted in 55 (18.6%) of the NSIs. Immediate post-exposure prophylaxis for HCWs who reported injuries was provided. Subsequent 6-month follow-up for human immunodeficiency virus showed zero seroconversion. Conclusion: Improved education, prevention and reporting strategies and emphasis on appropriate disposal are needed to increase occupational safety for HCWs.


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2004 - Indian Journal of Medical Microbiology
Published by Wolters Kluwer - Medknow

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